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.
@samss1300 Жыл бұрын
👍
@mom_doc Жыл бұрын
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?
@GashawMershaye-tw9so7 ай бұрын
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
@amarnathbhadra62017 ай бұрын
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.
@sheezanbhat4017 Жыл бұрын
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. ❤️
@ashu1142 жыл бұрын
Great way to explain confusing topics.10/10 for your videos.straight ,clear,and short...
@MedNerdDrWaqasFazal2 жыл бұрын
Thank you Ashish mehrotra for your very kind words. 😊
@xpert123456 Жыл бұрын
I found you as a Gem of Medicine on the Internet. Lots of love from India.
@MedNerdDrWaqasFazal Жыл бұрын
So Nice of you 😊
@thowheedshaik7157 Жыл бұрын
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 .💓
@himalaya396 Жыл бұрын
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 😘
@MedNerdDrWaqasFazal Жыл бұрын
So kind of Himalaya Ganvir 😊❤️
@neetanarang4148 Жыл бұрын
,, ZAjn
@amitpatel9367 ай бұрын
I have no words to thank you sir... you are the one the best teacher I got till my age. Hats off to you❤
@azmimajid9844 ай бұрын
You are the best medical lecturer !!
@darahsaanulhaq55802 жыл бұрын
sir please do a video on llearrning and reading basic ECG's as well
@MedNerdDrWaqasFazal2 жыл бұрын
Dar Ahsaan ul haq I am working on ECG videos on my top priority stay tuned 😊
@darahsaanulhaq55802 жыл бұрын
@@MedNerdDrWaqasFazal thank you sir. really need a descriptive video on ECG. my exams coming up. :)
@rushik33182 жыл бұрын
@@MedNerdDrWaqasFazal badly waiting for❤
@khalidmasood27642 жыл бұрын
Jazakallah khair
@dr.mahesh.j4238 Жыл бұрын
@@MedNerdDrWaqasFazal sir, we are also waiting for ecg video in details. for doctor 🤗
@muhammadtalhabutt530110 ай бұрын
jazaKAllah khair . You are literally aces in my book. excellent teaching method in all videos and the dedication speaks for itself. thank you sir
@EstherSsebbowa6 ай бұрын
Truly passionate lecturer - very succinct and worthwhile - Thank you - looking forward to your procedural sedation - for the synchronized cardioversion.
@mom_doc Жыл бұрын
Fantastic teaching style. Love the repetition, clarifying and summaries. Not one redundant word.
@drsarveshtripathi9493 Жыл бұрын
Immensely appreciate your crystal clear knowledge Dr Waqas Fazal.
@harshitaverma5007Ай бұрын
Amazing video. To the point and easy to understand.
@motesimahemad1973Ай бұрын
One of the best teacher.. 👏👏
@shanthiabeysinghe82253 ай бұрын
Excellent explanation about AF, Thank you
@ShararehAlvandi10 ай бұрын
Excellent. You have made it simple, interesting, and easy to understand I have AFIB Dr here did not do much for me I still suffering
@ladyalexander20034 ай бұрын
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 KZbin 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 💔🤷♀️🙏
@workingclassdoctors Жыл бұрын
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 Жыл бұрын
So kind of you dear. 😊
@workingclassdoctors Жыл бұрын
@@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 !
@TabishKhan-nc7il2 жыл бұрын
Great Knowledge Dr Waqas sir Dr tabish khan JR3 MD medicine GMC AURANGABAD 🇮🇳INDIA
@MedNerdDrWaqasFazal2 жыл бұрын
Thank you Dr. Tabish Khan for your kind comments. Stay tuned for more videos 😊
@suffeedrmb36157 ай бұрын
Wow.mashaAllah sir.from mauritius
@gladstonegarakara5924 Жыл бұрын
1 understand, enjoy his explanations better than other sources, l hv come across !
@yousufshohag5213 ай бұрын
Outstanding explanation, thanks from Bangladesh
@Simplensweett Жыл бұрын
Topic is complicated but u r wonderful in making us learn with ease.thank you .
