when I become a heartbeat
I want this to present
on the trip it is best already very early
you wake up and have one
that norm the pressing pain on the chest
and now new left arm
you actually know about trade
and that wanted
the water is then
or the heart department in a hospital
and who knows already that already
an operation will be required
to treat the condition
and after a while at a given time your treatment will come apart
the departments will come up
he says to him
mister Jansen
lists
I have here
in the brand new
method to handle you
such a new one
you are the first patients to whom I will apply this
is not that happy
but I hear you think for over an hour to stir
That is the risk well he has this method to have the knees one
method that has done hundreds of times that also works
after the murder
you see that you doubt and he says well
I see you doubt
but looks seven
look 7 next to you and the location is even more people in this heart department
can also ask your neighbor or neighbor
whether they want to be the first patients on whom I am going to use this new method
to apply
Well I already know what hours I know what I do
i am las mulder and then come the score I would like to take you with me
in the world of
cardiac surgeons and cardiologists
how the products point out the procedures that they will work with how to do that
stand comes
and actually too
how this region in brabant in a miraculous way
cooperates
at the best
training for surgeons and cardiology
but first talk about the heart
not everyone knows that
the heart consists of two halves
left half and a judge
who is behind me here you can feel a little sympathy the right atrium
the place where all oxygen is poor
blood is collected from the entire body
and pumping the right atrium
that blood to the right room
and the first chamber that enters that blood to the lungs
at the lime trees you know all there is fresh oxygen added to
the blood
and from olonne that blood is then collected again
in the left atrium
the left atrium
to go to the left room and only the room comes back again
body
between the atria and the rooms and between the rooms and the large one
the big work the big blood vessels
that room had blood
pump in there heart valve
four pieces
they always close for two weeks
your heart rate heard
as with also here in the sound battle with the tree tree tree boom
the slamming of heart valves which is here
he wants to spend
do a very small calculation with you
as you sit here
average heartbeat of
I gamble sixty times a minute
I think I am a little higher right now
so let go gospel heartbeat
sixty times a minute
Well that is
36 hundred times an hour
86 thousand times a day per year that is 31 half a million times
and let’s assume 4 May average life expectancy
of 80 years and end up with a number of heartbeats of life
2 and a half
billion times that means two and a half billion times powerful together
due to that heart muscle
two and a half billion times have opened and close heartily
if you think about it actually is not so crazy that occasionally hull city
bike breaks down or does not work all that well anymore
that is not surprising at all
to heart defects born
cardiac arrhythmias
leaky heart valve euro myocardial infarction blocked coronary artery cynthia
hey and all variants, and then I’m not even talking about the
consequences of these disorders for all other organs in the body
especially in the special moment
did you know that
Did you know that 80 people a day get a heart attack in the Netherlands?
and a heart attack
that has to do with
the narrowing or blockage of the coronary arteries is the case
vascular what if it
opportunities for the heart to lightly supply the heart muscle itself
a heart attack can go very gradually
or that can go very abruptly very gradually as they over the years
slowly clogging those coronary arteries
and then you actually notice that a bit like chest tightness and chest pain
high effort
or with intense emotions
but can also suddenly happen if for example the ers a blood clot
comes loose and it comes
in one of the coronary arteries
yes that part of the heart muscle so no blood anymore
oxygen
and that will die and can no longer cooperate with that beautiful one
coordinated efficient pump function of the heart
and the heart can no longer supply the whole body in a good way
of nice oxygenated blood
and 1000 patients in hospitals with heart and heart
vascular diseases
at present there are more than a million people in the Netherlands who have a heart
or have vascular disease
the woman
you think after being mostly men well then you are wrong
56 women in the Netherlands die of cardiovascular disease per day
in fact, it is the number ten caused by the death of the women
the Netherlands since 2005
and of those thousand people admitted to the hospital are the 440
woman
not everyone who needs to be admitted to the hospital
psv are treated surgically or cardiologically
I mean by surgical
one on a heart operation in which the breastbone is examined and the chest
was just as nicely open to tinker at the heart for example
a bypass operation
and by cardiology I mean that
that it is cardiologically for example through the groin
four small holes in the groin longer catheter upwards gio the fiat now
joep aorta
up there lasts and ends up in the coronary artery with one
balloon that narrowed coronary arteries
opportunities again
to open a blunt percent
per year in the Netherlands 20,000 open-heart operations 40,000 cardiologically
league
dotter procedures
stents placements
this week is the first defibrillator bypass operation
yes abbiati repairing or replacing a faulty train
hardest as a fantasy how come this
that the all actually came about
Hey how does that go from one
random idea how is that ultimately as a product in the
hands
from these surgeons
or cardiology
I see point are most of those ideas are coming up
those conscious surgeons cardiologists come away for they see
actually immediately in that clinic album value for new need
renewal
or change
ultimately for such an idea then rightly at one company
there is little university and then a company
and that’s what they get started with
jensen is now going to first check whether that technology is all feasible
then we’ll be able to do that later
actually make the preservation
so that in syria to produce and in an affordable way also like
otherwise it will become a very expensive product
but it also looks at the market hall
there is no coincidence that someone else has come up with the apple ideas themselves
will soon be in trouble with patents that animals have people
wherever
or, for example, next to the artist who had that idea or is still sufficient
other physicians are also supporting themselves in 3D who see the same need
but if that has all done then
yes then the prototypes are made to be tested and maybe be again
we make a second series of prototypes
and eventually they are all bullied and the must all meet one
very strict european directive when it comes to performance
and on five
and if that is also all behind us and then it’s time for it
product
in the usa is surrounded viewing the heart
In the first instance this is often done by a hand
plastic models like davy behind me
yes then you will miss
that bad luck the other more of the heart and the real effect of the heart
and in addition those products must first be tested in a living
organism
before they anyway
in the patient
and also cardiologists and surgeons must first be in a living organism
well practiced before they
with patients
and then you come out pretty quickly in animal testing
and the often is often the model that is chosen but is that so good
fashion model
suppose that I carry out a procedure at even more often
to live more often
Well then you would say you did well but
I did the ANP extremely well or with arm well enough and I have a lot
risk for the next one
and how do you find out, then you still have to sacrifice that still living pigs
to look at what your own done
and if during my procedural errors dies
yes they come because I have done extremely bad
or is it because I have just not done well enough and how do you get there
behind
actually that is very difficult and what do you do?
