[Football] Christian Eriksen

[Sid in the Sharknado]

we have reflexes that constrict all blood vessels except those to the brain if we lose cardiac output.

Out of interest, is there a natural application for that? It sounds like a remarkably useful feature for the human body to have if it only comes up while having CPR.

 

[Sid in the Sharknado]

Okay.

As others have said, thanks for sharing and I hope you are over the worst of it.

 

[Harry Wilson's tackle]

Out of interest, is there a natural application for that? It sounds like a remarkably useful feature for the human body to have if it only comes up while having CPR.

Yes. If we are wounded by another mad-as-**** primitive human or vicious animal we are more likely to survive if we divert our blood supply to the brain. In our past, those that had genes that facilitated this were more likely to survive. Darwinism. Also, if we stand up too quickly blood would rush from our heads if we didn't have the 'orthostatic reflex' which amounts to much of the same thing (peripheral vasoconstriction).

The thing about evolution is that whatever gives an individual an advantage will be retained in the gene pool, if that advantage allows us to breed. Over millions of generations (you can guess the rest).

Either that or God designed us this way. I know where I'd put my money

 

[Sid in the Sharknado]

Yes. If we are wounded by another mad-as-**** primitive human or vicious animal we are more likely to survive if we divert our blood supply to the brain. In our past, those that had genes that facilitated this were more likely to survive. Darwinism. Also, if we stand up too quickly blood would rush from our heads if we didn't have the 'orthostatic reflex' which amounts to much of the same thing (peripheral vasoconstriction).

The thing about evolution is that whatever gives an individual an advantage will be retained in the gene pool, if that advantage allows us to breed. Over millions of generations (you can guess the rest).

Either that or God designed us this way. I know where I'd put my money

Interesting, thank you I'd never really thought about how our body reacts in those situations.
I assumed there must be some advantage but couldn't quite see how it would be beneficial in the wild if it only worked in the extreme case of your heart having stopped working.

When it comes to money, I'd have more faith in Darwin to pay out than God anyway.

 

[Mackenzie]

Okay.

In 2008 I had an arrhythmia, leading to cardiac arrest in my sleep, Luckily, Mrs LLF woke up, phoned 999 and was told to get me on the floor to do CPR. She called in my 2 teenage sons to get me off the bed and thank goodness, they dropped me. The jolt was enough to knock my heart back into normal rhythm. I was taken to hospital and was diagnosed with Brugada syndrome, a fairly rare genetic heart problem. The electrical signals that tell the heart to beat, go haywire and the heart goes into arrhythmia. The heart then needs a shock or jolt to move it back into normal rhythm. The heart will beat so fast in arrhythmia, that in reality it just twitches, the highest beats per minute mine has been recorded at is 335.
I was fitted with an ICD( implantable cardioverter defribulator) which is placed in between the fat and muscle on your chest next to your armpit, it’s about the size of a fag packet, with wires into your heart. I am now on my third one as I have used up the 10 year battery on 2 , from having so many shocks.
The shocks vary in severity, some feel like you’ve been kicked in the chest, and I have slept through 2, and not realised that anything has happened, but it is usually more traumatic than that. One I had, I clashed my teeth together so hard , I lost a filling.
When I was having the shocks, for the first 3-4 years I would only have one in a night, the first thing I knew I would wake up with my body going into panic mode, and about a second later the ICD would fire.It affected Mrs LLF more, as the first she knew of it would be me, shouting very loudly. Every night we went to bed, she would worry I was going to have a shock and it did affect her sleeping.
In 2012 my consultant at St George’s hospital in Tooting asked if I would be prepared to have a ground breaking operation that had never been done in this country to try to reduce or even stop the arrhythmia. I agreed and had an 8 hour procedure that basically burnt out the deep seated ‘ scar’ that was the cause of the Brugada. I don’t really understand the whole medical reasons this would work, but, thankfully my Doctors are a lot cleverer than me. The NHS flew a surgeon in from the States to demonstrate the procedure to the British Docs.
Unfortunately, it didn’t work.

