Congestive Heart Failure | Clinical Medicine

Поділитися
Вставка
  • Опубліковано 28 тра 2024
  • Premium Member Resources: www.ninjanerd.org/lectures/he...
    Ninja Nerds!
    In this lecture, Professor Zach Murphy will present on Congestive Heart Failure (CHF). The lecture will cover the causes and pathophysiology of CHF, including left and right heart failure and systolic, diastolic, and high-output heart failure. Clinical features and complications associated with CHF will also be discussed. A digital presentation will follow, covering the diagnosis of CHF using diagnostic imaging like chest X-rays, echocardiograms, and heart catheterization. Finally, the lecture will cover CHF treatment, including pharmacological interventions and device therapy. Enjoy the lecture and show support below!
    Table of Contents:
    0:00 Lab
    0:07 Congestive Heart Failure (CHF) Introduction
    0:50 Pathophysiology | Left Heart Failure
    18:18 Pathophysiology | Right and High Output Heart Failure
    28:05 Left Heart Failure Complications | Pulmonary Congestion
    33:59 Left Heart Failure Complications | Cardiogenic Shock
    39:49 Complications from Right Heart Failure
    46:01 Diagnostic Approach
    48:34 Treatment
    58:00 Comment, Like, SUBSCRIBE!
    Retired Ninja Nerd Lectures:
    • Pathophysiology of Con...
    • Treatment of Congestiv...
    Ninja Nerd Website | ninjanerd.org
    Ninja Nerd Podcast | podcast.ninjanerd.org
    Ninja Nerd Store | merch.ninjanerd.org
    / ninjanerdlectures
    / ninjanerdlectures
    / ninjanerdlectures
    / @ninjanerdsci
    / discord
    #ninjanerd #cardiovascular #heartfailure

КОМЕНТАРІ • 86

  • @JolieKolander
    @JolieKolander 2 місяці тому +12

    I SURE hope you know how WONDERFULLY beneficial each of your videos are!! I also appreciate the attention paid to editing and clarity of camera - distance from the board. You all do a WONDERFUL job and my brain and I are truly grateful for the quality content you produce! Thank you! Thank you! THANK YOU!!

  • @maria-gf9cx
    @maria-gf9cx Місяць тому +4

    I'm just a little nursing school kid, but I love learning the pathology. It helps me understand the concept vs memorizing it. Thank you for these digestible breakdowns!

  • @irame5701
    @irame5701 Місяць тому +6

    Absolutely genius Professor- knowledgable, expressional and, which is super rare, able to simply explain the work of the very difficult systems. The lectures are very much helpful and easy to understand. Thank you so much.

  • @HamdiyaSaed
    @HamdiyaSaed 24 дні тому +2

    i started my clinical rotation before two months with surgery ward and boom i saw ninja nerds starting to focus on clinical lectures now i am more then lucky ,thank u ninja nerd team i really appreciate your work

  • @kenanironside3118
    @kenanironside3118 11 днів тому +1

    I can not thank this man enough!
    loads of love and respect my guy!

  • @user-vx2lz9gd2o
    @user-vx2lz9gd2o 2 місяці тому +5

    your vids are amazing, u covered everything i need to know for my internal med, thank you

  • @camilavallejo9525
    @camilavallejo9525 2 місяці тому +3

    Thank you so much for these amazing videos! Literally makes me understand medicine a whole lot better!

  • @Saphira4Q
    @Saphira4Q 26 днів тому +2

    Just found you today. Your presentation helped me understand the process that tortured and killed my Mother and is now affecting me.
    I’ve subscribed.
    Me: Scarfing down my cardiac meds 😢😊

  • @fredshanan
    @fredshanan 2 місяці тому +11

    my lovely teacher!!❤

  • @ClaudiaS0802
    @ClaudiaS0802 День тому

    Amazing video. Thank you!

  • @KennethKoronya77
    @KennethKoronya77 2 місяці тому +7

    I am doing my internal medicine rotations right now, WONDERFUL, Thank you

  • @drsohailzahir2837
    @drsohailzahir2837 26 днів тому +3

    As usual, great job... much appreciated ❤❤❤

  • @selenaserane2623
    @selenaserane2623 Місяць тому +1

    I like your energy on that topic!

  • @elinaparkkonen517
    @elinaparkkonen517 2 місяці тому +1

    Your enthusiasm makes my heart smile❤😊!! Thank you, Zack, from the bottom of my ❤. Your work is very important, remember that. You spread love and joy into this world of ours.
    Be well💞. Take care🙏. Have faith⚓😚.

  • @totoms
    @totoms 2 місяці тому +2

    Thank you Ninja!!!

  • @Khadarmohamoud-bw8do
    @Khadarmohamoud-bw8do 2 місяці тому +2

    very good lecture thank you my lovely teacher

  • @sefagoktepe7090
    @sefagoktepe7090 10 днів тому +1

    I can not thank you enough sir, you are genius

  • @jenfields7857
    @jenfields7857 2 місяці тому +4

    thank you!!

