Heart Failure Explained Clearly - Congestive Heart Failure (CHF)

[@deslocc124]

I was 'told' I had CHF.. but recently a Doctor told me that my numbers where improving, that he had NEVER seen anyone's numbers improve.. this without any bypass or such, I take only blood pressure meds.. and NOT any Beta-Blockers as those are toxic to me.. I've been taking Herbs and doing Chelation treatments.. So, this 'it' can't be fixed thing is poor judgement..

[@Z06RFan]

Okay what do you do (suggest ) to your patient to get better? What type of exercise, medication or supplements can help one's heart perform better? Thank you

[@danielleboyd3070]

Being able to teach such complex subjects so well is a gift. Thank you Dr Seheult.

[@moooooo7155]

My dad had heart failure he had to were a life vest take a lot of meds now his heart back to normal

[@angiebrown4211]

How did his heart get back to normal with CHF what did he do?

[@asseenontv-ch7944]

What an enlightening coincidence. Six years ago today (2/17/14), I had heart failure and an urgent need for someone to help me understand exactly what the heckledoodles had happened to me. In your video above, you have FINALLY given me the explanation I've needed for the last six years! Kudos to YOU and poo-poo to my doctors back then. Thank you!

[@EJ-xy7lh]

I've started working as a cardiac nurse and I find your materials really helpful and easier to understand! I will share this to my colleagues, keep it up!

[@ronnie.1983]

Absolutely brilliant. Explained in a manner that makes the topic easier to grasp and clarifies many key areas. Invaluable resource.

[@nicolelipp.628]

LOVE the traffic analogy!

[@Medcram]

See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!

[@edwardpoplar4108]

MedCram - Medical Lectures Explained CLEARLY p op

[@angelamartyn4885]

MedCram - Medical Lectures Explained CLEARLY q

[@awildarodriguez8883]

@@edwardpoplar4108 is there any way to print the lecture?

[@stephenweafer5769]

I was told I have heart failure at the moment I only take blood pressure medication and a water tablet and a blood thinner I walk 3 miles a day with no breathlessness no swelling anywhere in my body but they told me my numbers were going up my blood pressure is normal the only thing I stopped eating is salt and meat

[@courtneygraham1905]

Once again, you have clarified something that had been confusing me for a while in patient documentation, THANKS!

[@PradeepSharma-pr3wk]

I m 32 year old male. My heart is working 22% on 22-10-2018 and presently on 31-1-2019 it is 32%..

[@abhilash1810]

how much EF you're having now?

[@duangsudasiritheerawat4912]

awesome! nobody ever clearly explained this to me. I've always had a hard time understanding when it comes to Cardio. Your video helps a lot! keep it coming. BIG THANK YOU :)

[@Medcram]

+Duangsuda Siritheerawat You're most welcome- thanks for the comment!

[@gregorysmith1134]

His voice sounds so kind and compassionate. I Thank him.

[@fayesaxton5807]

Thank you for helping me understand my husband's condition. You have made it easy for a non-medical person to get the basics. I now have a better idea what questions to ask his doctor. ( I had to sit through several videos that were not as understandable. Thanks again!)

[@nnarayan6980]

Really enjoy this channel, things are explained in a more simplistic way that you can remember without being too technical. Keep it up guys!! it's much appreciated, I've learnt so much from these types of videos :)

[@Medcram]

Thank you!

[@kevinhobbs9896]

A few months ago I went to a cardiologist had a ECG and he put me on Carvedilol, Clonidine and Aldactone I have diabetes and high blood pressure and CVI stage 5 and coronary arteriosclerosis and sleep apnea but the cardiologist didn't tell I have heart failure but my vascular surgeon said my heart diagnostic test showed I do but he put it on his notes that I have chronic heart failure

[@patriciayepes1100]

Hello and thank you so much for sharing your knowledge, may the universe pay you back. I am an End of Life Nurse that work independently live in with my dying patients. I will like to explore management of symptoms at the end of life for Heart Failure clients. All of them by now had a DNR/DNCPR. Thank you so much

[@dozenroses4859]