@m_degozaruhouse173511 ай бұрын
You're one of the best teachers.
@jennadeleon40179 ай бұрын
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 :)
@cookingwithshafak86299 ай бұрын
Thanku sir very well explained, hopefully it will help for my upcoming exams
@kanaikundu2986 Жыл бұрын
Good discussion about AF
@indolilyindomitablelily7306 Жыл бұрын
Thank you so much Dr. I understand this lecture better than how I’m learning at the hospital.
@RegCostello Жыл бұрын
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.
@dr.maryamhashmi9285 Жыл бұрын
Excellent Respected Sir
@13fauziaparveen77 Жыл бұрын
Jazakallah khair
@ahmed0862 жыл бұрын
ManshAllah keep going. Much respect from the UK and I shared it with lots of students. Please do ECG series
@MedNerdDrWaqasFazal2 жыл бұрын
Thank you A Ahmed. I am glad you found it helpful. 😊 Stay tuned for more
@maphekomoloto2961 Жыл бұрын
thanx, do not forget Ehra symptom score and ESC classification,
@manelkumari43592 жыл бұрын
Hi Dr Your all the y tube presentations are excellent. Very easy to understand Thank you 😊
@MedNerdDrWaqasFazal2 жыл бұрын
So kind of you... Keep supporting manel 😊
@PothianbuPothianbu4 ай бұрын
Thank you sir very well explained hopefully its it will help formy upcoming exams
@jeewanrajnirola47892 жыл бұрын
Amazing lecture sir thank you from Sri lanka
@drsukhdevsinghdig4 ай бұрын
Excellent performance namaste
@ishitashah46507 ай бұрын
World best teacher 🙏🙏🙏 ❤❤ ❤
@drdaniyalfarooq2 жыл бұрын
Great initiative sir, Kindly add the dosage of drugs used , so that it will be easy to revise.
@queeniefung7514 Жыл бұрын
Simple, clear but detailed explanation Thank you sir❤
@sadiabushra1973 ай бұрын
Great and Superb explanation of AF
@aimanayma28742 жыл бұрын
Great explanation of the topic !
@saadmirza5148 ай бұрын
Thanku sir❤️ You are doing great work.
@sparkle2331 Жыл бұрын
We love you doctor.
@MedNerdDrWaqasFazal Жыл бұрын
Thank you for your love and support 😊
@shamimbaksh2882 Жыл бұрын
Very interesting & engrossing.
@weddingheartbeat71386 ай бұрын
Waah ...kya pdhaya h sir ne ..mza aa gya...Thankuu so much sirrrr
@Zahragh-q3w10 ай бұрын
You are great! Can you plz complete all topics of ECG 😢
@majju992 жыл бұрын
Excellent.You have made it simple ,interesting and easy to understand and practice. Thanku sir
@MedNerdDrWaqasFazal2 жыл бұрын
Thank you very much 😊
@Thopa80042 жыл бұрын
Wow I m in love with this way of lecture🙏🏻🙏🏻
@MedNerdDrWaqasFazal2 жыл бұрын
Thank you 😊
@juliejaymes5318 Жыл бұрын
I appreciate this! Thank you so much!
@camilascheid587718 күн бұрын
Amazing video! Thanks!
@Dr.irfantalib77 Жыл бұрын
Very amazing vedio ❤❤
@bindhupeter14735 ай бұрын
Thank you sir. Very much appreciated ❤❤❤
@mohsinkhan-wl8xd Жыл бұрын
love u sir
@raghuvenderreddymuddasani9690 Жыл бұрын
Excellent explanation on AF sir 🙏🙏🙏
@govindpratap89572 жыл бұрын
Great videos
@malasonusri6562 жыл бұрын
Please sir do video on ecg reading thank u sir I learn't many things God bless u sir thank so much
@MedNerdDrWaqasFazal2 жыл бұрын
I am very happy to hear that. I'll surely make videos on ECG. 😊
@Sada_shiva2 жыл бұрын
TQ sir to give to us good information
@MedNerdDrWaqasFazal2 жыл бұрын
So Nice of you. Keep supporting 😊
@Knowledge.about-medicinee2 жыл бұрын
Best explanation sir
@lukasx5437 ай бұрын
I wish I would have found u in my Med School!! Nevertheless your videos are still rly useful in Medical practice!
