0:00 Overview: Pathophysiologic Description of Atrial Fibrillation 1:10 Review of cardiac impulse conduction and P QRS and T waves 2:30 Ectopic Foci 3:35 Re-entry Circuits 5:48 Classification of Atrial Fibrillation (Paroxysmal/Persistent/Permanent) 7:05 EKG findings 7:57 Diagnosis 8:18 Acute management: Electrical Cardioversion 8:51 Chemical Cardioversion: Common Medications used (eg sotolol, amiodarone) 10:33 AFib > 48 hours: thromboembolism,, TEE, 4weeks anticoagulation 11:40. Rate Control for relief of clinical symptoms and signs 13:01 Long-term management rate control vs rhythm control 14:24 CHA2DS2-VASc Score 15:00 Valvular (Warfarin) vs Non-Valvular AFib (NOACs)
It is mandatory to address the cause of atrial fibrillation prior to rate/rhythm control. Like Treat Anxiety, Pain, Anemia, Electrolytes like K/Mg, Respiratory problem, Infection etc.
I have been diagnosed with Paroxsysmal Afib and am scheduled for an ablation in 3 weeks. I have been overdosing on TH-cam videos regarding Afib since I was diagnosed and I wanted to tell you that your explanation was the best of any I have viewed. Thank you for helping me better understand Afib!
I'm the same age as you. I'm doing a PP presentation for Human Anatomy class. Can you give me some daily tips or insight that people may not know. A-fib seems to be prevalent on my mother's side.
I've taken ACLS since the late 70's and this is the best explanation (and I've seen some pretty good ones) of the subject. Anyone contemplating taking ACLS would do well to study this presentation as it serves well as a foundation for a lot of other cardiac interventions.
It is mandatory to address the cause of atrial fibrillation prior to rate/rhythm control. Like Treat Anxiety, Pain, Anemia, Electrolytes like K/Mg, Respiratory problem, Infection etc.
I love your videos! I have been a healthcare professional for over 10 years & like to refresh my knowledge & skills. Most people are visual learners & I find these videos to be great & helpful for all learners.
Outstanding presentation as you have explained AF in a three dimensional way, from anatomical, electro- psychological and therapeutic management within an excellent visual schematic presentation - thank you for the excellent and succinct presentation, well done.
Overview ------------------ Atrial fibrillation (A-fib) is an irregular and often very rapid heart rhythm (arrhythmia) that can lead to blood clots in the heart. A-fib increases the risk of stroke, heart failure and other heart-related complications. During atrial fibrillation, the heart's upper chambers (the atria) beat chaotically and irregularly - out of sync with the lower chambers (the ventricles) of the heart. For many people, A-fib may have no symptoms. However, A-fib may cause a fast, pounding heartbeat (palpitations), shortness of breath or weakness. Episodes of atrial fibrillation may come and go, or they may be persistent. Although A-fib itself usually isn't life-threatening, it's a serious medical condition that requires proper treatment to prevent stroke. Treatment for atrial fibrillation may include medications, therapy to reset the heart rhythm and catheter procedures to block faulty heart signals. A person with atrial fibrillation may also have a related heart rhythm problem called atrial flutter. Although atrial flutter is a different arrhythmia, the treatment is quite similar to atrial fibrillation.
Thank you Sir!I always found this particular topic difficult to understand whenever I tried reading from books but after watching this,I understood everything clearly.
Thank you sir for this amazing explanation. really loved it and first time , i understood about Atrial fibrillation and knew about its detailed pathophysiology. Thank u so much
this is the best video so far on understanding the different types of A-FIB and its treatments!!! Very detailed and informative! keep up the good work!
In my experience I feel it’s important to know the ejection fraction to determine if patient has systolic or diastolic heart failure to treat with amiodarone or a ccb,bb. I’ve seen patient with an EF of 10-15 get cardizem and cause cardiac arrest.
Thank you for this explanation. My husband was just diagnosed with AF at young age of 50 . I now have a list of question to ask the cardiologist when he gets a referral. Sadly it sounds like he has persistent or permanent AF with high score for stroke since internal med doc is prescribing dabigatran before he even sees a cardiologist.
