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 😘
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 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
Truly passionate lecturer - very succinct and worthwhile - Thank you - looking forward to your procedural sedation - for the synchronized cardioversion.
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 RU-vid 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 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...
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
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.
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
I had never encountered this before after being qualified for 2 decades! Makes complete sense though, as it's used for Systemic Sclerosis pulmonary hypertension.
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 !
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 :)
So if the patient is having Afib and is unstable we go for immediate electrical cardioversion and if stable and presents within 48 hrs we do rythm control and if after 48hrs we go for rate control?
Great video. To me, you have a very strong Indian accent but for some reason I understand everything perfectly and you give loads of useful information.
