IMPORTANT POINTS: If you want to go for rhythm control, whether by electrical cardioversion or by pharmacologic cardioversion. You need to anticoagulate the patient first with heparin EXCEPT in emergency condition where patient is unstable you electrically cardiovert the patient first and then anticoagulate. If Patient presents within 48 hrs after onset of afib we can go for rythm control or rate control. If you choose rythm control then you can go for rythm control first without anticoagulating the patient. Because the chances of patient developing thrombus in atria are less because of lesser time of onset. Later you can put patient on anticoagulation. If Patient presents after 48 hrs and you choose to go for rythm control. Remember first anticoagulate the patient for 3 weeks then do rythm control. If confused in choice of rythm or rate control in a Patient. Follow this 1. RATE CONTROL if patient is old, has more comorbs, or echo shows thrombus 2. RYTHM CONTROL if patient is young, no comorbid conditions, echo is showing no thrombus Example of Rate Control in acute setting: Either a beta blocker (Metoprolol 2.5mg upto 5mg IV over 5 mins, which can be repeated at intervals of 10 mins to a maximum of 10mg ) or a calcium channel blocker Verapamil 2.5mg IV over 2 mins, which can be repeated at interval of 5 mins to a maximum of 5mg) but not both.
Once the patient's rhythm has been controlled with IV beta blocker or Calcium Channel, then what next? Are they then placed onto oral drugs for long-term maintenance? And when/how do you follow up?
I love ur lecture style and I can easily understand what ever u say thanks a lot Dr and u are gifted to us and ur patients ,I need ur lecture especially congestive heart failure to make down load ur short and prisize note about heart failure when my WiFi service functional I find u or search u b.c u give me lectures about it but I can't download it the reason why I need is ur lecture with ur note very important for me b.c I will read it repeatedly
Please arrange one day lecture in Kolkata against a token amount of money and really you are knowledge able and erudite and capable to teach us how to meet the meet the medical emergency.
Oh my God where i have been till now... That I didn't found sir till today. The way of explanation is next level and feels sweet and attractive and wanna listen again and again. Most importantly understanding. ❤️
Sir been trying to learn from various places , but never seen someone teach so beautifully on ytube ❤️you are a gem sir really , please upload a video on ecg too 😘
Truly passionate lecturer - very succinct and worthwhile - Thank you - looking forward to your procedural sedation - for the synchronized cardioversion.
Thank you for making may of us understand the topic easier. Please continue making more content :) I love your treatment management , its very helpful for us new grads :)
Sir I will be highly grateful to you if you can upload ischemic stroke because my exams are approaching and only your videos are understandable to me sir it will be a great help for me
Wonderful explanation ,easiest way you explained ,dose of flecnamide ,care to be taken while giving this drug ,as I was experienced with iv dilzem more in our residency and cardarone
Hey i found your videos quite helpful 🙌can you please make a detail video on Mitral stenosis along with complications treatment surgeries and everything related to MS.Will be waiting for your response.TIA
Thanks a lot & Love from Bangladesh sir, for nicely understand about AF. I want to an Appointment with you but I don't Know your address or where are your Chamber. If you don't mind Please give me your contact details I will come soon India for treatment...
Stand up and applaud to this man for providing such wonderful content in a very crisp manner. Th k you sir. You are such a help for budding doctors like me .💓
I’ve also had very bad treatment was in cardiac crisis told I wasn’t sick went back to emergency in agony had passed out from pain again wrote in my notes NAd had chest and stomach pains took 8 months to get hospital records! Had massive q waves on first and states MI anterior on next! I’ve had to learn to read human ECGs and tell the hospital staff in complaints they still try to deny their staffs mistakes! I learned from UA-cam doctors 🤷♀️ Got done nitrolingual spray for chest pains took co enzyme Q10 and collagen and my vit d was 80 % low my cholesterol was over 10 took red yeast rice and plant sterols and vitD - I’m not sure about Afib treatments but you should search it’s treatment and also look at food that help heal the human body! I got more private tests had heavy metals in system and researched a lot it’s been 5?years in complaints with the hospital wasting time trying not to admit their areas! Make sure your not over caffeinated not taking sugar or those caffeine drinks I also got a hair test and had two auto immune diseases and 100 food allergies! Hospital and doctors found none of it denied all of it! I don’t trust them at all now! Hope your feeling better but I’d honestly advise to do your own research 💔🤷♀️🙏
Thanks ❣️ I learn alot from you , i love your way of teaching plz also upload Lectures on myocarditis, pericardial diseases, heart block and arrythmias, and hypertrophic cardiomyopathy plZ sir🙏
Sir, ur lectures are awesome,love it❤❤.one request sir, can u provide the pdf of ur lectures becoz it would be easier to revise ur notes . As an intern it would be a time saver if we would have all ur lectures notes in one place..I hope u consider my point😊
What is your take on Microvascular Coronary Dysfunction with non obstructive coronary disease. Normal Ejection fraction and Atrial Fib new diagnosis. EP doc wants to do dual ablation. Any general anesthesia makes my MVD with angina and SOB month’s to recover, hence I am hesitant about ablation . Not much info on this combo. Please present video on Microvascular Coronary Disease as it is still under diagnosed and validated especially in women. Thanks in advance.