I actually have an issue with systole & diastole , I was diagnosed with chf a few months ago & im 39 but my stress test came back excellent far as blood pumping to the heart but when my eco lab was done at the hospital it was at a pumping rate of 20 and I was told to file for disability but I’m so confused bc I don’t have a stent & im only on meds and doctors I feel like aren’t telling me anything so confused bc I don’t know what’s next, thinking about getting a 2nd opinion tho’ & thanks for this video 💕💕very helpful

[@dozenroses4859]

Jimmy S hey, thanks for the response, but my kidneys are fine, just left the doctors office today for 3 month evaluation and doctor says my EF is now between 25-30 since my last eco lab a few weeks ago and now he recommends a difribulator and I suggest NOT! I told him that studies showed in 2011 that 66% of chf patients didn’t really need this device and they were miserable behind getting it, I’ve decided as if today to get a second opinion,,,, meanwhile getting some cardio in, and changing my overall diet plan for the next few months just to see if I get a different number with new doctor but we must be careful here bc lots of doctor suggest this device for money purposes, However, so sorry to here about your mom ,,, but happy u were there every step of the way bc I’m sure some can’t say that! They actually did a ekg on me but today but said it was only bc they heard something strange with my heart beat but they always tell me everything looks good when they do the ekg, didn’t know that tells them how long I have bc I know only god is in control of that , with faith and changing my lifestyle I’m gonna CLAIM IT, I will push through and live a long time

[@cilla3636]

I lost my husband 6 weeks ago to cardiac arrest I'm lost,no warning no symptoms

[@Iamchristaelaine]

🙏❤

[@001vgupta]

Explained logically and in a simplified manner.

[@trythinkingforachange4201]

Thank you for a good presentation, No music, no robot voice, no cartoon characters. Well done.

[@Scully69]

when i'm reading/attending our lecture i'm like wtf & as soon as i see a medcram video i'm like wow, genius! thank you

[@Uccello2300]

Thankyou for getting Jeff Goldblum to narrate this for us, was very relaxing.

[@natahliasmith9533]

Thank you so much for this. My mum is currently in hospital. She was literally drowning in her own fluids as the diuretics were no longer working. As a result of this she suffered fluid overload and could no longer breath. Today a chest tube was inserted to release the excess fluid and she is feeling a whole lot better. Heart disease really sucks :-(

[@rajsinghkimaakabhosda]

How much EF does she have now? And how many years she been Living with heart failure?

[@BS-dq1kz]

I am 37 and was just shown on my nuclear stress test results that I have Preserved Left Ventricle Systolic Function. So I’m so confused because my EF is 61% and what he said doesn’t add up with my symptoms and what I was told. He said,”So if you have Systolic then you know you don’t have blood getting out.” So is the heart dr who filled out my test result report right or wrong? He said I have 61% EF but Systolic. I’m 37 and I have Graves’ disease. I’m so nervous. I can’t breathe good at all. I have three kids. Also chest pain. I don’t want to have HF.

[@Medcram]

+Brooklynne Sulfridge Ef of 61% is normal. If you have heart failure then it would be “heart failure with preserved systolic function”. Ask your doctor to explain specifically what is going on in your case.

[@michellethompson6534]

I have tricuspid regurgitation and my heart skips constantly.. it's getting worse and worse.. hope I'll be ok...

[@kendellejones2147]

I hope i never have heart failure

[@helenriff7624]

Clear and concise explanation. Thanks! Would like hypothyroidism series.

[@yukimhun]

Can you do a video on coronary artery disease. Please.

[@BynacVFX]

My mom was diagnosed with heart failure today im very worried about her shes only 46 she has short breathing, gaining weight, tight ankels and alot of other symptoms. What can she do to help her get through this please someone respond im worried about her thanks

[@stemcelltreatment]

+Bynac VFX The first step is always having a proper review from a cardiologist in your home. Tests include: Blood tests, B-type natriuretic peptide (BNP) blood test , Chest X-ray, Echocardiogram, check the Ejection fraction (EF), Electrocardiogram (EKG or ECG),Stress tests and Cardiac catheterization. You really should take your mom to a cardiologist and not use the internet for making a diagnosis.

