Aortic Dissection - Dissecting Aortic Aneurysm - Cardiology Series

[@MedicosisPerfectionalis]

❤️💊 Cardiac Pharmacology Lectures: www.medicosisperfectionalis.com/products/cardiac-pharmacology-course/ 💊 👨‍🏫 Antibiotics Course: www.medicosisperfectionalis.com/products/courses/antibiotics

[@zupulynn4764]

LMAO this is the funniest medical lecture I’ve ever watched. Thanks for this you’ve made my day.

[@MedicosisPerfectionalis]

Thank you 🙏

[@luminousji]

As it is aortic dissection, beta blockers are typically the first-line treatment to control blood pressure and prevent reflex tachycardia. Nitroprusside may be used in addition to beta blockers if needed to further control blood pressure.

[@DrElla-vm9mo]

May be B blocker🤔, I think using VD first will cause rebound or reflex tachycardia which it will exacerbate the condition 😅

[@MedicosisPerfectionalis]

You’re excellent!

[@whiteguyplays6229]

Great job 'Dissecting' this topic

[@MedicosisPerfectionalis]

Haha 🤣 You’re sharp!

[@Bam97277]

😂😂😂love how you make the lessons so interesting and easy to understand

[@MedicosisPerfectionalis]

Thank you 🙏

[@MedicosisPerfectionalis]

❤️Cardiology Playlist: kzbin.info/aero/PLYcLrRDaR8_dc8IwFj3UcZKkZimMFMCwC&si=mz0oqFg-xsdyNTJU

[@makasheenocent1412]

start with B-Blockers; if we start with Nitrates we'll have our heart beating fast and a little pre-load (little time for ventricular filling). we'll then have a little stroke volume. I don't know, correct me

[@maryrapp1]

Thank you! 10 year survivor type B descending - Labetelol, HCTZ, and lisonopril and still under surgical size

[@DrElla-vm9mo]

Thanks a lot, you don't know how much I love you Please continue CVS I have my final exam at the end of this month

[@MedicosisPerfectionalis]

Thanks 🙏 Good luck 🍀

[@zahra_hassan]

14:55 IV labetalol before Na nitroprusside ( coz of reflex tachycardia)

[@nisrinemansour8102]

That's pure informative comic relief! My mom was rushed into urgent surgery for aortic dissection and I wanted to know more about it. I fell on your video and it is the most hilarious super informative and kick ass vid on the topic! Thanks for putting such a great effort into it! I wish I studied medicine :)

[@MedicosisPerfectionalis]

Thank you! How is your mom doing now?

[@jimmymuhangi2315]

Bruh you know how to patch up! If you were at KABSOM, Uganda, you would be me

[@keyblademaster179]

Love your video. Even though I can’t fully understand… still working on the pre-med

[@MedicosisPerfectionalis]

Thank you so much 😊 This means that you really care about learning and you enjoy medicine! Good luck 🍀

[@minato1998ify]

love and respect baby

[@MedicosisPerfectionalis]

Thank you so much 😊

[@hosamalamedien7722]

You have a great way of explaining subjects, but you rocket through important stuff , and waste alot of time in insignificant info ... its a bit irritating .

[@hezebelbeing]

Thank you for this. I have an Ascending Aortic Aneurysm 4.5 cm and pain in my chest and back and they are taking their sweet time getting me an echocardiogram or TEE even, I am on zero meds, I found this because my Dr wasn't getting me in for a chest CT, my arteries in my neck feel swollen even and I am nauseated and sick every day, OH I PAID for the chest CT as I wasn't going to wait (Canada) even yet another month, and voila...I was right, it's serious, I didn't even say I told you so, didn't get the opportunity, as my GP informed me BY EMAIL and now I am waiting for the Aorta Disease Clinic to call, but I feel like we should move umm....faster? My Dr just sent me an email saying she didn't know much about it and to take a low dose aspirin and let her know if I got a nose bleed? what EVEN IS THAT. Sorry to go on here...just this was a good amount of info, as I don't understand the waiting for a full on dissection, what If I've already had on or the flap thingy etc etc (dammit Jim I'm a musician, not a Dr.) I've seen lecture after lecture saying that many dissections of the ascending aorta happen

[@abyss8501]

want more of cardiology lectures from u..

[@MedicosisPerfectionalis]

Ok 👍 I will try my best!

[@ghinacharafeddine]

You are great Thank you Medicosis🤍

[@MedicosisPerfectionalis]

Thank you too!