I was preparing for MRCP and you are doing as great as MRCP UK, amazing far far better than more people who just don't give an extra effort,you did amazing work, hat's off Dr,keep going 👍🍰✅one of my favourite video!
@@MedNerdDrWaqasFazal its really helping and many students getting some good concepts, kindly do talk about the reference you used like the chadvs2,also talk about cha2vas2 Vs !
IMPORTANT POINTS:
If you want to go for rhythm control, whether by electrical cardioversion or by pharmacologic cardioversion. You need to anticoagulate the patient first with heparin EXCEPT in emergency condition where patient is unstable you electrically cardiovert the patient first and then anticoagulate.
If Patient presents within 48 hrs after onset of afib we can go for rythm control or rate control. If you choose rythm control then you can go for rythm control first without anticoagulating the patient. Because the chances of patient developing thrombus in atria are less because of lesser time of onset. Later you can put patient on anticoagulation.
If Patient presents after 48 hrs and you choose to go for rythm control. Remember first anticoagulate the patient for 3 weeks then do rythm control.
If confused in choice of rythm or rate control in a Patient. Follow this
1. RATE CONTROL if patient is old, has more comorbs, or echo shows thrombus
2. RYTHM CONTROL if patient is young, no comorbid conditions, echo is showing no thrombus
Example of Rate Control in acute setting:
Either a beta blocker (Metoprolol 2.5mg upto 5mg IV over 5 mins, which can be repeated at intervals of 10 mins to a maximum of 10mg ) or a calcium channel blocker Verapamil 2.5mg IV over 2 mins, which can be repeated at interval of 5 mins to a maximum of 5mg) but not both.
👍
Once the patient's rhythm has been controlled with IV beta blocker or Calcium Channel, then what next? Are they then placed onto oral drugs for long-term maintenance? And when/how do you follow up?
I love ur lecture style and I can easily understand what ever u say thanks a lot Dr and u are gifted to us and ur patients ,I need ur lecture especially congestive heart failure to make down load ur short and prisize note about heart failure when my WiFi service functional I find u or search u b.c u give me lectures about it but I can't download it the reason why I need is ur lecture with ur note very important for me b.c I will read it repeatedly
Please arrange one day lecture in Kolkata against a token amount of money and really you are knowledge able and erudite and capable to teach us how to meet the meet the medical emergency.
Oh my God where i have been till now... That I didn't found sir till today. The way of explanation is next level and feels sweet and attractive and wanna listen again and again. Most importantly understanding. ❤️
Great way to explain confusing topics.10/10 for your videos.straight ,clear,and short...
Thank you Ashish mehrotra for your very kind words. 😊
I found you as a Gem of Medicine on the Internet. Lots of love from India.
So Nice of you 😊
Sir been trying to learn from various places , but never seen someone teach so beautifully on ytube ❤️you are a gem sir really , please upload a video on ecg too 😘
So kind of Himalaya Ganvir 😊❤️
,, ZAjn
I have no words to thank you sir... you are the one the best teacher I got till my age. Hats off to you❤
jazaKAllah khair . You are literally aces in my book. excellent teaching method in all videos and the dedication speaks for itself. thank you sir
Fantastic teaching style. Love the repetition, clarifying and summaries. Not one redundant word.
Truly passionate lecturer - very succinct and worthwhile - Thank you - looking forward to your procedural sedation - for the synchronized cardioversion.