[@taniabenjamin2918]

Hello, I'm a bit confused as to how a person who has HFNEF has normal ejection fraction. If they are not getting enough blood in, how are they able to get enough blood out to have a normal EF? Thank you

[@remediossantos9847]

Pls do not use dark blue ink in a dark background. It is hard for the reader to read the text in blue. Thanks for your amazing presentation, Dr. Sheultz

[@debraprice8453]

A few months ago I was diagnosed with CHF. I knew what it was started nursing training years ago but family problems stopped me. Thank you.

[@shamaineking5263]

Oh my goodness thank you sooooooooo much!!your explanation is by far the best I've seen. Thank almighty God for this video You really saved me with this assignment I'm doing.

[@cynthiasheehy2942]

What a clear, concise thorough explanation by Dr. Seheult. He is so amazingly low key but he is able to impart the material in a very comprehensive manner.

[@surfcoastmyotherapy]

Amazing video....so well explained. Brilliant.

[@MrLethco]

I want to thank you Dr. Seheult for your many lectures. I am a Paramedic that continually studies to stay current on ever changing trends in medicine. Your lectures have proven to be very valuable with respect to my practice. As you know, Medics must have a working knowledge of many diseases, disorders, etc. We all have certain protocols that serve as treatment guidelines but I want to know more about "why" a certain path is better than another. Your lectures help in that respect. Regards, DocNaBox55

[@Medcram]

Good to hear, thank you for the comment

[@RoxxHoffner]

That's the problem. Just enough info to define the problems and earn a degree, cures and recoveries are bad for business. Helpful information is rare and hard to find.🚑💉💊📋📉👻🏆📊💙 sorry about the outburst. Not directed at you, just had to rant. Best Wishes, Al B. Flatlining

[@repentantsoul4213]

Finally get it. Your graphics helped me to understand my supposed 'ok' EF yet crappy symptoms. Mine is 67. What is considered perfect? Thank you for such clear explanation. ❤

[@mohmmedm8410]

Thx Dr Roger very helpful But can you tell me about your source for the new classification of congestive heart Thx again

[@mariapap4571]

You are amazing ! I am a medical student and finally I understood what s going on with heart diseases . I wish my teachers would be like you ! Keep doing that excellent work !

[@jissjoy367]

Your lectures are amazing!Great explanation. Please do make lectures on CNS topics:)

[@bettyjeanpetrinovich7373]

Thank you for the clarity. My brother has just been diagnosed with diastolic heart failure. Normal ejection fracture... but less than a normal, healthy heart, right?

[@hulyadenizmisir8570]

thanx its very understandble useful :)

[@monaabdulaziz4214]

that is great . thank u so much that make it more easier for me

[@Gypsysoulempathintuitive]

You made it simple, thank-you!

[@user-qj3jz9ho1h]

This is the best I've ever seen and clearly explained..... I wish someone create these utube videos into DVR's so we could keep them and watch then whenever we want.. Thx... 💚💚💚💚💚💚💚

[@magusyilie]

You can download the videos with the right browser extension with Firefox.

[@elvisandrepereiraalmeida7309]

Nice One

[@Priiyaananda]

Very nicely explained. Thanks for the whole channel Medcram. But can you please use a different color for writing? Like white perhaps. It would make the teaching clear and easy to read.

[@ANursesJourney]

I'm in nursing school. you give a very descriptive summary of this topic. it's really helping me to understand fully

[@Medcram]

Aneshia Johnson Thanks for the feedback and best of luck in nursing school

[@jvsbless8874]

like

[@MJ-fx6so]

Amazing! Well done!

[@ssnndysigley6060]

The Dr said that I also had decreased kidney function upon the heart failure I'm very concerned about it

[@MariaRamirez-cb6pq]

thank you! i use your videos to study for my pathophysiology exams

[@paulworgan6599]

I have been diagnosed with heart failure I am really scared.

[@marybroderick8265]

The cause is just as important as the diagnosis. Heart failure can be the result of blood clots that when resolved, will normalize the heart action.

[@XxChuyoxX]

Ok? Nobody said it wasn’t

[@ssnndysigley6060]

I was told that I have mild heart failure is this anything that I should be concerned about??