[@neverdead1415]

“The KGB” 😂😂😂😂🤣😂😂😂 LOVED THE PUN

[@mariaisabelposadaarbelaez4476]

OMG! I love youu. You're my medical superhero. Please don't stop to do this

[@MedicosisPerfectionalis]

Thank you so much 😊

[@kawsarzaman608]

@6.50 you mentioned "A Tear in Media". Double checking with you, please correct me as I know it's "A tear in the Intima"

[@acea1331]

This is actually the best damn medical page on KZbin

[@MedicosisPerfectionalis]

Thank you so much ☺️

[@JyotsnaTY]

The dilated pupils 😭😭😆😆😆

[@MedicosisPerfectionalis]

:)

[@Kaalokalawaia]

My friend just had an aortic dissection and he is barely 40 years old, is physically active and not obese. I'm trying to find out why this may have happened to a person so young and I'm not finding any information other than Marfans (which he doesn't have) or EDS (which he also doesn't have). Any other possibilities that come to mind, anyone?

[@MedicosisPerfectionalis]

I am sorry to hear that! Other possible causes of aortic dissection include: Copper deficiency (weak vessel wall), Hypertension, Coarctation of the aorta, Bicuspid aortic valve, Trauma, Cigarette smoking, High cholesterol, Atherosclerosis, Loeys-Dietz syndrome, Marfan and Ehlers-Danlos, A Familial disease. Hope this helps! Best of luck to both of you!

[@L_MD_]

Patients with Turners syndrome are at risk of this if there’s a history of bicuspid aortic valve and or repair of coarctation of the aorta.

[@grayhero1]

Hit the RCA (wether an occlusion or as an Aortic Dissection complication or etc,):possibilities: Inferior STEMI. Mainly RV and diaphragmatic wall of LV. SA node,AV node ischemia.(leading to arrythmias) Right atrium ischemia. IV septum infarct also.(about this one correct me if I'm wrong please)

[@kawsarzaman608]

Very interesting and enjoyable lesson for such a complicated topic and easy to follow too. THANK you very much!

[@MedicosisPerfectionalis]

You're very welcome!

[@donnaberscht5320]

Where are you from I'm in saskatchewan

[@simonequattlebaum898]

This video is everything!! 💕 SO good!

[@MedicosisPerfectionalis]

Thank you so much, Simone! Would you please help me by sharing?

[@mariamemad8235]

😂😂🥰

[@manishkamat559]

amazing lecture video...its just wow.thank you so much

[@MedicosisPerfectionalis]

Thank you 🙏

[@estherssebbowa3043]

Thank you Medicosis really great content - "The "Pharaoh" has spoken " answer to your question - Blood supply to right heart border via the marginal artery and posterior wall via the posterior interventricular atery / posterior descending artery - in the event of a dissection taking out the right coronary artery.

[@Dmaiskie16]

I think the inferior surface of the heart will be affected if you hit the RCA.

[@MedicosisPerfectionalis]

Correct

[@8victories713]

I had aortic dissection at 23 on 2017..its 2021 now.. I'll be back in 6 years!....maybe :)

[@takipngstrings6859]

pls cancel the order #00915 i forgot to put the right address

[@MedicosisPerfectionalis]

Alright...No worries...You can enter it again using the right address...Thanks!

[@donnaberscht5320]

It's scary

[@majeddwairi8671]

WOW

[@medical_fragrance]

Dude!!! How so perfect???

[@MedicosisPerfectionalis]

Thank you ☺️

[@dhaiialzahrani9434]

well explained Dr I like ur videos

[@MedicosisPerfectionalis]

Thank you 🙏

[@احتراف-ي7ك]

So beautiful so amazing keep going please

[@MedicosisPerfectionalis]

Thank you 🙏

[@CJODell12]

Dimon survived BTW

[@MedicosisPerfectionalis]

Yes!

[@williamsmith7221]

Love how you base your videos on current events! Million subs here we go

[@MedicosisPerfectionalis]

Thank you so much, dear!

[@amgani4840]

You are brilliant doctor 👏... Keep going

[@MedicosisPerfectionalis]

Thank you 😊

[@vixr7870]

Beta blockers first then nitroprusside to prevent reflex tachycardia 👍

[@cubeofdoom4855]

Great video!

[@MedicosisPerfectionalis]

Thanks 🙏

[@bojkenaselmanaj6522]

omg i have enjoyed this video so much. i actually laughed and really understood. u re so good

[@MedicosisPerfectionalis]

Thank you so much 😊

[@shaguftayasmin2882]

I can barely focus on the video 🤣

[@MedicosisPerfectionalis]

:)

[@emangamal6593]

بنحبك من ايچبت😂❤️❤️❤️

[@vitekpaulik7705]

You are the best!

[@MedicosisPerfectionalis]

Thank you so much for your support!