ManshAllah keep going. Much respect from the UK and I shared it with lots of students. Please do ECG series
Thank you A Ahmed. I am glad you found it helpful. 😊 Stay tuned for more
You are the best medical lecturer !!
Great initiative sir,
Kindly add the dosage of drugs used , so that it will be easy to revise.
Hi Dr
Your all the y tube presentations are excellent.
Very easy to understand
Thank you 😊
So kind of you... Keep supporting manel 😊
Thank you for making may of us understand the topic easier. Please continue making more content :) I love your treatment management , its very helpful for us new grads :)
Thank you so much Dr.
I understand this lecture better than how I’m learning at the hospital.
Thanku sir very well explained, hopefully it will help for my upcoming exams
Excellent explanation about AF, Thank you
You're one of the best teachers.
thanx, do not forget Ehra symptom score and ESC classification,
Excellent.You have made it simple ,interesting and easy to understand and practice.
Thanku sir
Thank you very much 😊
One of the best teacher.. 👏👏
Sir I will be highly grateful to you if you can upload ischemic stroke because my exams are approaching and only your videos are understandable to me sir it will be a great help for me
Great explanation of the topic !
Wow I m in love with this way of lecture🙏🏻🙏🏻
Thank you 😊
Sir kindly make a separate videos on trade name, dose of drugs and how to give them and what are their contraindications
World best teacher 🙏🙏🙏 ❤❤
❤
sir please do a video on llearrning and reading basic ECG's as well
Dar Ahsaan ul haq I am working on ECG videos on my top priority stay tuned 😊
@@MedNerdDrWaqasFazal thank you sir. really need a descriptive video on ECG. my exams coming up. :)
@@MedNerdDrWaqasFazal badly waiting for❤
Jazakallah khair
@@MedNerdDrWaqasFazal sir, we are also waiting for ecg video in details. for doctor 🤗
Wonderful explanation ,easiest way you explained ,dose of flecnamide ,care to be taken while giving this drug ,as I was experienced with iv dilzem more in our residency and cardarone
Excellent explanation on AF sir 🙏🙏🙏
Great and Superb explanation of AF
Sir you are a great teacher. 🙏🙏
Jazakallah khair
Thank you sir. Very much appreciated ❤❤❤
Best explanation sir
Thanks easy to understand❤️❤️
Wonderful presentation Dr sb
Ma Sha Allah
Great job , Well explain
Dr .waqas can you pls tell me if we can do immediate cardioversion in emergency in unstable patient without echo
thank you so much 5/12/2022
Thanks for great lecture♥️
You are just amazing 👍
Hey i found your videos quite helpful 🙌can you please make a detail video on Mitral stenosis along with complications treatment surgeries and everything related to MS.Will be waiting for your response.TIA
Sure I will. Keep supporting 😊
Excellent
Awesome
Great sir
Exceptional😭🔥
Very nicely explained
Nice explanation sit
Excellent sir 👏
Assalam alaikum sir
Thank you so much sir
❤❤❤ thank u so much sir
Sir, my mother is aSVT Patient. Kindly give advice for treatment under your disposal.
Thank you sir.
خدا تمہارے عمر لمبے کري ، اور مصیبت سے بچا لے ،،،، آمین آمین❤❤
Ameen thank you
Does tab amiodaron 100 mg twice or thrice daily instead of beta blocker ,serve any purpose in AF
Sir how long we have to give warf??
AA. Dr sb, If pulse goes to 100-120 occasionally especially during Anxiety. Is it significant please, if otherwise person is normal. Regards
Please reply
For Age 60 to 74 , the score is 1
And if Age >75, the score is 2
Please correct me if I'm wrong😊
🙏🙏
Amazing work sir 🩵
Sir aik hi to Dil Hain kitni bar jetan gay
👍👍👍👍
🙏
Thanks a lot & Love from Bangladesh sir, for nicely understand about AF. I want to an Appointment with you but I don't Know your address or where are your Chamber. If you don't mind Please give me your contact details I will come soon India for treatment...