[@cha55am]

Do the contractions and relaxations of the heart muscle depend n any way upon the usual mechanisms. That is upon calcium and magnesium pumps with the nerves serving voluntary muscle. I would guess not but what is the mechanism then ? Would my ejection fraction be measured and recorded in a normal cardiac examination ? I don't think this is being done, or has ever been, am I wrong ? Thank you for a very illuminating video; it makes me feel like a prospector searching for gold.

[@orianadashi8880]

Very helpful! Hope there will be more videos about cardiopathology (Atrial Fibrillation maybe)!

[@orianadashi8880]

And also EKG interpretation!!!

[@Medcram]

oriana dashi thank you for the comment and topic suggestions

[@127Claumc]

I'm a nursing student and your videos have tremendously helped me through patho and med surge . Thank you 👍🏻

[@Medcram]

***** Good to hear- thanks for the feedback

[@fallback8314]

wonder if you ever became an RN??

[@geojor]

another good one, thank you...

[@mytruth7153]

I am here because im scared its happening to me now tried to tell husband. dontknow what to do

[@mytruth7153]

Thank you. When my husband saw my vein on the side of my neck , he believed me and rushed me to the emergency room . You were right. Thank you again

[@anwesachakrabarti1118]

You're amazing! Never have I seen an easier explanation.

[@esmasahbi3986]

i am from Algeria thx a lot

[@Medcram]

+esma sahbi Thank you for watching in Algeria!

[@esmasahbi3986]

are you ok ?

[@rebeccaconnor8682]

I'm returning to my nursing degree - these lectures are fantastic for giving a no nonsense, basic language foundation for making the in depth information much easier to understand

[@Medcram]

Thanks for the feedback

[@TheCarnivalguy]

My EF was 22% with LV hypertrophy and an abdomen full of fluid and major lung congestion When I breathed i sounded like Captain Von Trapp's whistle from The Sound of Music. Okay maybe not that bad. My cardiologist worships Carvedilol; the EF is now at 41% but I still feel like crap. Thanks for the informative video.

[@XxChuyoxX]

No diuretics? Good luck

[@serenitywellnesszentrum3449]

Very well explained ! Thanks :)

[@CHAKASHAKA]

my dad told me 3 days before he was going to die that he felt he would die in a few days.....but I didn't take it too immediate because he was calm and the damn greek cardiologist said he was fine but one artery was clogged 30% and we could laser it to open it up.but no rush. he was taken off heart meds two months earlier....cardien".....because he was bleeding somewhat in his urine from the prostate................. I feel a lot of guilt for not rushing him ...I was going to take him to the hospital the day he died.....I found him dead in his sleep in the morning..................i'll never know if I could have saved him..........he was 87 but he was strong and full of life. he didn't want to die. what could have been done?? if they opened the artey would that have saved him one or two days sooner? I hate Greece and greek doctors. they killed my mother with a staff infection too 4 months earlier. Could anxiety have made his condition worse? he died the day after the greek banks closed on june 29th.

[@MasterF3]

+stellio gian I'm sorry to hear about your loss, I just lost my grandfather (who was like a father to me) to this disease last week. He was 87 as well. I hope you get an answer to your question.

[@linamonique17]

I'm sorry for you loss but no.. A CABG at his age is risky as well.

[@karenbutler3738]