I continued to have shocks, and if anything, they got worse, more of them and they came in clusters 3 or 4 a night in some cases. Thankfully, I was still only getting them at night in my sleep.
My Consultant in Tooting asked if I would like to have a repeat procedure, as when reviewing my operation it was thought they may have missed a small section of scaring, I again agreed to it, and they went for it again in 2017.
When they were operating, they induced the arrhythmia and couldn’t find anything in the top chambers of my heart, so, after scratching their heads and having a think about it, they tested the bottom chambers. They found more scaring there and carried out another ablation on it.
This is very, very rare to have the Brugada in all the heart chambers, I’m the only person in Europe to be found with this, and only one of five in the rest of the World that have been diagnosed.

Since the second op, I have had no more shocks, so, fingers crossed, I am over the worst. I may start getting shocks again, and will have an ICD for the rest of my life, but, at the moment, things are stable.
I can’t begin to thank the NHS, the genius Doctors, and all the rest of the hospital staff, but most of all my missus, who has been absolutely fantastic from the time she woke up to her husband dying beside her, through 2 major operations, through more than a few sleepless nights to scared to sleep, she has been a diamond.

As I say, I have had over 60 shocks, I lost count on about 55 and had a few more after that, and I know I’m the highest ever in Sussex , and definitely in the top 20 in Britain.
They aren’t certain there won’t be long term damage to my heart from the shocks, but as the alternative is death, I’ll risk it.

Thank you for taking the time to share this. As others have said, it’s really interesting. The NHS is an amazing asset to our country, I’m glad those shocks have stopped for you.

Take it easy.

 

[Harry Wilson's tackle]

Okay.

In 2008 I had an arrhythmia, leading to cardiac arrest in my sleep, Luckily, Mrs LLF woke up, phoned 999 and was told to get me on the floor to do CPR. She called in my 2 teenage sons to get me off the bed and thank goodness, they dropped me. The jolt was enough to knock my heart back into normal rhythm. I was taken to hospital and was diagnosed with Brugada syndrome, a fairly rare genetic heart problem. The electrical signals that tell the heart to beat, go haywire and the heart goes into arrhythmia. The heart then needs a shock or jolt to move it back into normal rhythm. The heart will beat so fast in arrhythmia, that in reality it just twitches, the highest beats per minute mine has been recorded at is 335.
I was fitted with an ICD( implantable cardioverter defribulator) which is placed in between the fat and muscle on your chest next to your armpit, it’s about the size of a fag packet, with wires into your heart. I am now on my third one as I have used up the 10 year battery on 2 , from having so many shocks.
The shocks vary in severity, some feel like you’ve been kicked in the chest, and I have slept through 2, and not realised that anything has happened, but it is usually more traumatic than that. One I had, I clashed my teeth together so hard , I lost a filling.
When I was having the shocks, for the first 3-4 years I would only have one in a night, the first thing I knew I would wake up with my body going into panic mode, and about a second later the ICD would fire.It affected Mrs LLF more, as the first she knew of it would be me, shouting very loudly. Every night we went to bed, she would worry I was going to have a shock and it did affect her sleeping.
In 2012 my consultant at St George’s hospital in Tooting asked if I would be prepared to have a ground breaking operation that had never been done in this country to try to reduce or even stop the arrhythmia. I agreed and had an 8 hour procedure that basically burnt out the deep seated ‘ scar’ that was the cause of the Brugada. I don’t really understand the whole medical reasons this would work, but, thankfully my Doctors are a lot cleverer than me. The NHS flew a surgeon in from the States to demonstrate the procedure to the British Docs.
Unfortunately, it didn’t work.