Hmm...I have had four cardioversions, and not one of them was followed by a drip of amiodarone. If anything, metoprolol was still in my system, and I was usually given between 10-25mg via drip before or right after the cardioversion. Mind you, not one of those CV's worked for more than about 10 hours. Maybe the amiodarone ought to have been administered, or flecainide, diltiazem, or propafenone.
Problem is there are very little, if not, no videos online about what atrial fibrillation sounds like. I was exercising earlier and suddenly my heart rate accelerates to roughly 240 BPM and it was extremely loud and I could quite-literally feel it beating out of my chest, which was insane. Wasn't the first time either. Before, I was doing a running race and my heart rate was also extremely insane. Over 200 BPM then too, and I felt really faint like I wanted to pass out. I have had a weird history of shortness of breath I should also mention. I tried to get checked out when I was a bit younger, but was told there was nothing being reported as abnormal by a cardiogram. That relieved me, but now I'm starting to wonder if I should get checked out again.
Is Apixaban now considered appropriate for anticoagulation in AF with enlarged Left Atrium,Enlarged Left Ventricle and Mitral Regurgitation (not stenosis) but without any artificial or prosthetic valves present?
Because tachycardia only talks about rate. Rhythms are termed differently, such as regular, alternating, flowing, progressive, random and poly rhythms. And in AF you often see the random type. So, you can probably call it random tachycardia 😅
Hi, I would like to know the specific resource used in this video. I would like to read more about arrhythmias since I still can't organize these stuff in my head. Thank you in advance.
I feel this is one of the most lucid videos on AF, not missing or messing a single event. Really an wonderful study. Thanks
0:00 Overview: Pathophysiologic Description of Atrial Fibrillation
1:10 Review of cardiac impulse conduction and P QRS and T waves
2:30 Ectopic Foci
3:35 Re-entry Circuits
5:48 Classification of Atrial Fibrillation (Paroxysmal/Persistent/Permanent)
7:05 EKG findings
7:57 Diagnosis
8:18 Acute management: Electrical Cardioversion
8:51 Chemical Cardioversion: Common Medications used (eg sotolol, amiodarone)
10:33 AFib > 48 hours: thromboembolism,, TEE, 4weeks anticoagulation
11:40. Rate Control for relief of clinical symptoms and signs
13:01 Long-term management rate control vs rhythm control
14:24 CHA2DS2-VASc Score
15:00 Valvular (Warfarin) vs Non-Valvular AFib (NOACs)
love you
Thank you so much!
It is mandatory to address the cause of atrial fibrillation prior to rate/rhythm control. Like Treat Anxiety, Pain, Anemia, Electrolytes like K/Mg, Respiratory problem, Infection etc.
I have been diagnosed with Paroxsysmal Afib and am scheduled for an ablation in 3 weeks. I have been overdosing on TH-cam videos regarding Afib since I was diagnosed and I wanted to tell you that your explanation was the best of any I have viewed. Thank you for helping me better understand Afib!
Never seen anybody explaining such a difficult topic so beautifully.
th-cam.com/video/B4Jk7h9w5Mg/w-d-xo.html
you explain better than the sum of who are called ''professors'' at my university. I wish we had someone like you. thank you so much.
Agreed 👏
th-cam.com/video/B4Jk7h9w5Mg/w-d-xo.html
]
Agree
Which university
I am a resident and still watching your videos. You were my hero through med school and still are
I am 21and have A FIB & a pacemaker since I was 16... thank you for this video.
I'm the same age as you. I'm doing a PP presentation for Human Anatomy class. Can you give me some daily tips or insight that people may not know. A-fib seems to be prevalent on my mother's side.
@@MrRperez10 pl
Unfortunate to see another person my age with the same condition as me :(
One of the best presentations on AF. Good job!
I've taken ACLS since the late 70's and this is the best explanation (and I've seen some pretty good ones) of the subject. Anyone contemplating taking ACLS would do well to study this presentation as it serves well as a foundation for a lot of other cardiac interventions.
who's a life saver ? YOU'RE A LIFE SAVER ! :')
Thank you so much .
