I had atrial septal defect as a baby and they told my mom they would operate on me when i was 3. They said the hole was pretty big for a baby's heart but thankfully it closed and the doctor said it was a miracle. I am now 14 and have decided to be a pediatric cardiologist. Thanks to all the doctors out there😃
Ashley Garcia Do you have any limitations or did the surgery fix everything? Also did they go in through your leg because if I did get it they told my mom that's how they would do it
I'm just coming across this studying for an exam in advanced pathophysiology as part of my studies to become a Family Nurse Practitioner. Your wonderful illustration and explanation helped me understand that the "split" sound is coming from the aortic valve closing before the pulmonic valve ( due to excess volume of blood). Thank you for this!
These videos never cease to amaze me. I speak for many when I say that I am grateful and forever mind blown at the ease and exemplary way in which you guys break these difficult "textbook" concepts down. THANK YOU times a million!!!
Hahaha! At this part I thought "so glad I didn't have my stroke on the potty!" My stroke was when I was sleeping, from atrial fibrillation, and probably went through my VSD instead.
Thanks for this!! I had a stroke 6 years ago and now I finally know how it happened. My mom drank when I was in utero, had a hole that went undetected until my stroke
Jovana Zlatkovic My name is Rishi Desai and I work at Khan Academy. If you're willing to share a bit about your experience as a medical student, please send us your email address so we can reach out to you. Thanks in advance!
My asd wasn't found until in my 40's. After closure I developed paroxysmal atrial fibrillation. Now 4 years later, I was just diagnosed with congestive heart failure..I have left ventricle stiffness. I had echos done throughout the years and no doctor caught it..
Kudos on mentioning paradoxical embolism but it should also be noted that a significant ASD will cause right heart dilation from the volume overload, pulmonary hypertension, and eventually right heart failure.
Thanks for explaining this. I had a stroke at age 55 after veins being operated on in my leg. It was discovered I had ASD and it was surgically repaired.
Ostium secundum defect is created because of excessive muscular resorption or excessive programmed cell death (apoptosis) of the septum primum essentially leaving a bigger hole ( ostium secundum) that overlaps the septum secundum. Systemic vascular resistance is higher during birth which in normal circumstances the left atrial pressure increases and pushes septum primum and septum secundum together for an anatomical closure that eventually will lead to fusion of septum into one atrial septum. But because righ side of heart has lower pressure the blood leaks back from the left atrium to right atrium converting it from a physiological normal right to left shunt through the valves to left to right shunt through a hole. This eventually leads to a increase in blood volume as less blood is getting out of the heart, therefore it increases preload and end diastolic volume. This leads to an increase in presure and contraction force for the left ventricle to push blood out of heart. This can go into two directions the left ventricle hypertrofies to push out more blood or it dilates to the point of no return ( left heart failure). If left heart failure occurs the pulmonary trunk will begin to do excessive work till the point where pulmonary hypertension develops because of excessive blood volume and right heart hypetrophy or dilation begins to occur because pulmonary vascular resistance is higher than systemic vascular resistance leading in the end to a righ to left shunt later in life ( Eisenmenger syndrome).
Good for general population, but not complete enough for medical students. It's missing the explanation of how pulmonary hypertension occurs and how the left-> right blood flow changes to right->left after some time, which in turn opens the possibility for a paradoxical thromboembolism. You also need to include the embryology part and explain how the atrial septum is formed in the first place and how the foramen ovale is supposed to look and function, and how it functions in ASD, differences in pressures between right and left atrium, how they change as the defects progress, etc. That is all important to really understand what's going on.
What are you doing watching youtube vids when youre paying six figures for school and $200 for textbooks? CZcams is for cat videos and old movie clips from the 80s.
It says right in the name of the video that this is specifically for NCLEX prep. This is exactly what nursing students need to know about this heart defect. Of course Medical students would need to get more in depth, but that is not who this video is for.
My son have been using this herbal product for 1month now so far it has cured his ASD and eliminate his lack of social skill as well , now he is verbal , I got this herbs from Dr imenherbal on his channel and it work perfectly . Now my son is completely free
Thank you for this! So easy to understand! 😁 Just one thing it was really hard to follow your cursor as well as read/see the words and drawings. Could you please make the font thicker next time? Otherwise very helpful video! Thank you! 😁
thank you for the explanation i understood now the problem that my child have. its ASD type ostium primun. but i dont know if is obligatory to correct this with sternotomy??????????
