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.
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.
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.
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!
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!
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 🙊
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!
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.
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!
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.
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.
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.
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.
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!!!!
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.
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.
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.
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.
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.
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!
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.
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
I have bicuspid arotic valve and heart doctors telling me I have on the severe stage, however I saw this video and i really like your explanation and I would like to show you the medical reports and as another opinion, please pm
The good thing about those treatments is that they are older treatments, today a catheter with a stint is used and less invasive with patient going home within 72 hours.
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
my son is having this disease by birth,he is of seven year old,it helps a lot that what is it exactly is all about??? thanks for showing this with nice explanation!!!! doctors are suggesting to for bullon angioplasty!!! can anybody suggest,what to do???
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
I was born with a heart murmur and aortic stenosis. It is becoming severe. They want to fix it while they still can. I am 14 and am getting a balloon valvuloplasty on march 12th to try and fix it. I am very very very nervous. They said that if my heart was worse than they thought they would have to replace the valve during it. Do you have any tips to help me understand it any batter?
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.
+MultiPwnster Keep seeing you cardiologist, it's important to make sure that your heart is healthy - it's the only one you'll get that's yours. Perhaps Stem cells will paly a role in your life someday?
I had open heart surgery in 09" for it, I'm 21 now and I'm healthy comparative to how i used to be, i have other health issues not to do with the heart, but i had a single cardiologist follow me since birth, hes like family, and has kept me alive. I'll say this though, mechanical valve is the way to go!
Clerked a patient who came in with chest pain and vomiting for over 6years. Listened to the heart and the sound in the aortic area was faint compared to other sounds. Now im thinking airtic stenosis but can't explain the vomiting 😩😩
Thanks for the great lecture, Dr. Seheult! I have a question about AS causing AF... I was a bit confused when you said left atrial enlargement causes AF. Don't the impulses for atrial contraction come from the right atrium? I probably need to learn more about the physiology of AF, but I find that a bit confusing. Is AF a common complication of AS? Cheers!
+Jolie Miller Thanks for the question and feedback. Electrophysiologists have noted that some of the stretching, and therefore ectopic foci (electrical stimuli outside the normal conduction pathways) comes from the pulmonary veins/Left atrium.
I am normal said my Heart Doc ,at VA Marion Ill. but gave me my own blood pressure cup ,keep eye out?????? this morning readings ,Sitting123/76/80 left standing left 144/80/90 - right sitting110/70/79 standing 128/86/98 systoms ,shortness breath ,coughing to almost blackout ,dizziness and passing out!!,cant sleep no more 3-4 hrs night. ,test ekg ,states adnormal ,calificied artia ,anema.Murmer
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.
Great to hear the illustrations have helped! Thanks so much for the comment.
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.
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.
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!
Outstanding explanation. You are the best.
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!
Same with me, I'm good.
@@graemewilliams1308 Then life expectancy is way longer than what this guy says it is.
@@shaykay3075 Well yeah, I'm 72 with no intentions to croak anytime soon.
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 🙊
Thanks for the feedback!
Great. Physicians are now being trained with RUclips....
Coaching Critic -> sad 😢 ....
Coaching Critic no, we re just having things explained one more time other than in class
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!
I’m an HVAC tech with a lot of Mechanical skills and I find this so interesting. Nice video.
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.
These videos are so helpful. A nice break from constant textbook reading. THANKS!
the best explanation of A.S ever
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!
dude im a med student and this video is awesome....i love the way u explained the reason for paradoxical splitting of s2....
Excellent...I've always had great difficulties with cardiac valves! This is very helpful!
oriana dashi Good to hear- thank you for the feedback
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.
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.
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.
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.
Excellent Video, thank you for sharing this information publicly...
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!!!!
Thank you so much for this!! This really helps me for my case study presentation :)
awesome, it helps me with my step 2 studying. Seeing is way better than just reading.
Thanks Juan Rogers, I agree!
This needs to be updated doc it’s very useful
thank you for this detailed explanation, you maid it very easy to understand and to remember
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.
Wow, what an excellent, clear explanation
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.
+Cindy Balfour Thank you for the feedback on the drawings and the suggestions
+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.
Thank You so much!! Watched it several times and enjoyed every minute of it!
Excellent lecture....I love these educational video's. Much more helpful than reading in a book!!! Thank you! :)
Thank you for the video.
It's basically a simplified and easy to understand the concept for quick revision :)
Very clear and informative lecture. Thanks a lot.
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.
Well explained.In case of congenital bicuspid valve and no symptoms are observed in normal activity,how long can the surgery wait.
Very clear explanation! I hope to see other and other similar explanations about cardiac and pulmonary problems.
Thanks!!!
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.
Checking into Emory on Monday surgery on Thursday. This is my second surgery in 16 Year's. Pig valve leaking an mitra valve.
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.
Great explanation. 2013 though. Nowadays, there is TAVR. I'd love to see an update on this.
Thanks! Now I understand better.
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!
Great lecture. Thank you!
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.
+Pia Dizon yes TAVR. Is amazing and is revolutionizing cardiac care! Yes. Everything is risk benefit.
Thank you so much! Im a medical student and this helped me a lot.. Very similar to harrisons (book)
+Ana victoria Mercader I remember when I was a medical student. Lots to learn in so little time. Keep at it!