I continued to have shocks, and if anything, they got worse, more of them and they came in clusters 3 or 4 a night in some cases. Thankfully, I was still only getting them at night in my sleep.
My Consultant in Tooting asked if I would like to have a repeat procedure, as when reviewing my operation it was thought they may have missed a small section of scaring, I again agreed to it, and they went for it again in 2017.
When they were operating, they induced the arrhythmia and couldn’t find anything in the top chambers of my heart, so, after scratching their heads and having a think about it, they tested the bottom chambers. They found more scaring there and carried out another ablation on it.
This is very, very rare to have the Brugada in all the heart chambers, I’m the only person in Europe to be found with this, and only one of five in the rest of the World that have been diagnosed.

Since the second op, I have had no more shocks, so, fingers crossed, I am over the worst. I may start getting shocks again, and will have an ICD for the rest of my life, but, at the moment, things are stable.
I can’t begin to thank the NHS, the genius Doctors, and all the rest of the hospital staff, but most of all my missus, who has been absolutely fantastic from the time she woke up to her husband dying beside her, through 2 major operations, through more than a few sleepless nights to scared to sleep, she has been a diamond.

As I say, I have had over 60 shocks, I lost count on about 55 and had a few more after that, and I know I’m the highest ever in Sussex , and definitely in the top 20 in Britain.
They aren’t certain there won’t be long term damage to my heart from the shocks, but as the alternative is death, I’ll risk it.

You can't 'burn' out Brugada syndrome as it is a genetic depoalrisation defect that affects all heart cells. There is no deep seated scar. Not sure what your medics were playing at. I hate to say so but they can be a bit dim at times.....

 

[lawros left foot]

You can't 'burn' out Brugada syndrome as it is a genetic depoalrisation defect that affects all heart cells. There is no deep seated scar. Not sure what your medics were playing at. I hate to say so but they can be a bit dim at times.....

That is how it has been explained to me.
Maybe I got the wrong end of the stick, what do they do when they ablate the heart?
I was definitely told that they burn something.
Is that an over simplification of the procedure?

A bit worrying cos the 2 consultants who have treated me are said to be world class.

Professor Elijah Behr
Professor Sanjay Sharma

 

[dazzer6666]

This thread is absolutely fascinating…..many thanks to the main contributors……..

 

[Thunder Bolt]

Daley Blind who plays for Netherlands has an ICD fitted. He was diagnosed in 2019.

 

[Badger Boy]

Okay.

That's absolutely extraordinary, thank you for sharing! Glad to hear things have improved in the last few years and long may that continue. Medical science really is incredible and fair play to you for being so receptive to the various treatments.

 

[Harry Wilson's tackle]

That is how it has been explained to me.
Maybe I got the wrong end of the stick, what do they do when they ablate the heart?
I was definitely told that they burn something.
Is that an over simplification of the procedure?

A bit worrying cos the 2 consultants who have treated me are said to be world class.

Professor Elijah Behr
Professor Sanjay Sharma

My mistake. I had assumed that there may be a bit more in your case than Brugada alone. However I have done some research and it is the case that ablation ('burning' - actually radio wave ablation - of small parts of the heart) is used in Brugada, This is not because you have a scar, but it is actually to make a small car - sufficient to block electrical conduction during a fast arrhythmia without affecting the normal heart beat - localising this to the part of the heart where the arrhythmia arises. To do this they would have had to have 'mapped' your arrhythmia and found that it generally arises from a certain part of your heart. I was a bit surprised when I read about this since, as I said, Brugada is caused by a genetic mutation (of the genes encoding the heart's sodium channels) in every cell of your heart. However there is a reason why this may be of benefit, and it would take me some time to explain, but it is a bit like groynes on a stretch of beach preventing all the pebbles vanishing due to longshore drift without affecting the normal waves. Medicine seeks to be evidence based now so they wouldn't have ablated you if they didn't think it would be of value. I am familiar with Behr and would be more than happy to put myself in his hands were I experiencing issues with the old ticker

