SAY ni DOK | Sanhi, sintomas at kung paano maiiwasan at magagamot ang rheumatic heart disease - video Dailymotion

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SAY ni DOK | Sanhi, sintomas at kung paano maiiwasan at magagamot ang rheumatic heart disease

Transcript

00:00 According to the 2020 data released by the World Health Organization,

00:04 1,807 people in the Philippines died from rheumatic heart disease.

00:12 And that's why this morning, here in CineDoc,

00:14 we will be given a free telemedicine about this disease.

00:18 We will be joined by Dr. Ronald Cuyco,

00:21 the President of the Philippine Heart Association or PHA.

00:24 Dr. Ronald, good morning. Welcome to Rise and Shine Philippines.

00:27 Good morning.

00:28 Good morning, Deanne and good morning, Audrey.

00:31 Thank you for inviting us here to talk about this important heart disease, rheumatic heart disease.

00:38 For everyone's knowledge, what is rheumatic heart disease and what is its cause?

00:48 Okay.

00:48 Rheumatic heart disease, when you say rheumatic, it means inflammation.

00:54 So, if you say rheumatic heart disease, therefore, this is the cause of heart failure, especially the pulmonary valve.

01:03 Now, this happens because of infection in the pulmonary or sore throat or infection in the skin.

01:11 So, if this is repeated and not treated, it will lead to a peck clot in the pulmonary valve.

01:20 Oh, okay.

01:21 So, when it's a peck clot, the edges of the pulmonary valve can retract, it can expand, or it can tighten.

01:29 So, that's when the patient has symptoms.

01:31 If the pulmonary valve is tight, the blood in the heart cannot flow easily.

01:36 Is it correct that from sore throat, you will have this disease that will affect the heart?

01:41 That's right, Deanne.

01:42 That's why it's very important for us to protect the sore throat.

01:45 Let's not neglect it.

01:46 Because when there's an infection in the sore throat, there's an inflammation, a sort of immune-mediated reaction

01:53 that goes to the pulmonary valve.

01:56 Others go to the joints, that's why we call it arthritis.

02:01 In the first peck, for example, when there's a sore throat or skin infection,

02:06 the patient can have a fever, have arthritis, and eventually, the heart will be involved.

02:13 We call that a rheumatic fever.

02:15 That's the initial stage that we need to protect.

02:19 We need to detect rheumatic fever well because there's a medicine that can prevent rheumatic heart disease.

02:27 Okay. Is rheumatic heart disease true that it takes a long time,

02:31 or it takes a few years before the symptoms show up?

02:36 That's right, Deanne.

02:37 That's right, Audrey.

02:38 It means that it's a cycle.

02:41 The process is that there needs to be a peck lock on the valve.

02:46 So, like I said earlier, if there's a rheumatic fever, it needs to be protected.

02:50 If it's repeated, that's where the peck lock is.

02:54 So, it takes years, sometimes 10 years, 20 years, before the patient shows symptoms.

03:00 This is when there's palpitations, sore throat, difficulty breathing,

03:04 and towards the end, they'll have a fever.

03:08 So, these are the symptoms of a patient who has rheumatic heart disease.

03:15 So, it takes a long time, Deanne.

03:17 So, 10 to 20 years before the symptoms show up.

03:23 But, Doc, what about this medicine?

03:25 What's the procedure or diagnosis?

03:27 What's the procedure for a person with rheumatic heart disease?

03:32 Yes, Audrey. We need to emphasize to our fellow citizens

03:36 that the first step is, if you feel something, especially in young people,

03:42 because this is common in young people, 20 years old, 30, 40, 50,

03:46 if you feel something, we need to consult a doctor first.

03:52 The first thing you consult with a doctor is to listen to the doctor's heart.

03:57 We call it an auscultation of a stethoscope.

04:00 They can hear if there's a problem with the valve.

04:02 We call it a murmur, abnormal heart sound.

04:05 That's when the tests that the doctor will do will be done.

04:09 You'll be given an X-ray at the ECG.