Great Knowledge Dr Waqas sir
Dr tabish khan JR3 MD medicine GMC AURANGABAD 🇮🇳INDIA
Thank you Dr. Tabish Khan for your kind comments. Stay tuned for more videos 😊
Boss
love u sir
Stand up and applaud to this man for providing such wonderful content in a very crisp manner. Th k you sir. You are such a help for budding doctors like me .💓
Sir pl.add video on tetanus management
Excellent as usual and please kindly consider making a video about respiratory failure ☺️☺️
Thank you Jack Zaw. I will surely make a video on respiratory failure. 😊
Excellent. You have made it simple, interesting, and easy to understand I have AFIB Dr here did not do much for me I still suffering
I’ve also had very bad treatment was in cardiac crisis told I wasn’t sick went back to emergency in agony had passed out from pain again wrote in my notes NAd had chest and stomach pains took 8 months to get hospital records! Had massive q waves on first and states MI anterior on next! I’ve had to learn to read human ECGs and tell the hospital staff in complaints they still try to deny their staffs mistakes! I learned from UA-cam doctors 🤷♀️ Got done nitrolingual spray for chest pains took co enzyme Q10 and collagen and my vit d was 80 % low my cholesterol was over 10 took red yeast rice and plant sterols and vitD - I’m not sure about Afib treatments but you should search it’s treatment and also look at food that help heal the human body! I got more private tests had heavy metals in system and researched a lot it’s been 5?years in complaints with the hospital wasting time trying not to admit their areas! Make sure your not over caffeinated not taking sugar or those caffeine drinks I also got a hair test and had two auto immune diseases and 100 food allergies! Hospital and doctors found none of it denied all of it! I don’t trust them at all now! Hope your feeling better but I’d honestly advise to do your own research 💔🤷♀️🙏
Excellent Respected Sir
Sir, Two meaningful words from the bottom of my heart. Thank you.
You are great! Can you plz complete all topics of ECG 😢
Thanks ❣️
I learn alot from you , i love your way of teaching plz also upload Lectures on myocarditis, pericardial diseases, heart block and arrythmias, and hypertrophic cardiomyopathy plZ sir🙏
1 understand, enjoy his explanations better than other sources, l hv come across !
Most difficult topic of clinical pharmacy practice ever 🧕
I appreciate this! Thank you so much!
Please sir do video on ecg reading thank u sir I learn't many things God bless u sir thank so much
I am very happy to hear that. I'll surely make videos on ECG. 😊
Immensely appreciate your crystal clear knowledge Dr Waqas Fazal.
Wow.mashaAllah sir.from mauritius
Amazing lecture sir thank you from Sri lanka
Who gives warfarin now adays sir to patients with afib with high CHAD'S score?
Sir, ur lectures are awesome,love it❤❤.one request sir, can u provide the pdf of ur lectures becoz it would be easier to revise ur notes . As an intern it would be a time saver if we would have all ur lectures notes in one place..I hope u consider my point😊
Sir, between diltiazem and metaprolol which one is better for acute af management for hemodynamically stable patient ?
How to set dose of warfarin?? Start from which dose or how to find the dose correctly wd subjective variation.... Kindly do consider it for ur reply??
Thanks doctor
I wish I would have found u in my Med School!! Nevertheless your videos are still rly useful in Medical practice!
Thank you sir very well explained hopefully its it will help formy upcoming exams
Nice Explaination 👍👍.. Thanks so much sir
Topic is complicated but u r wonderful in making us learn with ease.thank you .
Sir after Synchronised cardiovertion does chest compression needed or not???kindly reply
Great videos
We love you doctor.
Thank you for your love and support 😊
Outstanding explanation, thanks from Bangladesh
TQ sir to give to us good information
So Nice of you. Keep supporting 😊
What is your take on Microvascular Coronary Dysfunction with non obstructive coronary disease. Normal Ejection fraction and Atrial Fib new diagnosis. EP doc wants to do dual ablation. Any general anesthesia makes my MVD with angina and SOB month’s to recover, hence I am hesitant about ablation . Not much info on this combo. Please present video on Microvascular Coronary Disease as it is still under diagnosed and validated especially in women. Thanks in advance.
Thanku sir❤️ You are doing great work.
Wat is the best meds fpr Afib?..is xeralto 15mg goood for Afib?
I was preparing for MRCP and you are doing as great as MRCP UK, amazing far far better than more people who just don't give an extra effort,you did amazing work, hat's off Dr,keep going 👍🍰✅one of my favourite video!
So kind of you dear. 😊
@@MedNerdDrWaqasFazal its really helping and many students getting some good concepts, kindly do talk about the reference you used like the chadvs2,also talk about cha2vas2 Vs !