Aortic Stenosis Explained Clearly - Diagnosis and Treatment

Understand aortic valve stenosis with this clear explanation from Dr. Roger Seheult of www.medcram.com/?Y...
Includes a discussion of heart anatomy, pathophysiology, heart sounds and murmurs, valves, symptoms, atrial fibrillation, cardiac output, LVH, pulse pressure, paradoxical splitting of the second heart sound, and treatment of aortic stenosis.
Speaker: Roger Seheult, MD
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Angina, Pulsus Paradoxus, Pneumonia Treatment, and many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded.
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Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations.
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Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your health care provider.

Пікірлер: 178

  • @srbuhigudenian9977
    @srbuhigudenian9977 Жыл бұрын

    I was having so much anxiety after recently diagnosed with aortic stenosis. However, after watching your video it was clear what option I'll use if it gets worse. Thank you very much.

  • @jeanmulligan4168
    @jeanmulligan4168 Жыл бұрын

    This needs to be updated doc it’s very useful

  • @uwevonwerthern9567
    @uwevonwerthern95679 жыл бұрын

    After being diagnosed with aortic stenosis i was looking for a more detailed explanation of this disease and found it here. It is perfectly well explained and easy to comprehend even without any medical foreknowledge. Thank You very much.

  • @summerbreeze7046
    @summerbreeze704610 жыл бұрын

    i am addicted to your lectures .you are amaziiiiiiiiiiiiiiiiiiiing

  • @gwdiver
    @gwdiver6 жыл бұрын

    I was diagnosed today with Aortic Stenosis "(severe)"... and suddenly I'm tongue tied. I guess it hasn't settled yet. Anyway, it was all explained to me in great detail by competent doctors and I barely recall anything said. It's now 3am and I'm at the point of I'll fight and whip this ASS. At least if it can be I will - so it's probably a good idea to do a crash course on AS-Severe. Logically that means hello KZread! This lecture is it so far. Ive got a good overview and do get there will be a lot of fine detail to go but this was exactly what I needed. Right here, right now. Many thanks! Got to run Tony (Public health advocate, Manila)

  • @taseerkhalid9659

    @taseerkhalid9659

    5 жыл бұрын

    You are an inspiration

  • @jillcoleby5601
    @jillcoleby560110 жыл бұрын

    These videos are so helpful. A nice break from constant textbook reading. THANKS!

  • @milliontessema5632
    @milliontessema56325 жыл бұрын

    I am so thrilled by your deepest phenomenal lectures. Thank you so much for your very kind help in explaining and sharing your God gifted Knowledge. we need more of you.

  • @payneeyevonne4231
    @payneeyevonne423110 жыл бұрын

    Thank you for the video. It's basically a simplified and easy to understand the concept for quick revision :)

  • @carrieryan1954
    @carrieryan195410 жыл бұрын

    Thank You so much!! Watched it several times and enjoyed every minute of it!

  • @morning_sunrise
    @morning_sunrise7 жыл бұрын

    Thank you so much for this!! This really helps me for my case study presentation :)

  • @luceam6089
    @luceam60899 жыл бұрын

    Very clear explanation! I hope to see other and other similar explanations about cardiac and pulmonary problems. Thanks!!!

  • @Rasha.Ishtar
    @Rasha.Ishtar9 жыл бұрын

    thank you for this detailed explanation, you maid it very easy to understand and to remember

  • @pickleburps4809
    @pickleburps48097 жыл бұрын

    I was born with Aortic Stenosis. Contributed to a congenital heart defect. I had a procedure when I was one to relieve the pressure, though when I was 14 it got too bad and required open heart surgery. I'll tell you what, every symptom he describes is true, and now 21 with a mechanical aortic heart valve, i'm not really sure what if i traded up or down lol. Anyways we do get better, it gets easier and life moves on. Anyone out there who understands what its like to go through all of this I'm here to say amen, i do too. Not alone guys!