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
This is so great! Thank you!
Thank you for the video. It's really helpful
Thanks a lot! Following your videos from now on.
Thanks so much for these videos
I have bicuspid arotic valve and heart doctors telling me I have on the severe stage, however I saw this video and i really like your explanation and I would like to show you the medical reports and as another opinion, please pm
Very helpful! Thank you!
Thanks for the lecture. It was EXCELLENT
Thanks you so much for this awesome video , it makes it so easy to understand
Best lecture I have had on this topic!!! THANK YOU.
Well explained!! Thanks for your time.
We'll organized and easy to understand... Thank you
excellent work !!
clearly .😁
Thanks!
Great video! Learned so much on AS! A+
you are amazing! just the perfect amount of information
thank you for the video
Awesome! May God Bless you. Thanks
The good thing about those treatments is that they are older treatments, today a catheter with a stint is used and less invasive with patient going home within 72 hours.
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
excellent video. I would like to see a more simplify explanation of reverse split of second heart sound.
thanks
excellent!!
Thankyou
my son is having this disease by birth,he is of seven year old,it helps a lot that what is it exactly is all about???
thanks for showing this with nice explanation!!!!
doctors are suggesting to for bullon angioplasty!!!
can anybody suggest,what to do???
great lecture thank you
great video, but something that is not mentioned alot is a unicuspid aortic valve.
Could you do one video about acute diarrhea and mild dehydration?thank you
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
are being so helpful!!!! thnks!!!!
These r great!! Could you explain ECG and how to read them? Thanks
Great videos and clearly explained! Would you consider doing some videos on fluids?
really really helpful.. ..
more video please :)
Excellent
it helps rely good, u guys god bless u
sir kindly add a video on RENAL ARTERY STENOSIS
It's great ,I like it.Thanks
awesome. helpful as usual!
This guy is cool.
leighahmke has been an easy way for us 4w www.med.or.jp/japanese/members/edu/kouza/self/?code=f4401
now its clear @ as.thnks.
good information
Well done ;) great lection!
Both of my children have this. My older son has had 10 heart surgeries :(
So, just to clarify... the type of CHF that would develop would be diastolic HF correct? Because the hypertrophy that develops will reduce the EDV?
thanks
I was born with a heart murmur and aortic stenosis. It is becoming severe. They want to fix it while they still can. I am 14 and am getting a balloon valvuloplasty on march 12th to try and fix it. I am very very very nervous. They said that if my heart was worse than they thought they would have to replace the valve during it. Do you have any tips to help me understand it any batter?
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.
i am 17 years of age and i have aortic stenosis in the left ventrical. ive had this issue since i was little.
+MultiPwnster Keep seeing you cardiologist, it's important to make sure that your heart is healthy - it's the only one you'll get that's yours. Perhaps Stem cells will paly a role in your life someday?
I had open heart surgery in 09" for it, I'm 21 now and I'm healthy comparative to how i used to be, i have other health issues not to do with the heart, but i had a single cardiologist follow me since birth, hes like family, and has kept me alive. I'll say this though, mechanical valve is the way to go!
wow it is great i enjoyed it
Ilona mimi glad you enjoyed the lecture
Clerked a patient who came in with chest pain and vomiting for over 6years.
Listened to the heart and the sound in the aortic area was faint compared to other sounds.
Now im thinking airtic stenosis but can't explain the vomiting 😩😩
Thanks for the great lecture, Dr. Seheult!
I have a question about AS causing AF... I was a bit confused when you said left atrial enlargement causes AF. Don't the impulses for atrial contraction come from the right atrium? I probably need to learn more about the physiology of AF, but I find that a bit confusing.
Is AF a common complication of AS?
Cheers!
+Jolie Miller Thanks for the question and feedback. Electrophysiologists have noted that some of the stretching, and therefore ectopic foci (electrical stimuli outside the normal conduction pathways) comes from the pulmonary veins/Left atrium.
My bro have same problem what can we do.he is just 30 pray for him and we can't oford portion cost.😥
at 12.05 why the systolic pressure will fall (120->110) ? Ventricular hypertrophy suppose to generate higher systolic pressure isnt it?
Happy Singh ok then^^
Sign me up. I think I need a new valve. I get out of breath while trying to jog. I am 69 years old. This operation will probably be in my future.
best!!
I get mildly concerned when a doctor draws the "heart shape" as part of an anatomy lesson. =P
Shock Diamond Hahaha true, looks like a tear drops with a few growths to me .... thought it was just me hahaha
Um...you forgot the LV in the first 25 seconds of your video. Kind of important chamber...
TMI for Most - Yabutt a Simple Diagram - Explanation of Ur Heart
I am normal said my Heart Doc ,at VA Marion Ill. but gave me my own blood pressure cup ,keep eye out?????? this morning readings ,Sitting123/76/80 left standing left 144/80/90 - right sitting110/70/79 standing 128/86/98 systoms ,shortness breath ,coughing to almost blackout ,dizziness and passing out!!,cant sleep no more 3-4 hrs night. ,test ekg ,states adnormal ,calificied artia ,anema.Murmer
If you have no money for the operation, eating food is good for the heart, a healthy lifestyle.