At the end of the video there is an interesting finding that is fairly common with inferior wall MI. As it is perfused by the Right Coronary Artery in about 75% of the population, this artery also gives branches to the AV node. Here we can see what appears to be a 3°rd degree AV block, but with a surprisingly high heart rate (one would expectp about 40-50 bpm on complete block). These are surprisingly well tolerated and resolve once the occlusion is managed; no need for a pacemaker.
It's a very good discussion sir thank you ...please consider one request sir Please add subtitles because of the some difference in accent some word are not clear even with headphones
In right ventricle MI,already rv is infarcted,so increasing preload should deteriorate rv function,then how increase in preload will improve his cardiac output?
If I may. The right ventricle functions at low pressures compared with the left ventricle; one of the pathophysiological mechanisms that the RV has to overcome increases in afterload is to increase its preload and take advantage of the expected increase in cardiac output according to the frank-starling curve; indeed there is a small and delicate margin between a favorable response and a harmfull intervention by giving fluids, but in general, one should try to keep a generous preload (avoiding NTG, for example) as it is one of the few tools the RV has to increase its function. If there's cardiogenic shock associated, a coronary critical care unit is well equiped with invasive methods (for example, swan-ganz catheter) to titrate those volume challenges and monitor response. Hope that was helpful, greetings from chile :)
Please help yesterday I did my ECG and result was. SUPROVENTRICULAR ECTOPY SEEN Actually I wanted to know will be create any problem in banking job as I did the ecg as pre joining formalities ....I am very worried please help
Sir plz add every video in particular playlist, it is very useful in longterm.
At the end of the video there is an interesting finding that is fairly common with inferior wall MI.
As it is perfused by the Right Coronary Artery in about 75% of the population, this artery also gives branches to the AV node.
Here we can see what appears to be a 3°rd degree AV block, but with a surprisingly high heart rate (one would expectp about 40-50 bpm on complete block). These are surprisingly well tolerated and resolve once the occlusion is managed; no need for a pacemaker.
It's very great and helpfull discussion thankyou doctors 😍🥰
Nicely presented & extensively discussed. THANK YOU ALL
It's a very good discussion sir thank you ...please consider one request sir
Please add subtitles because of the some difference in accent some word are not clear even with headphones
These discussions are not scripted and if youtube provides subtitles only we can get subtitles
great discussion
Thank you 👍👌
Great sir... thanks 👍
Great
🙏🙏
Thank u
In right ventricle MI,already rv is infarcted,so increasing preload should deteriorate rv function,then how increase in preload will improve his cardiac output?
Please check the video on RVMI for more clarification
If I may.
The right ventricle functions at low pressures compared with the left ventricle; one of the pathophysiological mechanisms that the RV has to overcome increases in afterload is to increase its preload and take advantage of the expected increase in cardiac output according to the frank-starling curve; indeed there is a small and delicate margin between a favorable response and a harmfull intervention by giving fluids, but in general, one should try to keep a generous preload (avoiding NTG, for example) as it is one of the few tools the RV has to increase its function. If there's cardiogenic shock associated, a coronary critical care unit is well equiped with invasive methods (for example, swan-ganz catheter) to titrate those volume challenges and monitor response.
Hope that was helpful, greetings from chile :)
👍👍👍
❤❤❤🙏🙏🙏
👍
Please help yesterday I did my ECG and result was.
SUPROVENTRICULAR ECTOPY SEEN
Actually I wanted to know will be create any problem in banking job as I did the ecg as pre joining formalities ....I am very worried please help
Please contact ur doctor
Mohammad Route
nyha class wasnt correct as per history