  • @graemewilliams1308

    @graemewilliams1308

    5 жыл бұрын

    Same with me, I'm good.

  • @shaykay3075

    @shaykay3075

    4 жыл бұрын

    @@graemewilliams1308 Then life expectancy is way longer than what this guy says it is.

  • @graemewilliams1308

    @graemewilliams1308

    4 жыл бұрын

    @@shaykay3075 Well yeah, I'm 72 with no intentions to croak anytime soon.

  • @lizzykapify
    @lizzykapify8 жыл бұрын

    the best explanation of A.S ever

  • @vickikent4723
    @vickikent472310 жыл бұрын

    Excellent lecture....I love these educational video's. Much more helpful than reading in a book!!! Thank you! :)

  • @arash13572004
    @arash1357200410 жыл бұрын

    awsome,I am just amazed!I wish I had these online video lectures at the time I was studying physiopath, so I had better knowldege.I spent hours in textbooks to find out some of the points here, and still st the end some were still unclear.KEEEP the good job!you will help not only the new generation of doctors but also thousands of patients!it means you make a difference for many many!

  • @CHECKERD444
    @CHECKERD444 Жыл бұрын

    Excellent Video, thank you for sharing this information publicly...

  • @Medcram
    @Medcram7 жыл бұрын

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

  • @MotownDan
    @MotownDan4 жыл бұрын

    Your patient and clear explanations are golden! Thank you so much!

  • @freethinkr8179
    @freethinkr817910 жыл бұрын

    Thanks a lot! Following your videos from now on.

  • @sqthousand
    @sqthousand6 жыл бұрын

    This is so great! Thank you!

  • @fattony123082
    @fattony1230825 жыл бұрын

    I’m an HVAC tech with a lot of Mechanical skills and I find this so interesting. Nice video.

  • @orianadashi8880
    @orianadashi88809 жыл бұрын

    Excellent...I've always had great difficulties with cardiac valves! This is very helpful!

  • @Medcram

    @Medcram

    9 жыл бұрын

    oriana dashi Good to hear- thank you for the feedback

  • @avsavs1211
    @avsavs12112 жыл бұрын

    Great video lecture. The diagram was really helpful. I am not a medical student. My 82 year old father was diagnosed with aortic stenosis last week and your video really helped us to understand what this means. Thanks!

  • @vizzlad
    @vizzlad10 жыл бұрын

    Well explained!! Thanks for your time.

  • @irynathomas694
    @irynathomas69410 жыл бұрын

    Great lecture. Thank you!

  • @MRradicalmj
    @MRradicalmj10 жыл бұрын

    Thanks for the lecture. It was EXCELLENT

  • @SheyaamShankar
    @SheyaamShankar8 жыл бұрын

    dude im a med student and this video is awesome....i love the way u explained the reason for paradoxical splitting of s2....

  • @jlacore1
    @jlacore111 жыл бұрын

    I second the EKG request, as well as other murmurs. Thank you!

  • @bns555stha7
    @bns555stha76 жыл бұрын

    Thank you for the video. It's really helpful

  • @janeeyre5792
    @janeeyre579210 жыл бұрын

    Great lecture, thanx!

  • @michelesimmons9865
    @michelesimmons98654 жыл бұрын

    Just done my Frec3 medical course this really helped .

  • @EllenRNPHN
    @EllenRNPHN2 жыл бұрын

    My husband goes in to have his aortic valve replaced in 3 days. Your explanation was very helpful to understand it. The NP only confused me. Thank you!

  • @evelynildefonso766
    @evelynildefonso7664 жыл бұрын

    Wow, what an excellent, clear explanation

  • @linnusik
    @linnusik11 жыл бұрын

    you are amazing! just the perfect amount of information

  • @mariethereselacroix9493
    @mariethereselacroix94933 жыл бұрын

    I’m a CCU nurse. Thanks for this video . Very helpful.