This is what happened to me. I had a vein removed from my right leg, three days later I had a stroke. I don’t think the poop thing caused it, but it was devastating.
I have a quick question my daughter is 3 yo and has a ASD with right sided hypertrophy. What level of risk is there for damage to the pulmonary system from the larger volume of blood being introduced to the system and increased pressure over time.
I was looking for the Dr. Najeeb lecture on CHD's (which is exceptionally good) and I couldn't find it so I watched this. I think you first need to cover the development aspect, at least the interatrial septum. You don't explain what the septum primum and secundum are but tell that if the defect is in middle it's a secundum defect! That's atrocious!
why is it the second sound get split i mean why does the pulmonary valve get close late? is it because the high pressure became in the right side of the heart??? thanks for the amazing video n ur nice explaining
This video is very Informative!! I have two Q's: After doing ASD closure medical procedure, would ASD reoccur sometime in the future? can the person lead a normal life?
After having one the patient is completely fixed with one large scar and 4 smaller ones, the patient probably has a check up once every 4 years but apart from that the patient can lead a perfectly normal life.
According to Harrison's 18th edition, the risk of infectious endocarditis in ASD is very low except if the defect is accompanied by AV valve insufficiency or in the postoperative period following the ASD repair.
I'm 19 years I'm getting little heart pain like something from 14 years 8 it gradually increased took ecg 4 different hospitals all told that didn't get clear graph but yesterday when I consulted doctor he detailEd took 2d echo he was not sure but maybe chance having hole in heart it is not visible in 2d echo he advised to take tee to R/O ASD (hence it is not clearly visible in 2d echo . how may chance of hole size??)
Beautiful explanation.. my nephew has 7-8 holes in his heart. He is jus 21days old.. doctors adviced for an open heart surgery.. we are really worried alot.. will he be ok?? If anyone had this type of situation pls rly
I am 24 and I got diagnosed with ASD recently after 2d Echo, I have never had any symptoms as such , sometimes a breathlessness only if I perform any strenuous activity like fast running, trekking, etc. Dr. Said the whole is big comparatively and abnormal heart rates are observed now will be undergoing a surgery soon. What is the success rate and can i lead a normal, healthy life afterwards??
My son have been using this herbal product for 1month now so far it has cured his ASD and eliminate his lack of social skill as well , now he is verbal , I got this herbs from Dr imenherbal on his channel and it work perfectly . Now my son is completely free
Had a Toe for PFO closure and told my atrial septum has a very aneurysmal appearance. An ultrasound of my heart report my atrial septum is thin, mobile and aneurysmal. Guessing in layman’s terms this means I have atrial septum defect lol. If anyone can confirm that, much appreciated. Thanks. Previously had a cryptogenic stroke 9 months ago at age 36 with a PFO that’s just been closed.
I have this an going to have surgery Wednesday. I am so scared. I have had a stroke and a heart attack. I have had chest discomfort for years . I was 23 when they found this. Now I am 37 with 2 kids.
ASD might be asymptomatic but to therefore say it's not a big deal is just ridiculous. plus surely there are symptoms but most with it are found as babies so the info on symptomatic adult patients is just not there
I was born with one also ten to twenty Dr's later I will finally have it closed I am 60 have had strokes and several tias just happy I didn't stop looking for Dr's that would listen to me
Hello, normally I feel a sharp pain in my chest but some days I become breathless, dizzy and lose consciousness. However other days I'm completly fine. I only found out in april because I had suspected meningitis and when I was in hospital they heard a murmur when they were listening to m chest. I have a ASD that is over two chambers. I'm waiting now open heart surgery at st Thomas's hospital on London for a closure.
Sounds like me! I also have a pressure on my chest, heart palpalations and skipped beats sometimes. Just feeling awful in general :/ I'm 20 years old so we are about the same age. I didn't have these symtoms all my life though just the recent months and that's why I got it checked out and they found my ASD. I will have it closed by catheter closure (Amplatzer device) in a month :) I hope your surgery goes well for you! It almost always does wether it's with device or by open heart surgery.
