I can't thank you enough for keeping uploading amazing videos for free .. there are students like me who can't afford paying for online courses and just depend on themselves and on teachers like you who make all this effort and hand it to us on a plate of gold. You're a true hero saving lives around the world from this small room. :^)
the blend of the physical and the digital whiteboard illustrations is the best for me. 👍originally we would miss out on the diagnostic images like x-rays and Echos, but now we get them all. I also like the diagnosis and treatment part.thanks alot . we love you so much prof.❤
Hi Dear Prof, if a medical student dedicated to learn from your lectures, I think it'll be possible to shorten the period by half....! Youre Amazing ....Thank you
The king, the man, the legend, my Captian all of our captain,may whatever entity you believe in bestow you with countless happiness and love and money and all the positivity, ameen.
For HOCM wouldn't administering miodorine (alpha-1 agonist) work as a treatment since it increases preload and afterload while also reflexively reducing HR and by extension contractility achieved from ß or calcium blockers?
Question: in the treatment of hypertrophic cardiomyopathy you mentioned to avoid giving amlodipine(calcium channel blocker) because we have to avoid giving vasodilators but then you said to give CCBs to reduce contractility. Can you explain please? Thank you 🙏🏻
These are different types of calcium channel blockers. Example: verapamil and diltiazem. They have little to no effect on the vasodilatory effect and primarily work through negative inotropy and chronotropy
Ejection fraction above 40 % doesn't meant enough blood is coming out of the heart it is percentage of blood in there. In hypertrophy there is no enough space for blood to fill in. So less amount of blood is filling in that 40 % is coming out. Hence less blood leads to systemic perfusion leads to syncope
I can't thank you enough for keeping uploading amazing videos for free .. there are students like me who can't afford paying for online courses and just depend on themselves and on teachers like you who make all this effort and hand it to us on a plate of gold. You're a true hero saving lives around the world from this small room. :^)
Exactly💯
As a newly diagnosed person with cardiomyopathy, this was SUPER helpful! Thank you!
How is it going. My 17 son was just diagnosed. He has an appointment with a cardiologist soon.
The king is back .
We are so excited
Brozac; my ninja nerd SSRI for my depression! Good to have you all back, professor Zach!
YES!! Thank goodness, Zach, we missed you! Just in time for my internal medicine rotation. You're literally my PA school hero
Am doing my internal medicine paper soon and I have so much on my plate. This guy is a hero
Thanks a lot. I still can't believe all those outstanding videos are free and continuous from long time. Very appreciated 😇
Right in time for my cardio final 😅
As an interventional cardiology RN I find your instruction invaluable.
Did u say invaluable ? Why ?
Jealous comment
If you don't like leave
Extremely useful 😂 that's the meaning of invaluable
WOW how many videos did you guys upload in one go 🤩🤩...the heroes are back 🔥💪
Thank u so much for these great clinical videos, better than actual classes
i love how he react with information
thank you zach
the blend of the physical and the digital whiteboard illustrations is the best for me. 👍originally we would miss out on the diagnostic images like x-rays and Echos, but now we get them all. I also like the diagnosis and treatment part.thanks alot . we love you so much prof.❤
Hi Dear Prof, if a medical student dedicated to learn from your lectures, I think it'll be possible to shorten the period by half....!
Youre Amazing ....Thank you
Dude all lectures of yours are amazing ,but this is exceptionally amazing ,thanks a lot !!
Professor Zach ❤ we are glad to have you back 🎉 I love all your videos 💯🙏
As usual: the clear explanations, easy to understand. A nice tattoo by the way!
Your amazing!!! The way you explain everything makes it so easy to understand and remember. Thank you so much!
you and your team are doing great job! can't thank you enough.
Welcome back sir..!!
You’re back!!!!!!!!❤❤❤❤❤❤❤
Can not thank enough ❤️❤️❤️❤️may allah bless u🤍🤍🤍can not imagine that allthis knowlege is free
Thank you so much for clarifying the topic so incredibly ❤
Reduced time increased quality and quantity of understanding 👌
The best UA-cam channel
The king, the man, the legend, my Captian all of our captain,may whatever entity you believe in bestow you with countless happiness and love and money and all the positivity, ameen.
Thank you very much, you’re such a piece of mind😭❤️
Finally back!!! ❤
We had a class on this today, thank you!
The best Dr ever
As an IMG i cannot afford online usmle courses ,i am really thankful =)
It was very helpful thanks a lot 🌹
You are amazing. Can't thank you enough!
Sir u r great, in Bengali just " sera sera"
Great video !
Great content as usual
Thank you so much, great Explanation ❤
Great lecture. Thank you
Amazing as always!!!
Really crystal clear sir😊😊 thankyou somh sir👌
thanks a lot, Zach
All i can say is thank you so much
Made a lot of sense
Thanks prof👏👏
I can't thank you enough!!!!!
Thanks my medicine exams were coming up😅😊
Thanks so much ❤❤❤
Nice and sumerized lecture
So understandable ❤
Thank you 🙏
Love these, thank you so much!
thank you you are amazing please keep going
Thank you sooo much for this!!
big work done here ,,, if iget sun iwill named zack
Thank you ❤
Very great..I'm the first to give like..yes yes finally 😅❤❤❤❤
The best ❤
فدوة لهالوجه استمر حياتي❤🤍
Very nice video
❤ you're the best
Well done doc. pls sir I have a nephew with this cardiomyopathy, how do you help him? Is it treatable?? Or is it going to die from it??
Where are old videos
Of
Dcmp
Rest. Cmp
Hocm
For HOCM wouldn't administering miodorine (alpha-1 agonist) work as a treatment since it increases preload and afterload while also reflexively reducing HR and by extension contractility achieved from ß or calcium blockers?
Question: in the treatment of hypertrophic cardiomyopathy you mentioned to avoid giving amlodipine(calcium channel blocker) because we have to avoid giving vasodilators but then you said to give CCBs to reduce contractility. Can you explain please? Thank you 🙏🏻
These are different types of calcium channel blockers. Example: verapamil and diltiazem. They have little to no effect on the vasodilatory effect and primarily work through negative inotropy and chronotropy
Ma tu sei mattooooooo😍😍😍😍
Thank you sir
look at this dudes back gains
Love it ❤
This is so dope
I love you man
Thank you sir……………
The best
Thanks nerd
Great video I give a real life story of this if it helps anyone
I wanted to thank you to be❤❤
May Allah help and guide you
آمين
Hi from braazil!!!
I have a question if anyone here can answer: if the EF more than 40% in hypertrophy, then why would a person sever from syncope??
Ejection fraction above 40 % doesn't meant enough blood is coming out of the heart it is percentage of blood in there. In hypertrophy there is no enough space for blood to fill in. So less amount of blood is filling in that 40 % is coming out. Hence less blood leads to systemic perfusion leads to syncope
god bless you
يا عمنا ننجا ، تخزينتك بكره عليا 😊
😂😂
How can I get the notes
ذهب 💛
blesses youuuyyuy
Mashallah❤
👏🏻👏🏻👏🏻👏🏻
❤❤
👍👍
❤
🎉❤❤
🥰
💯🥷💯🥷💯🥷💯
U r the best
U are the best
❤❤❤❤❤❤❤❤
❤❤❤❤❤❤
❤❤
❤❤❤