  • @cse23
    @cse2311 жыл бұрын

    Best lecture I have had on this topic!!! THANK YOU.

  • @QueenSalema
    @QueenSalema10 жыл бұрын

    Thanks so much for these videos

  • @ElijahMartin77
    @ElijahMartin775 жыл бұрын

    I do not know if you will have time to read this reply; however, your diagram alone helped me immensely. I learn best by visual and auditory aids, and grasping the flow of blood thru the heart is key to understanding cardiac issues. Your diagram and explanations helped the FNP student a great deal. God bless you my friend.

  • @Medcram

    @Medcram

    5 жыл бұрын

    Great to hear the illustrations have helped! Thanks so much for the comment.

  • @ayatmuslim5994
    @ayatmuslim59949 жыл бұрын

    Thanks you so much for this awesome video , it makes it so easy to understand

  • @thubify
    @thubify11 жыл бұрын

    Great explanation. Thank you so much. I need to do a presentation on this for my LPN class and you helped me to understand it much better. Thanks again!

  • @elena.derm1
    @elena.derm18 жыл бұрын

    I used this video to make my pathophysiology notes for aortic stenosis. Thank you, sir, it was very very very helpful! If only the books explained it the way you do, my med school life would be much easier 🙊

  • @Medcram

    @Medcram

    8 жыл бұрын

    Thanks for the feedback!

  • @bigorange1155

    @bigorange1155

    5 жыл бұрын

    Great. Physicians are now being trained with KZread....

  • @angelnunez9245

    @angelnunez9245

    5 жыл бұрын

    Coaching Critic -> sad 😢 ....

  • @oanaiancu44

    @oanaiancu44

    5 жыл бұрын

    Coaching Critic no, we re just having things explained one more time other than in class

  • @tnagan
    @tnagan11 жыл бұрын

    Very helpful! Thank you!

  • @madharasirajan7110
    @madharasirajan71102 жыл бұрын

    Very clear and informative lecture. Thanks a lot.

  • @PhillipeNover
    @PhillipeNover11 жыл бұрын

    Great video! Learned so much on AS! A+

  • @jasonkobba6845
    @jasonkobba684510 жыл бұрын

    as always, great lecture.

  • @doinaursan1362
    @doinaursan13629 жыл бұрын

    thank you! helps me very much! you're doing a great job!

  • @Medcram

    @Medcram

    9 жыл бұрын

    Doina Ababii thank you

  • @abhinandraj7150
    @abhinandraj71509 жыл бұрын

    thank you for the video

  • @x35crypto3
    @x35crypto310 жыл бұрын

    We'll organized and easy to understand... Thank you

  • @anthonybryant5492
    @anthonybryant54929 жыл бұрын

    this really helped

  • @tommyjohn3525
    @tommyjohn35256 жыл бұрын

    Thanks! Now I understand better.

  • @leokaplus9834
    @leokaplus98344 жыл бұрын

    Great Lecture..Really helped me basically understand my Aortic Stenosis. Thank fully since this presentation, Transcatheter Valve Replacement that does use a balloon of sorts ..Quite successful.I hope My plumbing is compatable with the procedure.

  • @hylgh
    @hylgh10 жыл бұрын

    awesome. helpful as usual!

  • @madmadicine9418
    @madmadicine94185 жыл бұрын

    Excellent n very helpful. 👍👍

  • @mikaySEE
    @mikaySEE11 жыл бұрын

    Awesome video!!! Thank you!!

  • @JohnJohnPo
    @JohnJohnPo9 жыл бұрын

    awesome, it helps me with my step 2 studying. Seeing is way better than just reading.

  • @Medcram

    @Medcram

    9 жыл бұрын

    Thanks Juan Rogers, I agree!

  • @Bansheecats21
    @Bansheecats218 жыл бұрын

    I have just turned 60, working as RN, have found that I have AS, as well as bradycardia, just becoming symptomatic. I see a cardiologist, when is time to have valve replaced and pacemaker put in. Seems cardiologist is waiting, what for? Surely its best to do this while I am relatively fit and healthy.

