IMPORTANT POINTS: If you want to go for rhythm control, whether by electrical cardioversion or by pharmacologic cardioversion. You need to anticoagulate the patient first with heparin EXCEPT in emergency condition where patient is unstable you electrically cardiovert the patient first and then anticoagulate. If Patient presents within 48 hrs after onset of afib we can go for rythm control or rate control. If you choose rythm control then you can go for rythm control first without anticoagulating the patient. Because the chances of patient developing thrombus in atria are less because of lesser time of onset. Later you can put patient on anticoagulation. If Patient presents after 48 hrs and you choose to go for rythm control. Remember first anticoagulate the patient for 3 weeks then do rythm control. If confused in choice of rythm or rate control in a Patient. Follow this 1. RATE CONTROL if patient is old, has more comorbs, or echo shows thrombus 2. RYTHM CONTROL if patient is young, no comorbid conditions, echo is showing no thrombus Example of Rate Control in acute setting: Either a beta blocker (Metoprolol 2.5mg upto 5mg IV over 5 mins, which can be repeated at intervals of 10 mins to a maximum of 10mg ) or a calcium channel blocker Verapamil 2.5mg IV over 2 mins, which can be repeated at interval of 5 mins to a maximum of 5mg) but not both.
Once the patient's rhythm has been controlled with IV beta blocker or Calcium Channel, then what next? Are they then placed onto oral drugs for long-term maintenance? And when/how do you follow up?
I love ur lecture style and I can easily understand what ever u say thanks a lot Dr and u are gifted to us and ur patients ,I need ur lecture especially congestive heart failure to make down load ur short and prisize note about heart failure when my WiFi service functional I find u or search u b.c u give me lectures about it but I can't download it the reason why I need is ur lecture with ur note very important for me b.c I will read it repeatedly
Please arrange one day lecture in Kolkata against a token amount of money and really you are knowledge able and erudite and capable to teach us how to meet the meet the medical emergency.
Oh my God where i have been till now... That I didn't found sir till today. The way of explanation is next level and feels sweet and attractive and wanna listen again and again. Most importantly understanding. ❤️
Sir been trying to learn from various places , but never seen someone teach so beautifully on ytube ❤️you are a gem sir really , please upload a video on ecg too 😘
Stand up and applaud to this man for providing such wonderful content in a very crisp manner. Th k you sir. You are such a help for budding doctors like me .💓
Truly passionate lecturer - very succinct and worthwhile - Thank you - looking forward to your procedural sedation - for the synchronized cardioversion.
I’ve also had very bad treatment was in cardiac crisis told I wasn’t sick went back to emergency in agony had passed out from pain again wrote in my notes NAd had chest and stomach pains took 8 months to get hospital records! Had massive q waves on first and states MI anterior on next! I’ve had to learn to read human ECGs and tell the hospital staff in complaints they still try to deny their staffs mistakes! I learned from RUclips doctors 🤷♀️ Got done nitrolingual spray for chest pains took co enzyme Q10 and collagen and my vit d was 80 % low my cholesterol was over 10 took red yeast rice and plant sterols and vitD - I’m not sure about Afib treatments but you should search it’s treatment and also look at food that help heal the human body! I got more private tests had heavy metals in system and researched a lot it’s been 5?years in complaints with the hospital wasting time trying not to admit their areas! Make sure your not over caffeinated not taking sugar or those caffeine drinks I also got a hair test and had two auto immune diseases and 100 food allergies! Hospital and doctors found none of it denied all of it! I don’t trust them at all now! Hope your feeling better but I’d honestly advise to do your own research 💔🤷♀️🙏
I was preparing for MRCP and you are doing as great as MRCP UK, amazing far far better than more people who just don't give an extra effort,you did amazing work, hat's off Dr,keep going 👍🍰✅one of my favourite video!
@@MedNerdDrWaqasFazal its really helping and many students getting some good concepts, kindly do talk about the reference you used like the chadvs2,also talk about cha2vas2 Vs !