 

[lawros left foot]

My mistake. I had assumed that there may be a bit more in your case than Brugada alone. However I have done some research and it is the case that ablation ('burning' - actually radio wave ablation - of small parts of the heart) is used in Brugada, This is not because you have a scar, but it is actually to make a small car - sufficient to block electrical conduction during a fast arrhythmia without affecting the normal heart beat - localising this to the part of the heart where the arrhythmia arises. To do this they would have had to have 'mapped' your arrhythmia and found that it generally arises from a certain part of your heart. I was a bit surprised when I read about this since, as I said, Brugada is caused by a genetic mutation (of the genes encoding the heart's sodium channels) in every cell of your heart. However there is a reason why this may be of benefit, and it would take me some time to explain, but it is a bit like groynes on a stretch of beach preventing all the pebbles vanishing due to longshore drift without affecting the normal waves. Medicine seeks to be evidence based now so they wouldn't have ablated you if they didn't think it would be of value. I am familiar with Behr and would be more than happy to put myself in his hands were I experiencing issues with the old ticker

Cheers, HWT.

As you say, it is genetic, since my first episode, the whole of my Mums side of the family have been tested, that’s a lot of us, 27 cousins, 6 surviving Uncles and Auntys, ( at the time) and my 2 sisters and my Mum and my 3 kids.
My Mum, my daughter, one sister and one niece have the lesser variant , as does an Auntie. and 3 cousins. Probably had 2 Uncles die from it, as at the time no cause for their deaths was found, and fairly recently, a cousin who refused to have the test has definitely died from it.

 

[Kinky Gerbil]

Daley Blind who plays for Netherlands has an ICD fitted. He was diagnosed in 2019.

He will have to leave Italy if can play again, I dont believe the league allows someone with his condition to play there - Same as PL

 

[Harry Wilson's tackle]

Cheers, HWT.

As you say, it is genetic, since my first episode, the whole of my Mums side of the family have been tested, that’s a lot of us, 27 cousins, 6 surviving Uncles and Auntys, ( at the time) and my 2 sisters and my Mum and my 3 kids.
My Mum, my daughter, one sister and one niece have the lesser variant , as does an Auntie. and 3 cousins. Probably had 2 Uncles die from it, as at the time no cause for their deaths was found, and fairly recently, a cousin who refused to have the test has definitely died from it.

I'm glad you got tested and sorted out.

I have an instinctive antipathy towards the ablaters because ablation has taken over from drugs as the go-to solution. I'm a drug research person and am still researching on a medical solution (not for Brugada, but other arrhythmias) and it is hard to get traction (and research funding) when everone says 'drugs didn't work, don't work and therefore will never work'. As it happens, ablation is a very clever way of dealing with things, albeit not the first eposide of actute myocardial ischaemia, caused by undiagnosed coronary artery disease, the single largest cause of death in the UK, and somethung crying out for the equivalent of a statin or aspirin that could nip the lethal arrhythmia in the bud as soon as the 'heart attack' of ischaemia appears.

 

[Swansman]

He will have to leave Italy if can play again, I dont believe the league allows someone with his condition to play there - Same as PL

Could see him end up in Ajax then.

 

[herecomesaregular]

"Premier League to help deliver 2,000 defibrillators to grassroots football clubs"

https://www.bbc.co.uk/sport/football/57615387

Good to see some money filtering down.

 

[Vin]

Morning HWT could you DM me please, I can’t see a way of contacting you. I would like some advice.
Thanks.

 

[saafend_seagull]

Per the times signing this week for a prem club, Newcastle? Brentford? Spurs?


Sent from my iPhone using Tapatalk

 

[Motogull]

I'll say Everton, Watford and the Wankpuffins.

 

[Originunknown]

Wow, would be wonderful to see him back fit enjoying his football.

Newcastle, Everton, Man Utd? The sides with a more desperate need.