  • @carissacornelia97
    @carissacornelia97 Місяць тому +1

    thank you so much for your videos. this channel is absolutely a lifesaver.

  • @user-ge2yv1jl6n
    @user-ge2yv1jl6n Місяць тому +1

    Thank you !

  • @user-ip5ud7fv2x
    @user-ip5ud7fv2x 2 місяці тому +2

    Thank you soo much ✨✨

  • @carafadaleeli272
    @carafadaleeli272 2 дні тому

    thanks always

  • @lindathompson4770
    @lindathompson4770 23 дні тому +1

    Maybe if I watch this a few dozen times, it will sink in. My EF was 25, still 25, 40 then 45 with meds and on a recumbent bike. Hope the Echo in two week is higher yet. And stuck with a LBBB.

  • @user-me9re2bc1q
    @user-me9re2bc1q 2 місяці тому +8

    Wish I could tell how much I love you

  • @hazaralaabed551
    @hazaralaabed551 Місяць тому +1

    Thanks. More fun and easy than uni lectures

  • @sonamdhondup5426
    @sonamdhondup5426 7 днів тому

    great video!

  • @SalkaCabdi
    @SalkaCabdi Місяць тому +1

    Thank you so much sir

  • @ifrahali5720
    @ifrahali5720 2 місяці тому +2

    Amazing

  • @midhudas3910
    @midhudas3910 Місяць тому +1

    That was excellent❤️

  • @SulimanKhanahmadzai
    @SulimanKhanahmadzai 8 днів тому

    well done sir

  • @vaibhavdarade5920
    @vaibhavdarade5920 18 днів тому

    Very nice

  • @hibakhalid8204
    @hibakhalid8204 14 днів тому

    Really amazing ❤❤❤

  • @abdelkodousganedi2898
    @abdelkodousganedi2898 28 днів тому +1

    great

  • @manasvisojitra3624
    @manasvisojitra3624 10 днів тому

    Very nice❤

  • @aboodmahasneh7862
    @aboodmahasneh7862 2 місяці тому +2

    Thx u soo much ❤

  • @KirosaAmare
    @KirosaAmare 10 днів тому

    oh my god you are the father of sceince i love you a lot keep it up

  • @sarthakdwivedi9788
    @sarthakdwivedi9788 27 днів тому +1

    Bhaichara on top! 🎉💪🏼👍

  • @muqtarjamaegal6071
    @muqtarjamaegal6071 2 місяці тому +1

    Thank you from ❤ chambers

  • @beastmode7107
    @beastmode7107 26 днів тому +1

    nice

  • @qzqzqz00
    @qzqzqz00 2 місяці тому +6

    Hey ninja nerd love the videos, probably something you might want to consider is that these videos that you privatised and then made public again, aren't classed as new videos rather from 2 days ago, so it may not pop into the subscription page of your subscribers

    • @Roger-hu4tk
      @Roger-hu4tk 2 місяці тому

      Yes he already explained in a video of how and where to access these videos... He put A video in the live section of his channel explaining the whole thing

  • @kumarshyam8347
    @kumarshyam8347 2 місяці тому +1

    As always ❤ you ninja

  • @abrahamcastellanos407
    @abrahamcastellanos407 Місяць тому +1

    You guys should base your treatments sections on updated international guidelines

  • @imadds6071
    @imadds6071 Місяць тому +1

    just wow

  • @ahmadam0937
    @ahmadam0937 Місяць тому +1

    teach us some pharmacotherapy(applied therapeutics, dipiro)

  • @CarlosMejia-ty5bs
    @CarlosMejia-ty5bs Місяць тому +1

    Ventricular interdependence may exist due to growth of the left ventricle?

  • @josezavaley7684
    @josezavaley7684 23 дні тому +1

    i love you ninja nerd

  • @MuhammadHassan-ce3dn
    @MuhammadHassan-ce3dn 28 днів тому +1

    If FILLING is less then left ventricular ejection fraction should also be lowered isn't it

  • @meeraaloush5543
    @meeraaloush5543 Місяць тому +1

    Wow thanks it’s very helpful. I have a few questions . Say someone is presenting with HF had a previous MI, coronary artery disease (atherosclerosis). Symptoms of tachycardia, tachypnea, high blood pressure, severely high creatinine levels, low eGFR, low haemoglobin levels, dyslipidaemia, tired upon slighted exertion, frequent cough and frothy sputum. What type of HF is that, with what ventricular (diastolic or systolic dysfunction) Or can it be both dysfunctions of the same ventricle? And based on these blood test which other organ is failing due to HF?

  • @lakshitasharma-mj5hx
    @lakshitasharma-mj5hx Місяць тому +1

    We give beta agonist like dobutamime to increase the contractility of the heart in case of CHF, but we give beta blockers to stop the release of renin from JG cells. Don’t these two contraindicate each other? Please explain

  • @naser2224
    @naser2224 2 місяці тому +1

    Aren’t the guidelines updated and the first line therapy is ARNI now?

