Dr. Alok 'Dr. K' Kanodia

So the heart gets blood from two places.

It gets blood from the inside because it's full of blood.

And we have these things called coronary arteries, which are on the outside of the heart.

So I've got some blood coming from arteries over here.

And I've got blood inside the chamber.

So I've got blood coming from both sides.

And the heart is happy.

But if my heart expands because it's getting swole, now I have arteries over here.

I've got blood over here.

They don't reach this middle area.

The heart becomes starved for blood, despite the fact that it is surrounded by blood.

There is the hypertension which causes problems, and then the heart tries to adapt to those problems.

That creates additional problems.

When we give someone an angiotensin-converting enzyme, we alter or we change the alterations in the heart themselves.

It doesn't just...

decrease the blood pressure, it alters the cardiac remodeling.

Do you all understand how these are two different things?

I can reduce the pressure directly, but then I can also prevent the adaptation that the heart makes in response to blood pressure.

This we have to do in ADHD.

There is the ADHD skills, which is like the blood pressure.