Please keep uploading new videos
It is mandatory to address the cause of atrial fibrillation prior to rate/rhythm control. Like Treat Anxiety, Pain, Anemia, Electrolytes like K/Mg, Respiratory problem, Infection etc.
I love your videos! I have been a healthcare professional for over 10 years & like to refresh my knowledge & skills. Most people are visual learners & I find these videos to be great & helpful for all learners.
Your videos and illustrations have come so far since the beginning!!! Love and respect your channel and your hustle!
Outstanding presentation as you have explained AF in a three dimensional way, from anatomical, electro- psychological and therapeutic management within an excellent visual schematic presentation - thank you for the excellent and succinct presentation, well done.
Overview
------------------
Atrial fibrillation (A-fib) is an irregular and often very rapid heart rhythm (arrhythmia) that can lead to blood clots in the heart. A-fib increases the risk of stroke, heart failure and other heart-related complications.
During atrial fibrillation, the heart's upper chambers (the atria) beat chaotically and irregularly - out of sync with the lower chambers (the ventricles) of the heart. For many people, A-fib may have no symptoms. However, A-fib may cause a fast, pounding heartbeat (palpitations), shortness of breath or weakness.
Episodes of atrial fibrillation may come and go, or they may be persistent. Although A-fib itself usually isn't life-threatening, it's a serious medical condition that requires proper treatment to prevent stroke.
Treatment for atrial fibrillation may include medications, therapy to reset the heart rhythm and catheter procedures to block faulty heart signals.
A person with atrial fibrillation may also have a related heart rhythm problem called atrial flutter. Although atrial flutter is a different arrhythmia, the treatment is quite similar to atrial fibrillation.
I am currently studying Atrial Fibrillation, this video just came at the right time. Thank you for making it more easy. 😍💪🏾
th-cam.com/video/B4Jk7h9w5Mg/w-d-xo.html
Dude u have no idea how much i love u, literally I'm advertising in our faculty for u whenever i pass an exam, mwah 😘
We're just about to take a big exam on cardiac tomorrow morning !! So glad I remembered your page!
Thank you Sir!I always found this particular topic difficult to understand whenever I tried reading from books but after watching this,I understood everything clearly.
Thank you sir for this amazing explanation. really loved it and first time , i understood about Atrial fibrillation and knew about its detailed pathophysiology. Thank u so much
Amazing illustration with detailed information. It was really helpful! Thank you for making the complicated UNCOMPLICATED! :)
My dad has this and thanks for this explanation.
Atrial fibrillation is made too easy via this video .Thank u 👍👏
Amazing to see your progress Armando
Best AF presentation ever!!!!
got everything i needed to know except dose, still great job, thank you.
thank you so much for your effort, you explain it in such a smooth way for such complicated topic i appreciate that
Always look for other causes of instability among patients with AF and shock or difficulty controlling the ventricular rate.
Thanks for the very clear explanation
Best explanation I've see - and I've seen a few!
Thank you sir ! Its really a best explanation of Atrial Fibrillation .
this is the best video so far on understanding the different types of A-FIB and its treatments!!! Very detailed and informative! keep up the good work!
Very very impressive explaination. Thank you very much.
Such a nice voice and a great presentation. The presenter's name looks Latin of some sort, but I really think he sounds like Christoph Waltz
In my experience I feel it’s important to know the ejection fraction to determine if patient has systolic or diastolic heart failure to treat with amiodarone or a ccb,bb. I’ve seen patient with an EF of 10-15 get cardizem and cause cardiac arrest.
thank you very much. your lecture is very much informative and easy to understand ❤️
Woah, thank you so much. This helped a lot in my class presentation.
please make vedios on all arrythmias ,it would be really helpful
worths every single minute! thank u
Thank You So Much
Your video is very informative and easy to understand while still going in depth💯
outstanding review sir. You are one of a kind. thank you so much
Armando went digital!! Wow.
Great explanation specially the clinical parts, thanks.