[@Squiderrant]

Hilarious

[@MedicosisPerfectionalis]

Thank you 😊

[@baneenhussain2558]

Thank you sir 🤣🌈

[@MedicosisPerfectionalis]

My pleasure 😇

[@babinasab1039]

I really like your videos, please continue

[@MedicosisPerfectionalis]

Sure

[@santokhsingh6253]

i am. 60. year. my aorta 3'6 what i do

[@DrMnike-]

Beta blockers to decrease tachicardia and BP, two for the price of one.

[@MedicosisPerfectionalis]

Yup 👍

[@ranaabuobaid5577]

👍❤️👍❤️👍❤️

[@MedicosisPerfectionalis]

Thanks 🙏

[@omar-iv9xi]

Fantastic, thank you so much!!

[@MedicosisPerfectionalis]

My pleasure 😇

[@itsanunfface8913]

Best lecture ever

[@MedicosisPerfectionalis]

Thank you 😊

[@valeriabianca2104]

👏👏👏♥️

[@mademoisellealex918]

♥️

[@MedicosisPerfectionalis]

Thanks 🙏

[@waelfadlallah8939]

Silly me 😒

[@MedicosisPerfectionalis]

What happened?

[@waelfadlallah8939]

@@MedicosisPerfectionalis the answers to the latest questions on aortic dissection management were mentioned here 😅

[@argumentumadbaculum]

Thoroughly enjoyed

[@MedicosisPerfectionalis]

Amazing 😉 Thank you so much for watching!

[@glob3242]

Very well explained! Thank you.

[@Malick-ix9io]

The same illness that killed Miura...

[@josefranciscojimenezfermin3552]

Rip Kentaro

[@ThatsWhy-]

In what playlist is this lecture??

[@MedicosisPerfectionalis]

Miscellaneous

[@mohda.9420]

It will be the inferior surface of the heart that's affected in a RCA MI if i recall correctly? Which would correspond to leads 2, 3 & AVf on ECG.

[@MedicosisPerfectionalis]

Excellent! What else? Can you just mention the different parts (chambers, borders, surfaces) that are supplied by the right coronary artery?

[@mohda.9420]

@@MedicosisPerfectionalis ooh good question. Would it be: Right ventricle, inferior and posterior wall of left ventricle? (I'll admit I had to do some research for this second question😅)

[@GoEunbeol_049]

🤣🤣🤣 hilarious and educative.

[@MedicosisPerfectionalis]

Thank you 🙏

[@smogavc123]

love it hhow u re expalning?! th e style :D

[@MedicosisPerfectionalis]

Thank you so much 😊

[@Mobycat26]

We definitely can't downplay the possible urgency of an AAA. At the age of 23 I was DX with a stable dissection (it had happened previously), an AAA, cushings syndrome and Conn's syndrome. After one full and one partial adrenalectomy (then becoming AI) we discovered my AAA had grown large enough to warrant a large open repair with a Dacron graft (age 26). After sepsis (mutilation of 3 of my ribs because infection ate them), adrenal crisis and a spinal cord infarction, I narrowly escaped with my life. The damage to my body is irreparable and I still have a smal type b anneurysm because it was too large to repair. It's my understanding I'm more graft than aorta. I enjoyed your video. Thank you.

[@MedicosisPerfectionalis]

You’re welcome! I am so sorry that you went through this...It must have been hard! How is your health today?

[@Mobycat26]

@@MedicosisPerfectionalis thank you. My health is actually pretty poor atm. The aldosterone tumor has recurred on my partial adrenal and I also have essential htn. I actually have a question you might be able to answer...as someone with Conn's would I have a larger or smaller amount of ACE2? I'm being treated with eplerenone does that affect the answer? Lastly if the answer is a greater amount, could covid19 be more virulent to my system? I'm already immunocompromised because I don't make HC and replace my steroids. I ask, because most docs find this stuff interesting and I'm genuinely concerned.

[@REAL.OAKLAND.RAIDERS]

My wife has crohns and her aorta inflammation what’s the next step

[@Mobycat26]

I honestly don't know much about "inflammation" but I would think you should see a vascular doctor

[@imransisil854]

Lovely

[@MedicosisPerfectionalis]

Thank you so much 😊

[@ahmedabdelkreem9323]

what is the promo for antibiotic course?

[@MedicosisPerfectionalis]

ahmed abdelkreem Hey Doctor, please send me an email!

[@ahmedabdelkreem9323]

@@MedicosisPerfectionalis [e-mail]

[@MedicosisPerfectionalis]

ahmed abdelkreem My email is [e-mail]

[@MedicosisPerfectionalis]

Send an email to my inbox, please!

[@ronzanassir7347]

we should give na nitroprossuide first to prevent unopposed vasoconstriction

[@emailmanu1]

Great video with both information and humor

[@MedicosisPerfectionalis]

Thank you 🙏