  • @HudaAshraf-qu3bh
    @HudaAshraf-qu3bh 20 днів тому +1

    What about low output heart failure and svO2 why is it high?

  • @user-ly8xr7qt1c
    @user-ly8xr7qt1c 2 місяці тому +1

    This awesome but how do you download notes am failing

  • @richkitty8575
    @richkitty8575 2 місяці тому +3

    we ❤ u

  • @Ahmedddddddds27016
    @Ahmedddddddds27016 2 місяці тому +1

    Ninja nerd ❤

  • @arapaimagold8088
    @arapaimagold8088 Місяць тому +1

    Can we change Lasix with Samsca?

  • @alihussein3333
    @alihussein3333 Місяць тому +1

    love you sir you are one of goats of eart ❤

  • @BobbyDirt
    @BobbyDirt Місяць тому +1

    Anybody know why my heart throws a fit about 20 mins into laying on my stomach? Am I never aloud to take a nap ever again? 😢 legs tingle, harder to breathe, head feels weird, really tired….

  • @ahmedkarrar5529
    @ahmedkarrar5529 29 днів тому +1

    Can someone explain what is the difference between “dilated “ and “hypertrophied”.

    • @hillithwatts7050
      @hillithwatts7050 11 днів тому +1

      Dilation is the expansion of the ventricle. It's like when you overfill a balloon, the walls of the balloon are now thinned out and tensed. The heart is the same way. The heart is overfilled with blood and stretches or 'dilates'.
      Hypertrophy refers to increase in the size of each cardiac muscle cell, which makes them occupy more space and reduces the size of the chamber space.

    • @ahmedkarrar5529
      @ahmedkarrar5529 9 днів тому

      @@hillithwatts7050 thank you

  • @rimsha5746
    @rimsha5746 2 місяці тому +2

    I'm having one question
    In heart failure there is already decreased cardiac output so why are we giving drugs that decrease cardiac output?

    • @salam7905
      @salam7905 2 місяці тому +2

      hello ^-^ .. from what I understood: in CHF the heart is kinda of sick due whatever the cause (DM,HTN...) .. and we know as you said there is a decrease in cardiac output therefore the body does some compensation mechanisms in order to increase the cardiac output and blood pressure (like stimulating the SNS to increase heart rate and myocardial contractility through beta receptors, constriction of vessels, activation of renin-angiotensin-aldosterone-ADH system) but all these mechanisms put such a burden on the already weak heart and even weakening it more (on the long term) so we give drugs to appose these mechanisms such as beta blockers and ACE inhibitors .. hope you get the idea and if you're still confused you can go back to the retired lecture of CHF (specifically in 00:55 min he started explaining this idea).

    • @norman_5623
      @norman_5623 Місяць тому +1

      That's the great paradox of heart failure. HF is usually caused by the body's responses to compensate for decreased output, which provide relief in the short term but worsen the problem in the long term.

  • @libbyhaines3105
    @libbyhaines3105 12 днів тому

    I think my brother may
    have AAA. The pain and swelling in his lower abdomen comes and goes. He went to the ER one day because of it.
    Had a CT scan, ...doctor told him he had AAA. Next step is endoscopy. Told him to eat oatmeal and no fat . He smokes and has always eaten fried food. He has also had a quadruple bypass. He recently changed his diet and lost 40 lbs.
    Doctor told him to eat oatmeal and low fat. I'm very concerned, please help.

  • @nijilraj1083
    @nijilraj1083 Місяць тому +1

    🔥🔥

  • @ahmddmg3076
    @ahmddmg3076 2 місяці тому +1

    ❤❤❤❤❤

  • @buckeye7192
    @buckeye7192 Місяць тому +20

    I am getting very stressed out watching this video

  • @ahmddmg3076
    @ahmddmg3076 2 місяці тому +1

    🌹🌹🌹

  • @salar9652
    @salar9652 Місяць тому +1

    ❤️‍🔥❤️‍🔥

  • @rhosoojin191
    @rhosoojin191 22 дні тому +1

    👏👏👏👍👍👍

  • @user-me9re2bc1q
    @user-me9re2bc1q 2 місяці тому +1

    Ur amazing I love you

  • @angelacielo5231
    @angelacielo5231 2 місяці тому +1

    ✝️

  • @mumtaheenatasreen7440
    @mumtaheenatasreen7440 2 місяці тому +1

    🥹💯💯💯💯💯💯💯💯

  • @barakaahmed9359
    @barakaahmed9359 10 днів тому

    Thanx genius 🥷♥️

  • @rimsha5746
    @rimsha5746 2 місяці тому +1

    I'm having one question
    In heart failure there is already decreased cardiac output so why are we giving drugs that decrease cardiac output?

    • @arapaimagold8088
      @arapaimagold8088 Місяць тому

      Preventing further mutation of heart shape and condition

  • @user-bu9mk5hd1y
    @user-bu9mk5hd1y Місяць тому

    💯🥷💯🥷💯🥷💯