Such an excellent, helpful, well-done video!! Thank you!!!
well done explaining
Incredibly well done video, thank you!
Thank you so much for making it so easy to understand!!💜
Jazak Allah. Allah apko ajar de iska
Clear explanation
better than the professor I have at my school :P
This should be useful to an essay I may be doing so thanks so much
Thank you for this explanation. My husband was just diagnosed with AF at young age of 50 . I now have a list of question to ask the cardiologist when he gets a referral. Sadly it sounds like he has persistent or permanent AF with high score for stroke since internal med doc is prescribing dabigatran before he even sees a cardiologist.
I have just been admitted to hospital with AF. I too am only 50. Lots of questions to be asked....
very nice video.. thank you
Very well done!
Hmm...I have had four cardioversions, and not one of them was followed by a drip of amiodarone. If anything, metoprolol was still in my system, and I was usually given between 10-25mg via drip before or right after the cardioversion. Mind you, not one of those CV's worked for more than about 10 hours. Maybe the amiodarone ought to have been administered, or flecainide, diltiazem, or propafenone.
I love you Armando
I also teach Biology.. you are my inspiration ❤️😍
It wno't be existed in biology
g
3
Cool video with great explanation! I wish i could do a video like yours
Amazing, thank you so much 💜
Thank you ...very helpful
Amazing! Afib made easy
Wowwwwwwwwwww.....thank you so much for this presentation ❤️🥺
Problem is there are very little, if not, no videos online about what atrial fibrillation sounds like. I was exercising earlier and suddenly my heart rate accelerates to roughly 240 BPM and it was extremely loud and I could quite-literally feel it beating out of my chest, which was insane. Wasn't the first time either. Before, I was doing a running race and my heart rate was also extremely insane. Over 200 BPM then too, and I felt really faint like I wanted to pass out. I have had a weird history of shortness of breath I should also mention. I tried to get checked out when I was a bit younger, but was told there was nothing being reported as abnormal by a cardiogram. That relieved me, but now I'm starting to wonder if I should get checked out again.
Yes, you should get it checked out. Just to be sure
benimde eforda 250 oldu son anda nabız
Awesome... so admirable
I'm confused. If it is an acute case, how do you have time to give 4 weeks anticoagulation before cardioversion? Please help
Thank you so much for posting this 😘🥰
Excellent ❤❤
Can someone please explain WHY we use warfarin for valvular AF, whereas NOACs is for non-valvular AF?
Excellent
Thank you so much 🙏💕
Why wouldn't you want to talk about convergent hybrid ablation procedure for AF ??
Is Apixaban now considered appropriate for anticoagulation in AF with enlarged Left Atrium,Enlarged Left Ventricle and Mitral Regurgitation (not stenosis) but without any artificial or prosthetic valves present?
Thank you
thank you so much
I love you armando
Awesome stuff man!!
What is the difference between and irregular arrythmia. Appreciate early reply. Rgds
Thank you so much 🙏🙏🙏🙏🙏💙💙💙💙💙💙
Thank you so much...!!
Thanks man
that's super interesting thank you guys
Awesome work! what kind of pens do you use?
What if the patient is a low BP person? And what if the heart rate also falls to below 60?
thanks a lot
What infinite paper do you use?
as always great
Why would we say it's tachycardic when the rythm is irregular?
Because tachycardia only talks about rate. Rhythms are termed differently, such as regular, alternating, flowing, progressive, random and poly rhythms. And in AF you often see the random type. So, you can probably call it random tachycardia 😅
Thanks
Love it bro
Great video! Thank you!! Do you have any videos on AV blocks?
Fantastic 👌🏻👌🏻
The best !!
Warfarin cause calcification so why it's use with comorbid CKD ?
Hi, I would like to know the specific resource used in this video. I would like to read more about arrhythmias since I still can't organize these stuff in my head. Thank you in advance.
the whole point of why this channel was good cuz that was real drawing in the earlier days. or at least i thought it was a real drawing.
why/how does AF cause decrease in preload?
I get a better understanding of Afib
Good work... I do some work ... You are welcome
Thanks sir
amazing