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@ 11:00, why would you not discontinue the beta blocker? Surely it can reduce cardiac output, when can lead to more congestion ( due to elevated LVEDV). Thank you.

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Excellent discussion, this is such an "everyday case" that we see, and I really enjoyed all the clinical pearls. If I could just ask a few quick questions: 1) When there's a patient with a systolic BP of 90 on double pressors, there's often hesitation in giving a large lasix dose (such as 80-100 mg) as a stress test. Is this fear warranted, and can the lasix dose by itself worsen hemodynamics? 2) Regarding late-start dialysis, a lot of the cardiac ICU patients whom I see tend to require dialysis initiation simply because of a large positive fluid balance (and not for uremia/hyperkalemia/acidosis), which results in an increased pre-load and worsening hemodynamics. In this situation, when the filling pressures are rising, the urine output is falling and the lasix isnt working, I find that starting earlier makes it easier to control fluid balance. I find this hard to reconcile with all the data showing a late start is better. Should I be waiting longer, and how long is it safe to wait, since "volume overload" is a bit of a subjective call? 3) Is there a lower limit of BP below which you dont start CRRT? Say the patient's on triple supports and the systolic BP is 60 - do you wait for the patient to stabilise, or go right ahead with CRRT? Thanks so much again for the really fantastic overview !

Wherever salt goes, [Dr Topf], water follows, [renal fellow]. Sweet episode. Enjoying listening to this so far.. The cardio-renal connection that we all needed!

Thank you, this helps a lot!

I was hoping that you would talk about a note on how to use the citation tools. Would appreciate if there is a another video even briefly talking about those thank you very very much for for all all you do.

Thanks so much for sharing this with the public!

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I recently underwent emergency open heart surgery…I just happened on. this channel by coincidence…

Amazing explanation, thank you very much

❤

He is such an inspiration. Currently working my way to medical residency and his played a huge role in disciplining me!

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Very useful. Thanks for this video!

Thank you..it was helpful

The best teacher! Doctor Rhanderson. :)

I cannot thank you enough

you're speaking so delicately... who are you and what have you done with ahmed ghoneem?

Amazing work, great explanation. Love it

Amazing video! 👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻

Great presentation. Thank you Dr Zheng!

In the third patient, float a Swan and give fluid guided by the wedge?! Or give fluid in 250ml aliquots with serial evaluation of neck veins?!

Nice

Super sir

Fantastic video Dr Isakadze thank you kindly

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what's the reason for the abnormally rapid filling in early diastole?

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Amazing work 👏, very helpful Thank you Dr.Abdulhamied

Best and easiest explaination of Constrictive pericarditi's features. Thanks

Lovely presentation very good cae👏😊

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Nice

Truly epic job, Dr. Isakadze. Thank you so much for such timely teaching.

Very useful overview. Precisely what criteria are used to decide the need for mechanical circulatory support?

Well done!!

Loved it. Always got your back

👍

Amazing confidence

Very interesting.