  • @VitalyMilekhin
    @VitalyMilekhin10 жыл бұрын

    Well done ;) great lection!

  • @mariapap4571
    @mariapap45718 жыл бұрын

    excellent work !!

  • @cheekymonkey3929

    @cheekymonkey3929

    7 жыл бұрын

    clearly .😁

  • @helenacg3072
    @helenacg30729 жыл бұрын

    are being so helpful!!!! thnks!!!!

  • @Chubixx504
    @Chubixx5049 жыл бұрын

    really really helpful.. .. more video please :)

  • @angelicasoldevilla438
    @angelicasoldevilla4385 жыл бұрын

    excellent!! Thankyou

  • @drgadham
    @drgadham11 жыл бұрын

    very good and lovely explained beautifully thanks

  • @aladinn2002
    @aladinn200211 жыл бұрын

    Awesome! May God Bless you. Thanks

  • @shoesandsocks5359
    @shoesandsocks535910 жыл бұрын

    great lecture thank you

  • @sunilandani8047
    @sunilandani804711 жыл бұрын

    fantastic video

  • @billykwok1
    @billykwok111 жыл бұрын

    Great videos and clearly explained! Would you consider doing some videos on fluids?

  • @TheDarkDutchman
    @TheDarkDutchman Жыл бұрын

    Wow.... This really is very good, clear and precise explanation. Before I had the aortic valve replaced I had a lot of angina and syncope. 18:23 Only that part is not very precise (any more) because these day bioproyheses last much longer than 10 years. It's expected to last 15 to 20 years? Hopefully. I have one for 13 years now and there's only a little bit of deterioration visible.

  • @cathy761
    @cathy7615 жыл бұрын

    Fantastic!

  • @victorzamorano6448
    @victorzamorano644810 жыл бұрын

    great lecture

  • @dr.kelvinv9177
    @dr.kelvinv917710 жыл бұрын

    cool!!! luv these lectures!!!

  • @farrahfadhilah2553
    @farrahfadhilah255310 жыл бұрын

    very very clear! i love it...!

  • @mohammedomari1553
    @mohammedomari15539 жыл бұрын

    its amazing indeed prepearing for my exam got here accidently it seems never get out off of yr channel ..

  • @Medcram

    @Medcram

    9 жыл бұрын

    Mohammed Omari thanks for the comment, glad the videos have helped

  • @garyjene9146
    @garyjene9146 Жыл бұрын

    I would like to dispute some information of yours. For those that have a life expectancy of more than 10 years are not limited to a Mechanical valve replacement as you suggest. I received what is known as a Ross Procedure. While it may be a bit more complicated but like the bio prosthetic replacements does not require long term medication such as warfarin (coumidin). I had the Ross procedure done at the beginning of September 2022. If a person is relatively healthy and can handle open heart surgery and has more than 10 years of life expectancy, I would recommend this type of valve replacement. Look up the videos by Adam Pick.

  • @reynaldohernandez6741
    @reynaldohernandez674110 жыл бұрын

    excellent video. I would like to see a more simplify explanation of reverse split of second heart sound. thanks

  • @dangale6927
    @dangale69279 жыл бұрын

    Thank-you this helps explain a lot for me as to what there going to do with the Aortic Stenosis Replacement a 50-50% chance of survival...I have all 3 of what he said; "Heart Failure, Angina & Syncope". This is Scary!!!!

  • @DHaidawoman
    @DHaidawoman2 жыл бұрын

    Great explanation. 2013 though. Nowadays, there is TAVR. I'd love to see an update on this.