Thank you for making may of us understand the topic easier. Please continue making more content :) I love your treatment management , its very helpful for us new grads :)
Great video. To me, you have a very strong Indian accent but for some reason I understand everything perfectly and you give loads of useful information.
Wonderful explanation ,easiest way you explained ,dose of flecnamide ,care to be taken while giving this drug ,as I was experienced with iv dilzem more in our residency and cardarone
Sir I will be highly grateful to you if you can upload ischemic stroke because my exams are approaching and only your videos are understandable to me sir it will be a great help for me
Thanks ❣️ I learn alot from you , i love your way of teaching plz also upload Lectures on myocarditis, pericardial diseases, heart block and arrythmias, and hypertrophic cardiomyopathy plZ sir🙏
Sir, ur lectures are awesome,love it❤❤.one request sir, can u provide the pdf of ur lectures becoz it would be easier to revise ur notes . As an intern it would be a time saver if we would have all ur lectures notes in one place..I hope u consider my point😊
IMPORTANT POINTS:
If you want to go for rhythm control, whether by electrical cardioversion or by pharmacologic cardioversion. You need to anticoagulate the patient first with heparin EXCEPT in emergency condition where patient is unstable you electrically cardiovert the patient first and then anticoagulate.
If Patient presents within 48 hrs after onset of afib we can go for rythm control or rate control. If you choose rythm control then you can go for rythm control first without anticoagulating the patient. Because the chances of patient developing thrombus in atria are less because of lesser time of onset. Later you can put patient on anticoagulation.
If Patient presents after 48 hrs and you choose to go for rythm control. Remember first anticoagulate the patient for 3 weeks then do rythm control.
If confused in choice of rythm or rate control in a Patient. Follow this
1. RATE CONTROL if patient is old, has more comorbs, or echo shows thrombus
2. RYTHM CONTROL if patient is young, no comorbid conditions, echo is showing no thrombus
Example of Rate Control in acute setting:
Either a beta blocker (Metoprolol 2.5mg upto 5mg IV over 5 mins, which can be repeated at intervals of 10 mins to a maximum of 10mg ) or a calcium channel blocker Verapamil 2.5mg IV over 2 mins, which can be repeated at interval of 5 mins to a maximum of 5mg) but not both.
👍
Once the patient's rhythm has been controlled with IV beta blocker or Calcium Channel, then what next? Are they then placed onto oral drugs for long-term maintenance? And when/how do you follow up?
I love ur lecture style and I can easily understand what ever u say thanks a lot Dr and u are gifted to us and ur patients ,I need ur lecture especially congestive heart failure to make down load ur short and prisize note about heart failure when my WiFi service functional I find u or search u b.c u give me lectures about it but I can't download it the reason why I need is ur lecture with ur note very important for me b.c I will read it repeatedly
Please arrange one day lecture in Kolkata against a token amount of money and really you are knowledge able and erudite and capable to teach us how to meet the meet the medical emergency.
Oh my God where i have been till now... That I didn't found sir till today. The way of explanation is next level and feels sweet and attractive and wanna listen again and again. Most importantly understanding. ❤️
Great way to explain confusing topics.10/10 for your videos.straight ,clear,and short...
Thank you Ashish mehrotra for your very kind words. 😊
I found you as a Gem of Medicine on the Internet. Lots of love from India.
So Nice of you 😊
Sir been trying to learn from various places , but never seen someone teach so beautifully on ytube ❤️you are a gem sir really , please upload a video on ecg too 😘
So kind of Himalaya Ganvir 😊❤️
,, ZAjn
Stand up and applaud to this man for providing such wonderful content in a very crisp manner. Th k you sir. You are such a help for budding doctors like me .💓
I have no words to thank you sir... you are the one the best teacher I got till my age. Hats off to you❤
You are the best medical lecturer !!
jazaKAllah khair . You are literally aces in my book. excellent teaching method in all videos and the dedication speaks for itself. thank you sir
Truly passionate lecturer - very succinct and worthwhile - Thank you - looking forward to your procedural sedation - for the synchronized cardioversion.