yes, a package of the next pig
and then you grab another pig
how strange
another boxes
and another pig
8 half a thousand pigs were used in the Netherlands last year
educate
and research
you look 7 people with this map of the Netherlands
it is not the average beer consumption at home for three days
no this is the concentration
of the pig population in the Netherlands
at this time
deliver 12 million pigs and 9
even better every month
to become
a 102 million pigs slaughtered
income 2 million pigs
then you should be able to be something more
goes and that
I’m glad I went for the break
a lot of the hearts of the slaughtered pigs that are with products
of the battle
part of it
Well that food industry and another part of it is not done with it
can not use your heart for research and training
yes ordinary and manslaughter heart on the table year
there you can not do anything with that they are not a savior model that needs that
to knock
it is just as powerful as the body that has two and a half billion times
my life can sustain
he and that is why they become wholeheartedly
from that just slaughtered pigs, as it were transplanted
but the laboratory
and slaughterhouses also like to work with this in the slaughterhouse
very quickly after the pig has been slaughtered, that must be done hard
be played because all the blood has to go out because otherwise it goes
clotting and you have nothing of one you have a big one
that field
then get on
with the spine being flushed
is that on the ice the together with them and boy jerrycan with blood that goes to it
laboratory
and in the laboratory that is all connected to tubes and all others
technical gadgets and
depending on exactly what you want to do, you can, for example
one of the coronary arteries to make blockages
and so that you win park area 4
but you can also, for example, damage one of the heart valves a bit
that is going to leak
but so far and dam
then the heart is brought back to life
then it goes
especially when it comes to that
the Frenchman goes the system
platelet 100 hard training and walking that are provided with good
warm
glucose rich first free blood
and then it’s hard to knock like in the body
there is no pump on the pulse, the heart is the pump
and then it pumps around 5 liters per minute
because it produces 120 over 80 blood pressure
imagine yourself for example
what it can mean for the transplantation world
if I have such a heart
if you can transport beating lives to the receiver, then the chance of one
successful transplant much bigger
I also think it is much further along the rijswijk it maybe even fly
and I do not know about the downstairs people who are just the series krezip more
Have ever seen and think we have not seen that one time
Yes that’s right
yes, but that is not at all based on that which is based
on reality
year
although the coronary arteries are thus provided with sweetness the heart itself
just worth something
and the big advantage is that
so that you have the inside with small cameras
to see what you are actually doing at home a procedure
and when repairing one
heart valve it is a training session for surgeons who need their heart
repair
so you see
he bag with the cap
as the valve between the left atrium and the left ventricle the mitral valve
and those doctors are working on a new key gap technology
to fix them hard with small detention
and instead of having to open the entire chest
through two small holes
so in between the ribs
make them very small hole with heart that you just saw
and then they go hard on the brilliance
We have been in a few things since you are doing and the trainers can also
say from this is good to him you must pay attention to this here
can see that
well and from all over the world the teams of surgeons and cardiologists come to
this region
to be trained
often a day before they start working in the patient for the first time
and from this region
to fly
so also the whole world about
teams of surgeons
to train locally in hospitals
what is so beautiful is animal testing
and even better, that is just happening in this region
heart surgeons the cardiologists
are involved in the whole process
they often have the idea
to be consulted during the entire development process
and if all that time they are trained in such a realistic way
imaginable possible model
a beating heart
the beating heart
a strong one quarter of an hour in this region
the beating heart of the region
in this way
just become
saved many lives
the life of many heart patients has been made very pleasantly much more pleasant
so if I am in the future
for once was lying in the hospital on a hardtop division
you have to have an operation and the disorder ars
come then do lars very big part method
then I know
technology has been tested very well
and that surgery is extremely well trained
before they barely get ten patients underway
so if he asks
then I say
that cancer
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