Sunday, October 2, 2022. Cardiology: Pharmacology (Drugs) in Congestive Heart Failure (CHF). By MD Paul Bolin. Nice!

Thank you so much for sharing your knowledge with us for free .. God bless you .. My salutations from Sudan !

Thank you Dr. Bolin

Respected Dr.Bolin: I think PR-prolongation doesn't lead to TdP, but QT-prolongation do.(22.00)

Awesome video!

great job! Thank you.

Great review!

JUST THE FIRST SENTENCE U SAID AND IVE ALREADY LEARNT SO MUCH THAN I KNEW BEFORE. THANK YOU.... GREAT VIDEO. I JUST NEVER COULD WRAP MY HEAD AROUND THOSE DRUGS

1:50... You meant to say "we can always substitute and ACE inhibitor with an ARB"

thank you

Good presentation

Thank you very much doc for your amazing videos, salutes from Saudi Arabia

SGLT2 inhibitors are shown to reduce mortality too now, right? (2022)

would carvedilol cause hyponatremia?

Thank you for the interesting video Can bisoprolol be used instead of the two mentioned beta blockers?

@davidrose555

6 жыл бұрын

yes

@davidrose555

6 жыл бұрын

yes

The congenstive heart failure video has no audio

@smolgrizzly4608

2 жыл бұрын

he re-uploaded it. I hope you've come across it by now

@powelishxx5020

2 жыл бұрын

@@smolgrizzly4608 thanks needed it then but I’m already practicing

Dobutamine is a beta agonist and increase contractility, I am not sure if it does inhibit Na/K ATPase in the same fashion as Digoxin. would you clarify this if possible?

@yousefas4417

4 жыл бұрын

Yes, you are correct. Digoxin inhibits Na/K ATPase whilst doubutamine is a synthetic catecholamine acting on Beta receptors

I think there's a mistake on the beta blocker slide where the mechanism you mention is blocking the Na / K ATPase (digoxin) - BB just block the B1 and B2 adrenergic receptors

@bbmtge

6 жыл бұрын

www.ncbi.nlm.nih.gov/pubmed/1685314 BB's do have some effect.

@Persiancatgirl1987

6 жыл бұрын

that may be true but it's not the major mechanism that students should know for STEP

What am I supposed to think of a cardiologist who won't show me the x-ray that was taken of me, though I was diagnosed with Atrial Fibulation? Then he wanted me to take a prescription and have another x-ray, which he probably wouldn't show me either. I had no confidence in him and refused to return.

@binbinky78

3 жыл бұрын

As a patient you have the right to see all results of any diagnostic procedures & labs and a free copy of your results

@jimervin387

3 жыл бұрын

@@binbinky78 Thanks. I have long since finished with that particular cardiologist and finally found one who I believe I can have confidence in. But I had to find her the hard way, after a life threatening cardiac arrest in the hospital a year ago. Since then, I feel restored to my normal condition and she is reducing my prescription.

love it

Excellent presentation! Question: are beta-blockers useful in arrhythmia patients or rather harmful ?

ace/arbs, spironolactone reduce mortality by shutting down aldosterone which has a tendency to remodel the heart in a bad way, or so I was told

@TienNguyen-bx3pw

6 жыл бұрын

i know this is an old comment but i just wanted to expand on this, the reason why we were taught it "remodels the heart" is bc the persistent hypertension causes the left ventricle to hypertrophy due to the SVR, and hypertrophy of the left ventricle leads to a heart that doesn't pump or dilate correctly.

@plityzhao5841

5 жыл бұрын

@@TienNguyen-bx3pw yes,you are right ,but acei/arbs may also work on preventing the remodeling of heart not only just in terms of the control of blood pressure,but also the MF

Excellent presentation. A few corrections: B-blocker has no effect on Na/K ATPase and B-blocker increase Diastolic filling by decreasing heart rate. Slide need update to include SGLT-2 which decrease mortality in CHF. Thank you for your great effort.

WHY NOT JUST TELL THEM THE TRUTH THAT THERE ARE NATURAL HEALTHIER REMEDIES THAT HELP INSTEAD OF GIVING THEM MORE CHEMICALS TO FUCK THEM UP MORE.

@pyrexcookin

2 жыл бұрын

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