I had atrial septal defect as a baby and they told my mom they would operate on me when i was 3. They said the hole was pretty big for a baby's heart but thankfully it closed and the doctor said it was a miracle. I am now 14 and have decided to be a pediatric cardiologist. Thanks to all the doctors out there😃
thats great and bad at the same time but thank GOD for helping u get better.😷😷😷😷😷😷👼👼👼👼👼👼👼💪💪💪🙏🙏🙏🙏🙏 and stay strong
+Gulab Newa *and DOCTORS and SERGONS
+Gulab Newa Thanks
Had the same thing, had to get the surgery when I was 3. The hole was also very big for me at the time as a three year old. I'm 16 now :)
Ashley Garcia Do you have any limitations or did the surgery fix everything? Also did they go in through your leg because if I did get it they told my mom that's how they would do it
Super video.. I admire ur work
I'm just coming across this studying for an exam in advanced pathophysiology as part of my studies to become a Family Nurse Practitioner. Your wonderful illustration and explanation helped me understand that the "split" sound is coming from the aortic valve closing before the pulmonic valve ( due to excess volume of blood). Thank you for this!
These videos never cease to amaze me. I speak for many when I say that I am grateful and forever mind blown at the ease and exemplary way in which you guys break these difficult "textbook" concepts down. THANK YOU times a million!!!
This educator was fantastic and its evident he loves what he does. Thank you
You are one the greatest instructors I am able to fully understand completely. Thank you for the vids, and hope to see more!
"and you know, they go to take a poop, and when they take a poop of course there is a lot of pressure...."
Thanks for keeping things interesting.
Hahaha! At this part I thought "so glad I didn't have my stroke on the potty!" My stroke was when I was sleeping, from atrial fibrillation, and probably went through my VSD instead.
I was paying attention to what's he's saying then when he said "poop", I just can't help but laugh. 😂
TAKING A POOP ALSO HAS A POTENTIAL FOR DEVELOPING SUBARACHNOID HEMORRHAGE LOL
Amazingly simplified, thank you so much!
Awesome explanation. Clear and concise for general audiences.
Kudos to the presenter.
Thanks for this!! I had a stroke 6 years ago and now I finally know how it happened. My mom drank when I was in utero, had a hole that went undetected until my stroke
I had a stroke and my mom wasn’t drinking. PFO happens in 1 in 4
This is great. You explain very well. Your examples help me to remember. Thank you.
Very well done and super simple. Thanks ! Keep it up!
This is so good! U explain it so good it that this video should be in medical classes for sure!
Jovana Zlatkovic My name is Rishi Desai and I work at Khan Academy. If you're willing to share a bit about your experience as a medical student, please send us your email address so we can reach out to you. Thanks in advance!
khanacademymedicine I use this for my medical classes and can share my experience with you!
My asd wasn't found until in my 40's. After closure I developed paroxysmal atrial fibrillation. Now 4 years later, I was just diagnosed with congestive heart failure..I have left ventricle stiffness. I had echos done throughout the years and no doctor caught it..
Kudos on mentioning paradoxical embolism but it should also be noted that a significant ASD will cause right heart dilation from the volume overload, pulmonary hypertension, and eventually right heart failure.
such a nice video.. love those drawings and the narrations are filled with enthusiasm!
This videos are great! Thank you very much
Amazing video. Thank you!!!
Thankyou for the explanation of ASD !
Amazing lesson and visual. Thanks so much for this!
omg the heart sound explanation nailed it .. thanks a loooooooooooooooooooooooooot
Thank you! great explanation!
Great tool explained clearly.... thank you
i love this guy
fascinating and excellent explanation! ty
Amazingly simplified...... Great
Awesome!!!!!! thx
This is the best video for layman to understand brilliant thank you 👍
Thank you!
🔥🙏
This thing is really easy to understand!!!! : D
Thanks for explaining this. I had a stroke at age 55 after veins being operated on in my leg. It was discovered I had ASD and it was surgically repaired.
I love this guy!
Amazing explanation...easy to understand,,,,thanks to the speaker
Great explanation for NP pediatric cardiology class!!!
Wow really very very informative thanks is not enough to thank you !!
Wish you were living near by hahah so that i could ask you and understand everything about medicine as it should be💔 Thanks alot sir.
Nice video...excellant
Well explained by the way
thank you.
Brilliant thank you
Perfect...excellent....great👌👌👌👌👌👏
Wow, awesome. You did a great job explaining it, and you were funny too!!!
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Thnx it was so helpful
Very nice video...well explained.