Fantastic teaching style. Love the repetition, clarifying and summaries. Not one redundant word.
Immensely appreciate your crystal clear knowledge Dr Waqas Fazal.
Excellent explanation about AF, Thank you
Excellent. You have made it simple, interesting, and easy to understand I have AFIB Dr here did not do much for me I still suffering
I’ve also had very bad treatment was in cardiac crisis told I wasn’t sick went back to emergency in agony had passed out from pain again wrote in my notes NAd had chest and stomach pains took 8 months to get hospital records! Had massive q waves on first and states MI anterior on next! I’ve had to learn to read human ECGs and tell the hospital staff in complaints they still try to deny their staffs mistakes! I learned from RUclips doctors 🤷♀️ Got done nitrolingual spray for chest pains took co enzyme Q10 and collagen and my vit d was 80 % low my cholesterol was over 10 took red yeast rice and plant sterols and vitD - I’m not sure about Afib treatments but you should search it’s treatment and also look at food that help heal the human body! I got more private tests had heavy metals in system and researched a lot it’s been 5?years in complaints with the hospital wasting time trying not to admit their areas! Make sure your not over caffeinated not taking sugar or those caffeine drinks I also got a hair test and had two auto immune diseases and 100 food allergies! Hospital and doctors found none of it denied all of it! I don’t trust them at all now! Hope your feeling better but I’d honestly advise to do your own research 💔🤷♀️🙏
1 understand, enjoy his explanations better than other sources, l hv come across !
sir please do a video on llearrning and reading basic ECG's as well
Dar Ahsaan ul haq I am working on ECG videos on my top priority stay tuned 😊
@@MedNerdDrWaqasFazal thank you sir. really need a descriptive video on ECG. my exams coming up. :)
@@MedNerdDrWaqasFazal badly waiting for❤
Jazakallah khair
@@MedNerdDrWaqasFazal sir, we are also waiting for ecg video in details. for doctor 🤗
Amazing video. To the point and easy to understand.
Topic is complicated but u r wonderful in making us learn with ease.thank you .
Wow.mashaAllah sir.from mauritius
One of the best teacher.. 👏👏
You're one of the best teachers.
I was preparing for MRCP and you are doing as great as MRCP UK, amazing far far better than more people who just don't give an extra effort,you did amazing work, hat's off Dr,keep going 👍🍰✅one of my favourite video!
So kind of you dear. 😊
@@MedNerdDrWaqasFazal its really helping and many students getting some good concepts, kindly do talk about the reference you used like the chadvs2,also talk about cha2vas2 Vs !
Thank you for making may of us understand the topic easier. Please continue making more content :) I love your treatment management , its very helpful for us new grads :)
ManshAllah keep going. Much respect from the UK and I shared it with lots of students. Please do ECG series
Thank you A Ahmed. I am glad you found it helpful. 😊 Stay tuned for more
Hi Dr
Your all the y tube presentations are excellent.
Very easy to understand
Thank you 😊
So kind of you... Keep supporting manel 😊
Outstanding explanation, thanks from Bangladesh
Great video. To me, you have a very strong Indian accent but for some reason I understand everything perfectly and you give loads of useful information.
Thank you so much Dr.
I understand this lecture better than how I’m learning at the hospital.
Amazing lecture sir thank you from Sri lanka
Thanku sir❤️ You are doing great work.
Great Knowledge Dr Waqas sir
Dr tabish khan JR3 MD medicine GMC AURANGABAD 🇮🇳INDIA
Thank you Dr. Tabish Khan for your kind comments. Stay tuned for more videos 😊
Excellent Respected Sir
Great initiative sir,
Kindly add the dosage of drugs used , so that it will be easy to revise.