  • @mt7able
    @mt7able10 жыл бұрын

    Hey thanks alot for the vids theyve been really helpful for me as a med student... do you plan on doing videos on the other murmurs (MR, PR, PS, TR, TS)? im sure we'd all benefit from your insight

  • @neilnaks9467
    @neilnaks946710 жыл бұрын

    It's great ,I like it.Thanks

  • @davidtrevose7083
    @davidtrevose708310 жыл бұрын

    Had my aortic valve replaced by a mechanical one 5 months ago. Your kind and well thought out presentation 'turned the lights on for me'. Perhaps an edited version omitting the heart sounds would be good for patients to understand whats happening. Many thanks.

  • @pegdunn9236

    @pegdunn9236

    4 жыл бұрын

    and how are things, 5 yrs later? what is your age and reason for valve replacement? i am 57 , recently diagnosed BAV, my mother who died 2 months ago had AFIB, was on warfarin etc,..... died due to stroke and heart attacks,...The cardiologist told me AFIB is not related to BAV.. i sure have been tired alot lately. i initialy went to doc with heart floppy feelings,... did a 30 day heart monitor, where, the sporadic pounding and abnormal rhythm idid not occur. I recently bought a pulseoximeter to monitor, due to COVID-19,.... and the last 2 -3 times i put it on for a reading,... i see my Pulse drops to 45 or so, and lingers in the 50s and 60s,..... (blood oxygen is 90-94%) Anyhow, I'm not really sure what to do from here. Card said he'll check it every couple of years,... but shouldn't i consider valve replacement now, while i am in fairly good health? instead of waiting for more bothersome symptoms,....more damage to occur? hmm,... i started out tonight looking for info in ketamine infusion therapy is safe for someone with BAV, to treat my depression. i welcome any feedback,... thanks.

  • @drharoon
    @drharoon11 жыл бұрын

    Hi, your videos are really helpful. In aortic stenosis, you mention that the systemic circulation will dilate. I thought that in response to a decreased cardiac output, the systemic circulation would constrict and this is the reason why it is dangerous to cause a sudden drop in the SVR of patients with AS e.g. with GTN.

  • @barbie6695
    @barbie66952 жыл бұрын

    Thank You.

  • @deaniemoore107
    @deaniemoore1072 жыл бұрын

    Checking into Emory on Monday surgery on Thursday. This is my second surgery in 16 Year's. Pig valve leaking an mitra valve.

  • @wahabanwar8201
    @wahabanwar82014 жыл бұрын

    Excellent

  • @haulemichael
    @haulemichael10 жыл бұрын

    it helps rely good, u guys god bless u

  • @drasif4311
    @drasif431110 жыл бұрын

    now its clear @ as.thnks.

  • @rebekkad.2092
    @rebekkad.20923 жыл бұрын

    My husband had aortic heart valve surgery about 7 years ago when he was 58. He was not overweight and was a good candidate. He had a bicuspid heart valve. He has never been the same since. He had a complete personality change. He is no longer the person I knew. The doctors at the Heart Institute in Missoula refuse to say anything except that his heart is fine and it must be something else. Then why did it start after his heart surgery? You guys need to do a better job of telling people that this surgery is not as easy as everyone tells you it is.

  • @ranmasaotome6931
    @ranmasaotome693111 жыл бұрын

    Great lecture! From my readings and lectures I thought that the most common cause of aortic stenosis is calcification of an aortic valve since it's most commonly seen in the elderly (>65y/o). In my study notes for AS under etiology, I wrote think calcification of AV unless px is young (bicuspid valve) or is a foreigner (rheumatic heart disease). Just my 2 cents on the topic. Guess I should start looking at journals more.

  • @katiepope8746
    @katiepope87462 жыл бұрын

    Thanks!

  • @lasanakamara8953
    @lasanakamara895310 жыл бұрын

    good information

  • @anavictoriamercader9546
    @anavictoriamercader95468 жыл бұрын

    Thank you so much! Im a medical student and this helped me a lot.. Very similar to harrisons (book)

  • @Medcram

    @Medcram

    8 жыл бұрын

    +Ana victoria Mercader I remember when I was a medical student. Lots to learn in so little time. Keep at it!

