me being a cardiac anesthesiologist...watching this video cos i am chairing a ms case presentation tomorrow...superb sir....a kmc Mangalore alumni here..

what a knowledgeable person boloor sir just i m enjoying the lecture..

Great session every one who spoke. Special mention to kishan rao sir. He is too good in handling .

🔥 loved each minute .... Thank you white army,Dr archit balloor sir and abhineeth for this!!🙏🙏

Sir is a living legend 🙏🏻

Loved it...thanks for uploading.. its my 10th video from this channel.. loads of love . 😍🙏😍

Thanks you so much Dr Archith, Whitearmy ❤ 🙏

this line is from harrison page 1981: Most patients with pure or predominant AS have gradually increasing obstruction over years but do not become symptomatic until the sixth to eighth decades. Adult patients with BAV disease, however, develop significant valve dysfunction and symptoms one to two decades sooner. Because the CO at rest is usually well maintained until late in the course, marked fatigability, weakness, peripheral cyanosis, cachexia, and other clinical manifestations of a low CO are usually not prominent until this stage is reached. Orthopnea, paroxysmal nocturnal dyspnea, and pulmonary edema, i.e., symptoms of LV failure, also occur only in the advanced stages of the disease

Absolutely incredible 👏🏾👏🏾👏🏾👏🏾

Please arrange more lectures with dr Archith boloor

Hats offf to white armyyyyyy Thank you so muchhh Sairammm ( from ALIKE) Lile if u know alike😜

Really amazing to hear you sir🙏🏻

Imbibed the confidence to present cardiology case🙏🏻

Soo grateful for these presentations! :D THANKYOU SIR.

Thank you so much.. excellent talk

Thank you so much sir. So much information.

Thank u sir☺☺☺☺thanks to Abhinith.Thanks kishan sir.

Thank u so much for such a informative discussion

God level teaching sir🥺❤

Amazed....!!!

very helpful presentation and discussion sir

Isn’t is class 1 and not grade 1 in nyha

Sir after how many years of cardiac disease does the cirrhosis occurs? You were asking the question but answer was not told.

Loved this. Thank you team , Thank you sir !

Great sir hope you can introduce a new app for medicine also 💯

Great!!!

IS Bicuspid aortic valve so common? i have never seen even 1 in 15 year of engaging in this field

Thank you very very much for this great discussion. Really there is new information for me. Yet I wonder if we give a high dose of salicylates to a young patient; isn't there a risk of developing RYE syndrome?

16 dislike are made by MS patients

@gauravjain7653

3 жыл бұрын

😂😂😂

@nagendralprasad3647

3 жыл бұрын

😂😂😂

@DrVaishnaviVP

2 жыл бұрын

😂😂😂

@ramojithandra

Жыл бұрын

😁

We are so grateful for these classes sir, really really has helped us a lot

Great session,loved it! The student was so dumb,he kept interrupting sir while he was asking him questions!

Excellent session, please attach ppt as well

Excellent Sir. Sir would you please explain If mitral stenosis can cause left ventricular failure.

@siddharthp2939

3 жыл бұрын

It can occur in the severe ms , leading to decreased cardiac output leading to lvf

Very nice...

wonderful.... lajavaab

Thank you so much for these discussions, a boon for all students from various colleges

Wow I learnt so much from Dr Boloor sir, thank you so much!

@vaibhav5862

Жыл бұрын

The great gautami rao

Very helpful 👍

Very helpful

Excellency Sir

Loved it from Egypt

Good discussion

Thank you sir🎉

Why is the moderator interrupting bolor sir...??

Beautiful

Bhai ppt toh daal dete Thank you sir for the lecture

1:23 eye opener teaching lesson

😍😍😍😍

👌🏼

Rivorixiban is available in India kerla since more than 4 years

🙏❤️🙏

How many years for cardiac cirrhosis??

@abhyudaykhating2473

Жыл бұрын

?

Excellent medicine text book my dr archith

Mitral stenosis

How to become a memeber of this group?

Superb

Thankyou sir. Doubt about the mechanism of PND.In our college ,we were taught that PND occurs due to 5 reasons 1.increased venous return 2.fluid redistribution to lungs 3.Increased LA pressure during sleep 4.fluid redistribution from tissues into plasma 5.increased vagal tone during sleep which decrease the heart rate and Cardiac output. But you said its due to increased sympathetic tone sir??

@vyomchaudhary563

3 жыл бұрын

Hi Had it been increased venous return it would have manifested immediately when you sleep that is mechanism for advanced heart failure manifested as orthopnea not PND

@dr.gaming6004

2 жыл бұрын

Yes in every book its written that mechanism of PND is due to decrease sympathetic drive not by increase in sympathetic activity

@dr.gaming6004

2 жыл бұрын

But according to sir's explanation of its in rem sleep then it's not fitting properly...... anyone can explain this?

@doctord2897

2 жыл бұрын

@@dr.gaming6004 redistribution of fluid from extra vascular to intravascular compartment is the most important mechanism. This takes around 2 hrs hence after 2-3hrs of sleep PND occurs. Also in sleep there is reduced sympathetic activity which cases decrease in cardiac contractility therefore the already failing heart can not accept the increased amount of blood due to increased venous return. Also during REM phase of sleep there is increased sympathetic activity which cases tachycardia and the failing heart will not be able to pump blood effectively in this phase leading to PND Increased venous return is the mechanism for Orthopnea. Here the blood that is already in the intravascular compartment increases the venous return, not the redistribution of blood. Hence it occurs in about 10 mins after lying supine. Again all these mechanisms are postulated, there is not just one single mechanism that can explain PND or orthopnea

May I join as a sr in kmc?

1:47:40

Sir can you explain clearly why PND accur at night not daytime ?

@gauravpitale6756

3 жыл бұрын

REM sleep only occurs at night not in day time so PND only occurs in night time and not in day time

@17.bsidharthan51

3 жыл бұрын

What is the reference to say that REM sleep is not occuring in daytime?

@aayushbishnoi1846

3 жыл бұрын

Why shouldn’t rem occur during day, is there any reference .

@theladbros

3 жыл бұрын

@@aayushbishnoi1846 it's probably because our day time naps aren't long or deel enough to reach rem sleep

@shubhmangal2848

3 жыл бұрын

PND occur during REM stage of sleep ..... REM stage comes after 2-2.5 hours of sleep And Mostly we don't sleep that duration in day ... That's why ...BUT if you take full sleep at day like night ... you may have PND !!

Presenter is not good