Simple, clear but detailed explanation
Thank you sir❤
I appreciate this! Thank you so much!
Thanku sir very well explained, hopefully it will help for my upcoming exams
Good discussion about AF
Great explanation of the topic !
Great and Superb explanation of AF
World best teacher 🙏🙏🙏 ❤❤
❤
Thank you sir very well explained hopefully its it will help formy upcoming exams
Wow I m in love with this way of lecture🙏🏻🙏🏻
Thank you 😊
We love you doctor.
Thank you for your love and support 😊
Jazakallah khair
Very interesting & engrossing.
You are great! Can you plz complete all topics of ECG 😢
Excellent.You have made it simple ,interesting and easy to understand and practice.
Thanku sir
Thank you very much 😊
Excellent explanation on AF sir 🙏🙏🙏
Waah ...kya pdhaya h sir ne ..mza aa gya...Thankuu so much sirrrr
Gentle man keep up Doc really loveable channel
Thank you Malese Mengesha. 😊
Thank you sir. Very much appreciated ❤❤❤
Sir you are a great teacher. 🙏🙏
Amazing video! Thanks!
Ma Sha Allah
Great job , Well explain
thanx, do not forget Ehra symptom score and ESC classification,
Nice Explaination 👍👍.. Thanks so much sir
Please sir do video on ecg reading thank u sir I learn't many things God bless u sir thank so much
I am very happy to hear that. I'll surely make videos on ECG. 😊
Excellent dear friend...I love the clarity and the confidence in your teaching skills...
Great work dear...!!
Excellent presentation. 👏👏👏
Thank you so much sir
Well detailed
Superb explanation 👍👍👍❤
TQ sir to give to us good information
So Nice of you. Keep supporting 😊
Thanks easy to understand❤️❤️
Great videos
Thank you very much
Wonderful presentation Dr sb
Best explanation sir
Wonderful explanation ,easiest way you explained ,dose of flecnamide ,care to be taken while giving this drug ,as I was experienced with iv dilzem more in our residency and cardarone
Thanks for great lecture♥️
I wish I would have found u in my Med School!! Nevertheless your videos are still rly useful in Medical practice!
Sir I will be highly grateful to you if you can upload ischemic stroke because my exams are approaching and only your videos are understandable to me sir it will be a great help for me
Very amazing vedio ❤❤
You are just amazing 👍
Beautifully explained 👍
Asalmu alaikum
All praises to Allah swt💚
Thank you so so much sir
Thanks ❣️
I learn alot from you , i love your way of teaching plz also upload Lectures on myocarditis, pericardial diseases, heart block and arrythmias, and hypertrophic cardiomyopathy plZ sir🙏
love u sir
Thanks doctor
Excellent as usual and please kindly consider making a video about respiratory failure ☺️☺️
Thank you Jack Zaw. I will surely make a video on respiratory failure. 😊
Great explanation sir ❤😊
Excellent
Very nicely explained
Great sir
Excellent performance namaste
Thank you very much sir.
thank you so much 5/12/2022
Sir kindly make a separate videos on trade name, dose of drugs and how to give them and what are their contraindications
Sir u r video's are really helpful
Kindly make videos on approach to a case of fever
Awesome
Sir, ur lectures are awesome,love it❤❤.one request sir, can u provide the pdf of ur lectures becoz it would be easier to revise ur notes . As an intern it would be a time saver if we would have all ur lectures notes in one place..I hope u consider my point😊
Well Explained 💯
Thank you Camran K. 😊
Exceptional😭🔥
Excellent sir 👏
Sir it’s a flecainide, Thank you 🙏
sir you r great ..please provide a video on how to read ECG
So kind of you. Will surely upload 😊
Nice explanation sit
Dr .waqas can you pls tell me if we can do immediate cardioversion in emergency in unstable patient without echo
Most difficult topic of clinical pharmacy practice ever 🧕
❤❤❤ thank u so much sir
Assalam alaikum sir
Thank you so much sir