Well, U have Every Symptom of. Congested heart failer! & It's with The breathlessness!!! Oh my ! My grandmother Momon,,Is where Marty &. Myself had intended it from ! & I gotta say, it's very painful & you'll get soaking wet from all that sweat (( & All of just a sudden, at Wal-Mart just in line before, checking out I had got me a good cold sweet ,& aww, from me getting hot on I. The back part of store it was pretty stuffy / but I was fine!! Just thirsty,& up there at the front of the store you could actually feel, some of the cool air from our conditioner ow & it from .uch better ,& with that cold tea , & I drank it so fast to )/ well up.all.a sudden I started feeling realreally bad & wasn't sure of what I was fixing to do &momma said I was planning white as a goadr to & All we wss trying g to do then was hurry up & get done, checking out - & we did !! But with all that was happening to me,.I told her We couldn't just Leave right then , because I had began dry heaving, gagging & wasn't sure if I had to use the bathroom or not & so I gas to tell.momma just take me up.to Wendy's && I'll go inside up there, could actually walk that distance, at that time- I keep having all those different but steady : fast & hurting I feeling & she finally had to come. Check on me & I was still in A un ableling situation & had me alot of them brown paper towels as wet & they was cool CD and I could just keep wiping my face &nexk fanning myself & shoooo- weeeeee I finally. Got able enough toget back I'm to truck & we did make it home! But to anybody that may think congested heart failer , but not for sure if certain of what it is that is going on& it's pretty scary & painful & ya can't breathe or catch ya breath // Trust me,& don't hesitate nor wait !! Because Ya never know when it's to late !! Sencey,. Ms. SeetestOf All Katie did.luv bug!!,

[@mayaa1322]

Ur the best from all the rest ❤️🙏👌🏻

[@lamontcranston3177]

I'm going to watch this so that I can find out why a survivable condition has a name that clearly says "YOU ARE NOW DEAD".

[@khirulaminur]

why do i hear kevin spacey narrating it?

[@nhmooytis7058]

khirul aminur I would NOT want Frank Underwood as my doctor....

[@helenwadstrom3206]

Nice

[@irishstew5867]

So, if there is a time-lag with the blood not being pushed out, after it is pushed in, would a stimulant that raised the amount of heart-pumps per minute, help alliviate the problem? I realize your video is old, but, with no real pulmonary issues, except for a PE 10 years ago from a DVT (twice, and BT's for life) has something new arrived since this posting, regarding the heart? I am on personal oxygen to oxygenate my blood, but only use it when my oxy level dips under 90 (it has normally been in the mid-to high 90's, consistently, as measured by the blow test, and now with my own personal oxymeter). I was diagnosed with HCL (non-Hodgkins), received 40 hours of chemo, back to back (80 hrs. total) with a 24 hour break, and spent the next 12 years in bed, 18 hours a day with chemo-haze. Time out of bed was extreme dizziness. My diagnoses with HF came at the near end of my chemo-haze; normal chemo-haze usually lasts about one year with most people, and 5 years seems to be a normal, too, but not 12, in my mind! 40 years ago, I failed a flight-physical (FAA) due to gigantic inverted t-waves. Remember, gama and MRI's were not yet invented. Two years ago, and since, my inverted t-waves are apparently gone, as they no longer show up on my EKG's. I recently passed a chemical-stress test, that found NO ISSUES with my system.) (I respect my health, and I try to keep it optimal, because that is what people must do. I've been this way my whole life; but, because of HIPPA changes, I thought I would bounce this question off of you.) (I was born a few years after the end of WW2.) PS-Thank you from the bottom of heart (no pun intended) for the information you have provided to me and all of your viewers. Oh, PSS, I take my vitals, by myself, every day. If I get a good blood flow for my glucose check, I know I'm taking my thinners correctly and if not, I double-check to see if I missed a dosage, 5 mm X 2 per day. I also have my own Drive BP cuff, and never go out of the green-range. I have just recently been able to take care of myself with no issues, and know that increased exercise will help me, also. All of this is just med history. If you respond to this, the only question I have, is about a stimulant that would make the heart beat faster, for the entre and sorte of blood through the heart! Thanks, again!.

[@RIN_Relaxation]

Thank you for just a wonderful explanation on this! It was so informative to me. I often wondered about all the terms I have heard about this subject. Very clearly explained by you. Thank you for this video . Keep up the wonderful work.

[@Greavesy]

My dad died from this last year. Went to doctors twice but they said his heart was fine and that it was just low blood pressure every time he walked a short distance and bent over to pick something up and went dizzy so stopped his perindopril tablets for high blood pressure which he had for a few years. If they did a ct or ultrasound at the doctors they could have detected it earlier.

[@tetontom1]

Under HFNEF wouldn't there be greater focus on L atrium? If a 4:3 ratio easily found on pulse and drop in diastolic do you expect edema both heart and lungs? Normal sinus? When you can see a band and calcified striations above what looks like a "ballooning" then collapse on itself back wall L atrium on ECHO, what would your expected cause would be?

