Video: World Heart Day: Heart Attack, Brain Attack, Leg Attack

With Dr Andrew Choong, vascular and endovascular surgeon in Singapore

Published · 1 min 40 sec · Watch on YouTube

Transcript

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Today is World Heart Day, and cardiovascular disease remains the world's leading cause of death, killing about 20 million people each year. Most people only think about heart attacks, but the same arterial disease can also affect the brain and the legs.

When an artery to the heart blocks, we call it a heart attack. When an artery to the brain blocks, we call it a stroke, or a brain attack. And when the arteries to the leg become severely blocked, patients can develop a leg attack, or chronic limb-threatening ischaemia. That can mean foot pain at rest, ulcers that don't heal, black toes, infection and, in severe cases, a real risk of amputation.

The risk factors are often the same: smoking, diabetes, high blood pressure, high cholesterol, kidney disease, obesity, inactivity and poor diet. Smoking and diabetes are especially destructive for leg arteries, while high blood pressure is a major driver of stroke risk. So on World Heart Day, do not just think about the heart. Think about the whole arterial circulation: the heart, brain, aorta, kidneys, legs and feet. And if you have leg pain when walking, rest pain in your foot, or a wound that is not healing, get your circulation assessed early.

About This Video

Dr Andrew Choong explains how arterial disease can affect the heart, brain and legs, the shared risk factors, and why walking pain, foot pain at rest or a wound that will not heal needs assessment.

The video uses “leg attack” to highlight a threatened foot. Chronic limb-threatening ischaemia develops with longstanding severe circulation problems; a sudden painful, cold, pale, numb or weak foot can represent acute limb ischaemia and requires emergency care.

For possible heart attack or stroke, or a suddenly painful, cold or weak limb, call 995 in Singapore or your local emergency number elsewhere. Do not wait for a clinic appointment.

Related Patient Information

For a non-emergency review or second opinion, contact Andrew Choong Vascular Surgery at Mount Elizabeth Novena Specialist Centre, #09-22, 38 Irrawaddy Road, Singapore 329563.

This video provides general information and does not replace individual medical advice.

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