I had 3 wholes in my heart and got keyhole surgery when I wasn't 7 at Great Ormand Street Hopstial!!
Thnku so much..I have exam tomorrow..Nd I never understood it. Bt today after watching video...I got my concepts clear...U r so good...😘😘😘thnkuuu
Finally I have understood this split thing
Amazing thank you
Hi i am 55 years old and I did make this operation 5 years ago and i feeling good
So my question it's if is dangerous to take viagra
Thanks
merci. 💞
thanks to information, good it is vedeo, i like it,
very good explanation video.
Thanks, man :)
Thanx alot
Loooooooooool. Thanks so much
Very useful
Good lecture
his voice is so cute. I feel like a dude now. thank you very much
Good explanation
great videos more videos please
Please make a video on Atrioventricular Canal Defect :)
Ostium secundum defect is created because of excessive muscular resorption or excessive programmed cell death (apoptosis) of the septum primum essentially leaving a bigger hole ( ostium secundum) that overlaps the septum secundum. Systemic vascular resistance is higher during birth which in normal circumstances the left atrial pressure increases and pushes septum primum and septum secundum together for an anatomical closure that eventually will lead to fusion of septum into one atrial septum. But because righ side of heart has lower pressure the blood leaks back from the left atrium to right atrium converting it from a physiological normal right to left shunt through the valves to left to right shunt through a hole. This eventually leads to a increase in blood volume as less blood is getting out of the heart, therefore it increases preload and end diastolic volume. This leads to an increase in presure and contraction force for the left ventricle to push blood out of heart. This can go into two directions the left ventricle hypertrofies to push out more blood or it dilates to the point of no return ( left heart failure). If left heart failure occurs the pulmonary trunk will begin to do excessive work till the point where pulmonary hypertension develops because of excessive blood volume and right heart hypetrophy or dilation begins to occur because pulmonary vascular resistance is higher than systemic vascular resistance leading in the end to a righ to left shunt later in life ( Eisenmenger syndrome).
Good job
Good for general population, but not complete enough for medical students. It's missing the explanation of how pulmonary hypertension occurs and how the left-> right blood flow changes to right->left after some time, which in turn opens the possibility for a paradoxical thromboembolism. You also need to include the embryology part and explain how the atrial septum is formed in the first place and how the foramen ovale is supposed to look and function, and how it functions in ASD, differences in pressures between right and left atrium, how they change as the defects progress, etc. That is all important to really understand what's going on.
What are you doing watching youtube vids when youre paying six figures for school and $200 for textbooks? CZcams is for cat videos and old movie clips from the 80s.
It says right in the name of the video that this is specifically for NCLEX prep. This is exactly what nursing students need to know about this heart defect. Of course Medical students would need to get more in depth, but that is not who this video is for.
U made it so interesting to understand sir... Great work🙏
My son have been using this herbal product for 1month now so far it has cured his ASD and eliminate his lack of social skill as well , now he is verbal , I got this herbs from Dr imenherbal on his channel and it work perfectly . Now my son is completely free
Thank you for this! So easy to understand! 😁 Just one thing it was really hard to follow your cursor as well as read/see the words and drawings. Could you please make the font thicker next time? Otherwise very helpful video! Thank you! 😁
proof that taking a poop can kill you.
thank you for the explanation i understood now the problem that my child have. its ASD type ostium primun. but i dont know if is obligatory to correct this with sternotomy??????????
This is what happened to me. I had a vein removed from my right leg, three days later I had a stroke. I don’t think the poop thing caused it, but it was devastating.
You explained it really well thanks for making it easy. Just a small correction it is actually Down Syndrome, not Down's.
You talked about a hole being there could the whole wall being missed ?
I have a quick question my daughter is 3 yo and has a ASD with right sided hypertrophy. What level of risk is there for damage to the pulmonary system from the larger volume of blood being introduced to the system and increased pressure over time.
I was looking for the Dr. Najeeb lecture on CHD's (which is exceptionally good) and I couldn't find it so I watched this. I think you first need to cover the development aspect, at least the interatrial septum. You don't explain what the septum primum and secundum are but tell that if the defect is in middle it's a secundum defect! That's atrocious!
Thank you now I know how the Lup Didup happens
I love you.
why is it the second sound get split i mean why does the pulmonary valve get close late? is it because the high pressure became in the right side of the heart??? thanks for the amazing video n ur nice explaining
will ASD increases the size over the time?
