Drugs in Congestive Heart Failure - CRASH! Medical Review Series
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- čas přidán 25. 07. 2024
- This re-upload is to correct an audio issue from the original video. Let me know if there are any problems
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(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)
Thank you so much for sharing your knowledge with us for free .. God bless you .. My salutations from Sudan !
Thank you Dr. Bolin
JUST THE FIRST SENTENCE U SAID AND IVE ALREADY LEARNT SO MUCH THAN I KNEW BEFORE. THANK YOU.... GREAT VIDEO. I JUST NEVER COULD WRAP MY HEAD AROUND THOSE DRUGS
Awesome video!
great job! Thank you.
Sunday, October 2, 2022. Cardiology: Pharmacology (Drugs) in Congestive Heart Failure (CHF). By MD Paul Bolin. Nice!
Respected Dr.Bolin: I think PR-prolongation doesn't lead to TdP, but QT-prolongation do.(22.00)
Great review!
Good presentation
Thank you very much doc for your amazing videos, salutes from Saudi Arabia
thank you
1:50... You meant to say "we can always substitute and ACE inhibitor with an ARB"
SGLT2 inhibitors are shown to reduce mortality too now, right? (2022)
Excellent presentation! Question: are beta-blockers useful in arrhythmia patients or rather harmful ?
Thank you for the interesting video
Can bisoprolol be used instead of the two mentioned beta blockers?
yes
yes
would carvedilol cause hyponatremia?
I think there's a mistake on the beta blocker slide where the mechanism you mention is blocking the Na / K ATPase (digoxin) - BB just block the B1 and B2 adrenergic receptors
www.ncbi.nlm.nih.gov/pubmed/1685314 BB's do have some effect.
that may be true but it's not the major mechanism that students should know for STEP
ace/arbs, spironolactone reduce mortality by shutting down aldosterone which has a tendency to remodel the heart in a bad way, or so I was told
i know this is an old comment but i just wanted to expand on this, the reason why we were taught it "remodels the heart" is bc the persistent hypertension causes the left ventricle to hypertrophy due to the SVR, and hypertrophy of the left ventricle leads to a heart that doesn't pump or dilate correctly.
@@TienNguyen-bx3pw yes,you are right ,but acei/arbs may also work on preventing the remodeling of heart not only just in terms of the control of blood pressure,but also the MF
What am I supposed to think of a cardiologist who won't show me the x-ray that was taken of me, though I was diagnosed with Atrial Fibulation? Then he wanted me to take a prescription and have another x-ray, which he probably wouldn't show me either. I had no confidence in him and refused to return.
As a patient you have the right to see all results of any diagnostic procedures & labs and a free copy of your results
@@binbinky78 Thanks. I have long since finished with that particular cardiologist and finally found one who I believe I can have confidence in. But I had to find her the hard way, after a life threatening cardiac arrest in the hospital a year ago. Since then, I feel restored to my normal condition and she is reducing my prescription.
Dobutamine is a beta agonist and increase contractility, I am not sure if it does inhibit Na/K ATPase in the same fashion as Digoxin. would you clarify this if possible?
Yes, you are correct.
Digoxin inhibits Na/K ATPase whilst doubutamine is a synthetic catecholamine acting on Beta receptors
The congenstive heart failure video has no audio
he re-uploaded it. I hope you've come across it by now
@@smolgrizzly4608 thanks needed it then but I’m already practicing
love it
Excellent presentation. A few corrections: B-blocker has no effect on Na/K ATPase and B-blocker increase Diastolic filling by decreasing heart rate. Slide need update to include SGLT-2 which decrease mortality in CHF. Thank you for your great effort.
WHY NOT JUST TELL THEM THE TRUTH THAT THERE ARE NATURAL HEALTHIER REMEDIES THAT HELP INSTEAD OF GIVING THEM MORE CHEMICALS TO FUCK THEM UP MORE.
🤣🤣