  • @anavictoriamercader9546

    @anavictoriamercader9546

    8 жыл бұрын

    Dr. Do you have email that i can possibly contact you , if in case i need to be enlightened to some topics hehe im on my third year and i really do admire your videos. Thank you. Regards

  • @christinasilva45
    @christinasilva459 жыл бұрын

    Amazing!!!

  • @Medcram

    @Medcram

    9 жыл бұрын

    Christina Silva thanks for the comment

  • @sureshkulkarni7919
    @sureshkulkarni79196 жыл бұрын

    Well explained.In case of congenital bicuspid valve and no symptoms are observed in normal activity,how long can the surgery wait.

  • @urbipanya7738
    @urbipanya773811 жыл бұрын

    These r great!! Could you explain ECG and how to read them? Thanks

  • @georgetobin8880
    @georgetobin88807 жыл бұрын

    Excellent video! I have a question about the walls of the left atria and ventricle. After an aortic valve has been replaced do the enlarged and stiffened walls return to normal? (maybe causing the afib to disappear? ) I ask because I am to receive a new valve in 2 weeks. Also scheduled is a cox maze procedure. Thanks for the great video. Kevin

  • @jfdurning
    @jfdurning8 жыл бұрын

    Great talk. Be interesting to discuss the role TAVI (Transcather Aortic Valve Implantation) has in high risk patients (i.e porcelain aortia etc). That said great explain of AS.

  • @pnkbubblegumicecream
    @pnkbubblegumicecream6 жыл бұрын

    Informative video. However, I wouldn’t go so far as to proclaim a hard and fast rule that a bioprosthetic heart valve is best indicated for patients who have a life expectancy of less than 10 years. Bioprosthetic heart valves can be replaced via a less invasive procedure than open heart surgery, i.e. a “valve-in-valve TAVR” procedure. Moreover, socioeconomic and patient-specific factors should also be heavily considered when making the decision between bioprosthetic and mechanical valves. Warfarin can be quite tricky to dose correctly, and INR values can fluctuate wildly, especially with changes in diet, alcohol and cigarette consumption, and concomitant medications. Regular visits for INR reads may not be feasible for some patients. The risk for major bleeds and thromboembolic events may outweigh the benefits of a mechanical heart valve, even for younger patients.

  • @Medcram

    @Medcram

    6 жыл бұрын

    +Pia Dizon yes TAVR. Is amazing and is revolutionizing cardiac care! Yes. Everything is risk benefit.

  • @ctroshak
    @ctroshak8 жыл бұрын

    Positive Feedback: I will be using this in my echo program to augment my lectures. Very clear information. The drawings are VERY helpful. Ways to improve feedback: I would suggest a slightly faster delivery.

  • @Medcram

    @Medcram

    8 жыл бұрын

    +Cindy Balfour Thank you for the feedback on the drawings and the suggestions

  • @Medcram

    @Medcram

    8 жыл бұрын

    +MEDCRAMvideos A cool feature I noticed is that you can actually speed up the video in the tool box and I won't sound like Alvin and the Chimpmunks.

  • @paulapetercoleman4891
    @paulapetercoleman489110 жыл бұрын

    thanks

  • @mohammedrehman3520
    @mohammedrehman35204 жыл бұрын

    So if all the procedures are not perfect, is there any medication or herbal preparation which can improve this severe aortic stenosis which the reader of Echo has evaluated for me.I am very thankful for your honesty stating all these procedure cannot be 100% or life time warranty then what we should do to overcome this situation. From religious point you said it can be made from pig or cow. Thus how should I survive. Need your helpful hand. Is it possible to take nitroglycerin to open these valves or not or that too will be fatal. I have high cholesterol and high blood pressure. Need your help in the form of advise, I read the same that these are temporary relief and you have to come back to have open heart surgery. Hoping to hear from you soon. God Bless.

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