[@mskat1954]

Looks like I have heart failure. Good explanation

[@MuusiKFan]

Is left ventricular dysfunction defined as left sided heart failure? What about both systolic and diastolic failure Grade 1? Is the Grading of heart failure based on the echo? Is not just a heart impairment? Is diastolic failure Grade 1 normal as we age? And is an enlarged heart "heart failure" or "cardiomyopathy??? Whats the difference between Heart failure and Congestive Heart failure? What if the patient suffers from both systolic and diastolic impairment, but EF is low normal, for around ten years, but suffers breathlessness, lightheadedness upon minimal physical task such as cleaning a mirror? Very confusing when reading the definitions. Aome HF patients are normal active others not so active and limited even if EF is normal, why is that? Thank you.

[@MohaMmeD-ni2xp]

You Are Awesome! Thank You

[@kipling1957]

With HFNEF, is it not that the heart cannot relax, which would imply that there was contraction force inappropriately occurring during diastole, but simply that the relaxed heart muscle has difficulty stretching due to its bulk, in other words, this is actually a compliance issue. Thanks.

[@drajazalishah1994]

thank you very much for detaile interpretation of congestive heart failure really it is a tough subject yet your way of teaching was more attractive due to short example as systaly s1 and dysly s2 like contraction and resting face , it is also fact that heart is closed chamber having 4 their main function totally depends on kidney liver .right side of the lung and mainly coronary artery for the proper function of the heart all these need to pay collectively role however the main and primary role which urgently coverage needed is coronary blood supply this is key root for the activation heart chambers all heart complication like submuiral myocardial death and others always associated with it .thanks

[@patriciamwiya9323]

Well explained thanks doc

[@kamnajain1647]

My husband heart working 20 -22 % Reason for 💓 ka size phalna please say what is the best treatment for my husband And +leave problem some 50%

[@craigdylan3953]

Well done- though I don't see four chambers in you valentine, the lecture is pure gold!!!

[@jesusalbertogonzalezcanas7415]

That was a good explanation, i like the way you keep it simple, thank you for sharing.

[@Medcram]

+Jesús Alberto González Cañas Thanks for the comment!

[@saltybear6117]

Goodness, thank you for this video! You made it easier to understand. God bless

[@lorettacaputo6997]

Would an individual who has persistent a fib with a reduced ef be considered to have heart failure by most cardiologists or is heart failure simply a severe ef?

[@jovo5577]

Excellent and concise explanation.

[@Tibby4mark]

Another great lecture! Thank you so much!

[@killplayz1000]

My sister has congestive heart failure 💔😪 I'm just trying to understand, she's only 37

[@jamesorenthal-bm4sp]

graphics are much too dark to see well.

[@yilianhernandez8314]

Excellent video

[@vivifoldesi4981]

why would a patient be on fluid restriction if they have congestive heart failure? thank you

[@teresabrumley4836]

Excellent!

[@saram9387]

You are right (explaind clearly) ..and as they said plz explain cns topics u r a good teacher ..love from saudi arabia ❤️

[@robertcaldera8892]

.

[@persecutedbiblebeliever5493]

Good job, Doc. Very informative. On Sotolol now for Afib. Ankles swelling. Mild HTN. Also retired from San G. Wish I could have learned some of these things in my younger days. Have patience and teach ignorant nurses like me; we weren't taught these things in school. Great job. Mike Bryson RN

[@XxChuyoxX]

Nurses are taught these things lol what are you talking about? Maybe not back when you were in nursing school. That or you weren’t paying attention.

[@reemmohsinah1870]

thank u so much , my medicine quiz is tomorrow and ur videos saved my life

[@Theblazinphoenix]

Brilliant,as usual.Looking forward to the next one!!

[@claudiagonzalez6489]

Please clarify, Pulmonary edema happens because of left-side heart failure, correct?

[@SolidusSnaaake]

Thank you, the best channel in this field

[@Medcram]

SolidusSnaaake Thank you for your feedback