This video is very Informative!!
I have two Q's: After doing ASD closure medical procedure, would ASD reoccur sometime in the future?
can the person lead a normal life?
After having one the patient is completely fixed with one large scar and 4 smaller ones, the patient probably has a check up once every 4 years but apart from that the patient can lead a perfectly normal life.
I was born with 5 holes some in the rv and av
It can also lead to infective endocarditis due 4o organisms forming colonies on the abnormal shunt
According to Harrison's 18th edition, the risk of infectious endocarditis in ASD is very low except if the defect is accompanied by AV valve insufficiency or in the postoperative period following the ASD repair.
Love the accent
Guyanese?
I'm 19 years
I'm getting little heart pain like something
from 14 years 8
it gradually increased
took ecg 4 different hospitals all told that didn't get clear graph
but yesterday when I consulted doctor
he detailEd took 2d echo
he was not sure but maybe chance having hole in heart
it is not visible in 2d echo
he advised to take tee to R/O ASD
(hence it is not clearly visible in 2d echo . how may chance of hole size??)
Beautiful explanation.. my nephew has 7-8 holes in his heart. He is jus 21days old.. doctors adviced for an open heart surgery.. we are really worried alot.. will he be ok?? If anyone had this type of situation pls rly
You mean ASD and PFO is the same?
I have Vsd not asd
I really love your videos...but you could have skipped the initial 1:40 minutes.
I am 24 and I got diagnosed with ASD recently after 2d Echo, I have never had any symptoms as such , sometimes a breathlessness only if I perform any strenuous activity like fast running, trekking, etc. Dr. Said the whole is big comparatively and abnormal heart rates are observed now will be undergoing a surgery soon. What is the success rate and can i lead a normal, healthy life afterwards??
Hole*
My son have been using this herbal product for 1month now so far it has cured his ASD and eliminate his lack of social skill as well , now he is verbal , I got this herbs from Dr imenherbal on his channel and it work perfectly . Now my son is completely free
Had a Toe for PFO closure and told my atrial septum has a very aneurysmal appearance. An ultrasound of my heart report my atrial septum is thin, mobile and aneurysmal. Guessing in layman’s terms this means I have atrial septum defect lol. If anyone can confirm that, much appreciated. Thanks. Previously had a cryptogenic stroke 9 months ago at age 36 with a PFO that’s just been closed.
I have 2 holes what's that mean
👏👏👏👏👏
n!cE viDe0..................
Can you be my professor?!
Isn't that the same Jamaican guy in interactive biology??
I have this an going to have surgery Wednesday. I am so scared. I have had a stroke and a heart attack. I have had chest discomfort for years . I was 23 when they found this. Now I am 37 with 2 kids.
Did you done the surgery?
When did you do surgery??
ASD might be asymptomatic but to therefore say it's not a big deal is just ridiculous. plus surely there are symptoms but most with it are found as babies so the info on symptomatic adult patients is just not there
I was born with this❤️❤️ anyone else?
Kenzie I was born with this
I was born with one also ten to twenty Dr's later I will finally have it closed I am 60 have had strokes and several tias just happy I didn't stop looking for Dr's that would listen to me
dontmindmeimbasic Me
I was newly diagnosed with this. Just last month and I am 23. Still on going labtest. All is well 💪
Me
Did anyone else at 6.33 think he was going to draw a sphincter?
I currently have this and I'm 21.
What are your symptoms?
Hello, normally I feel a sharp pain in my chest but some days I become breathless, dizzy and lose consciousness. However other days I'm completly fine. I only found out in april because I had suspected meningitis and when I was in hospital they heard a murmur when they were listening to m chest. I have a ASD that is over two chambers. I'm waiting now open heart surgery at st Thomas's hospital on London for a closure.
Sounds like me! I also have a pressure on my chest, heart palpalations and skipped beats sometimes. Just feeling awful in general :/ I'm 20 years old so we are about the same age. I didn't have these symtoms all my life though just the recent months and that's why I got it checked out and they found my ASD. I will have it closed by catheter closure (Amplatzer device) in a month :) I hope your surgery goes well for you! It almost always does wether it's with device or by open heart surgery.
Sophie Thompson I had this too. I had to get surgery when I was 4
Sophie Thompson I'm 25 and I have the same
So many defects
I have this heart btw