@mzareef43592 жыл бұрын
Wonderful presentation Dr sb
@pulse1272 Жыл бұрын
Sir you are a great teacher. 🙏🙏
@darakshanfatima397 ай бұрын
Asalmu alaikum All praises to Allah swt💚 Thank you so so much sir
@santhoshkumar-tt4sb Жыл бұрын
Excellent presentation. 👏👏👏
@Anonymous88660 Жыл бұрын
Superb explanation 👍👍👍❤
@anamikakothari5053 Жыл бұрын
Excellent
@duafatima24186 ай бұрын
Ma Sha Allah Great job , Well explain
@daxtarajput27728 ай бұрын
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
@jamanabawa9354 Жыл бұрын
Excellent dear friend...I love the clarity and the confidence in your teaching skills... Great work dear...!!
@ZahidHussain-ht4tw2 жыл бұрын
Nice Explaination 👍👍.. Thanks so much sir
@radharathi29382 жыл бұрын
Awesome
@doctorshelp99442 жыл бұрын
Beautifully explained 👍
@surajyousf81885 ай бұрын
خدا تمہارے عمر لمبے کري ، اور مصیبت سے بچا لے ،،،، آمین آمین❤❤
@MedNerdDrWaqasFazal5 ай бұрын
Ameen thank you
@mahmoodhasantaha4208 Жыл бұрын
Thank you very much
@dr.haqnawaz1960 Жыл бұрын
Thanks easy to understand❤️❤️
@HafizahHoshni Жыл бұрын
thank you so much 5/12/2022
@narshinghrajput572 Жыл бұрын
Great sir
@drnawaz3055 Жыл бұрын
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🙏
@melesemengesha98712 жыл бұрын
Gentle man keep up Doc really loveable channel
@MedNerdDrWaqasFazal2 жыл бұрын
Thank you Malese Mengesha. 😊
@ملحدتلحود Жыл бұрын
Thanks for great lecture♥️
@MahanandaMhatre-gg5snАй бұрын
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
@yashagrawal21999 ай бұрын
Great explanation sir ❤😊
@rajeshgarg4622 Жыл бұрын
You are just amazing 👍
@aimanmalik4411 Жыл бұрын
Most difficult topic of clinical pharmacy practice ever 🧕
@dremadelbadawy-mrcpuk53572 жыл бұрын
Thanks doctor
@payalagarwal12992 жыл бұрын
Very nicely explained
@misbahumar4577 Жыл бұрын
Sir kindly make a separate videos on trade name, dose of drugs and how to give them and what are their contraindications
@shubhamsaurav74802 ай бұрын
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😊
@priyankamanel78017 ай бұрын
Thank you very much sir.
@PothianbuPothianbu4 ай бұрын
Nice explanation sit
@sharanaraj.s.kalyanamath10207 ай бұрын
Sir it’s a flecainide, Thank you 🙏
@jackzaw50122 жыл бұрын
Excellent as usual and please kindly consider making a video about respiratory failure ☺️☺️
@MedNerdDrWaqasFazal2 жыл бұрын
Thank you Jack Zaw. I will surely make a video on respiratory failure. 😊
@sarafatima3343 Жыл бұрын
Exceptional😭🔥
@mdmuslehuddin64262 жыл бұрын
Excellent sir 👏
@camrank33342 жыл бұрын
Well Explained 💯
@MedNerdDrWaqasFazal2 жыл бұрын
Thank you Camran K. 😊
@darakshanfatima396 ай бұрын
Assalam alaikum sir Thank you so much sir
@PothianbuPothianbu4 ай бұрын
❤❤❤ thank u so much sir
@adilpasha1953 Жыл бұрын
Sir u r video's are really helpful Kindly make videos on approach to a case of fever
@dr.aminulislammondal2 жыл бұрын
sir you r great ..please provide a video on how to read ECG