04:11 But the definitive test, for our fellow citizens,

04:15 for RSP, the definitive test really is 2D echo with Doppler studies.

04:22 So, we need this particular test or procedure

04:26 to know that you really have a rheumatic heart disease.

04:30 How frequent should we have 2D echo?

04:33 Is it yearly to check that our heart is still healthy?

04:39 Related to rheumatic heart disease, it's not something you can do easily.

04:43 You really need to have a request from the doctor.

04:47 You need to have an exam from the doctor first.

04:48 If they hear abnormalities in your heart sound,

04:52 that's when you'll do 2D echo.

04:53 But I want to emphasize this.

04:56 There's a program now, especially in the government.

04:59 There's a government program, DOH with PhilHealth.

05:02 PhilHealth has a free 2D echo coverage

05:07 and it's medicine is penicillin.

05:09 So, we just need to get the hospitals to give us credit

05:14 to cover this.

05:15 So, we have a good program

05:18 in coordination, of course, with our

05:22 government and then private sector like Philippine Heart Association.

05:25 So, we already have this PhilHealth coverage.

05:28 So, if you look at it, 2D echo can be helped.

05:31 Even for those who are suffering.

05:33 If you already have rheumatic heart disease,

05:38 how can we treat it?

05:40 First of all, as I said in the first episode,

05:44 rheumatic fever, with fever, joint pains,

05:47 abnormal sounds, heart.

05:50 Sometimes, we need to give penicillin.

05:54 Penicillin is a cheap medicine but it's very effective

05:58 to prevent the progression of the disease

06:02 in the case of pectoralis in the valve.

06:04 So, again, we really need to be quick

06:09 to identify the first outbreak of rheumatic fever.

06:13 And then, even if they already have a problem with the valve,

06:17 we still give their medicine, penicillin.

06:21 Sometimes, it takes like 10 years.

06:24 From the time of the first outbreak of rheumatic fever,

06:27 they've been taking penicillin for 10 years.

06:29 Now, towards the end, if the other medicine

06:32 in the heart doesn't work, related to rheumatic heart disease,

06:38 the last thing is an operation.

06:40 Change the valve.

06:42 If it's not tight, we do something here.

06:44 We call it transcatheter bulbotomy.

06:47 We insert a catheter here in the valve

06:49 to the valve that we enlarge.

06:54 Doc, can there be other complications of an individual

06:58 if they have been left out of rheumatic heart disease?

07:01 Yes, of course.

07:02 Of course, like other diseases,

07:07 if you leave them out, they get worse and worse.

07:09 So, early intervention detection is needed.

07:12 One of the complications is that the patient has difficulty breathing

07:18 because there's water in the lungs,

07:20 and they get arrhythmias, and sometimes,

07:24 it can be the cause of death if left out.

07:29 Well, Doc, it's the month of February.

07:32 Of course, it's National Heart Month.

07:35 Are there activities and programs

07:37 prepared by the Philippine Heart Association?

07:40 Thank you, Dr. for the reminder.

07:42 This month, we will be having our Heart Month celebration

07:46 in the whole Philippines,

07:47 as far as the Philippine Heart Association.

07:49 This time, the celebration will be in Zamboanga.

07:53 So, we will be in Zamboanga to celebrate the Heart Month.

07:57 But in the whole Philippines,

07:59 as far as the Philippine Heart Association is concerned,

08:02 every chapter, every province,

08:04 will have a Philippine Heart Month celebration

08:08 to promote the advocacy of the Philippine Heart Association.

08:13 So, this is not just a month of love,

08:16 it's also a month of heart.

08:18 Yes, of caring for our hearts.

08:20 So, we will be one of the activities

08:23 led by the Philippine Heart Association.

08:25 Well, Dr. Ron Edcoco, thank you very much

08:27 for visiting Rise and Shine Philippines

08:30 and for giving us free telemedicine for our hearts.

08:33 Thank you, Dr. Edcoco.

08:34 Thank you, Deanne. Thank you, Audrey.

SAY ni DOK | Sanhi, sintomas at kung paano maiiwasan at magagamot ang rheumatic heart disease

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