Drugs for Heart Failure

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  • Опубликовано: 25 янв 2025

Комментарии • 303

  • @inalaura9292
    @inalaura9292 2 года назад +303

    Not only students, but also pensioners when we are lonely and have nobody to talk to we listen your lectures to know our illnesses to live longer. 60 yo. Thank you that you are. 💐

  • @annalussier1431
    @annalussier1431 2 года назад +179

    Teaching cardiology better than any cardiologist we've seen in med school... thank you for making this available to train doctors and healthcare workers around the world! This channel is a gift to humanity!

    • @areufkingkiddingme
      @areufkingkiddingme Год назад

      Real life and models are very different

    • @tewodrosxwubet
      @tewodrosxwubet Год назад

      for sure

    • @reginaestrada2772
      @reginaestrada2772 Год назад

      couldn’t agree more 💯

    • @sunsetz2341
      @sunsetz2341 3 месяца назад +2

      I have no idea how people studied medicine back when there was no internet! If I try to understand these concepts by reading the textbook it'd take me the whole day. While Zach explains it all perfectly in 1-3 hours. I swear I'm actually kinda embarassed of how much I actually never learned properly in the past few years of med school, and just passed my exams by luck. Also, this kind of optimism shifts my perspective on medicine -- when I listen to Zach, I really really try to understand everything for the FUTURE and not just to pass the exam, which is the most important!!

  • @manofreedom
    @manofreedom Год назад +53

    I'm a very busy family medicine doctor with 28 years of ER and urgent care as well as hospitalist service experience and I have to say these Ninja Nerd videos are the BEST teaching videos I have seen. Lot's of deep dive detail that I wish I would have had in medical school, but the internet was just getting up and started in the early 90's when I was in training and residency. This would have been fantastic to have "back in the day." GREAT stuff here.

    • @sanafatima2330
      @sanafatima2330 6 дней назад

      Family Medicine Postgraduate here as well and i agree with everything you say! I'm revisiting all concepts with Prof Zach❤

  • @Albert23456
    @Albert23456 9 месяцев назад +20

    I'm dealing with stage 3 heart failure and taking several meds...I learned enough to talk to my doctor thank you❤

  • @aminaqamar50
    @aminaqamar50 11 месяцев назад +6

    I can't listen to any other person having 3 hours of lectures but it's only youuuuuu to whom I can listen 😭

  • @lucamirea135
    @lucamirea135 2 года назад +89

    In the name of all the romanian medical students i would like to thank you. We have our residency exam in two weeks and this topic is a very big one in our bibliography and a very troublesome one, may I add. This will come in real handy. Thank you!

  • @ricknimusiima6571
    @ricknimusiima6571 5 месяцев назад +16

    “Son of a Gun” is the best online lecturer. Great stuff Nija nerd 👏

    • @thekharataykid
      @thekharataykid 5 месяцев назад

      what does that mean asking on behalf of non american people

  • @sallieukamara5156
    @sallieukamara5156 8 месяцев назад +13

    On behalf of the entire medical students in Sierra Leone, we want to thank you for all you have done for us…Thank you Prof Ninja Nerd ❤

    • @sportingene
      @sportingene 6 месяцев назад

      Are there many bengali people in your country??just curious

  • @mr.ssj3847
    @mr.ssj3847 2 года назад +32

    bro, mad respect and props. seriously your videos are great, well researched and I can tell you have spent a lot of time gathering all this info together. from the bottom of my heart. thank you fam!

  • @tube7663
    @tube7663 Год назад +5

    I AM HABTAMU TEKALIGN FROM ETHIOPIA I AM CLINICAL PHARMACY STUDENT SINCE FIRST YEAR I AM USING YOUR TUTORIAL VIDEO ITS SO SUPPORTIVE NOW I AM ONE OF TOP SCORER THANK YOU BIG BRO NINJA

  • @ednatrepanier
    @ednatrepanier 10 месяцев назад +4

    You are the best lecturer ever! You are very smart nerd ninja! I adore your ability to share your enormous knowledge!!!

  • @NickNorland
    @NickNorland 6 месяцев назад +2

    I'm trying to comment on all the videos I watch as I'm going through PA school. This man is an amazing instructor and gifted speaker.

  • @yachiapatel
    @yachiapatel 2 года назад +22

    This dude have taught me not only medicine but also, what commitment actually means. Huge and massive respect buddy for your time and commendable efforts.🙌 Can't imagine how you gather all the information from various literatures and put them altogether within just a week that too in a 3-hour video ✌ Tons of love and appreciation to you and your team 🙌❤ please keep doing 🌠

  • @faisalmehedi2490
    @faisalmehedi2490 2 года назад +6

    Medical lectures owe you a lot..You are a boss man..

  • @mariamadenola6534
    @mariamadenola6534 2 года назад +3

    I am starting a cardiology posting and all I can say is thank you very much for what you do.

  • @salvadorhirth2919
    @salvadorhirth2919 2 года назад +7

    Your videos are so good that I always hit the like before watching. Congratulations on your dedication and knowledge!

  • @aacc8466
    @aacc8466 Год назад

    you, your team, your spouse, your dog, your mailman and your mama....IS THE MAN. Thank You for helping out the little guy !!!!!

  • @esammohammad5978
    @esammohammad5978 2 года назад +6

    Thanks for you bro from my heart, your the the best lecturer in the world. Keep going
    Greating from sudan 🇸🇩🇸🇩

  • @kabirmoz5369
    @kabirmoz5369 8 месяцев назад

    Thanks!

  • @garrettross9999
    @garrettross9999 11 месяцев назад

    EMT-b and nursing student here. Thank you. I believe I have a better and more in depth understanding of the material than any of my peers now.

  • @Gogoat28
    @Gogoat28 3 месяца назад

    Can’t describe in words how much your valuable lecture and your way of teaching is helping me thrive in my medical school

  • @Melaniexb1
    @Melaniexb1 2 года назад +9

    From someone who found Dr Ninja
    looking for just this subject, your other video on this topic helped me know that my husband was on the correct drugs for his possible class 2 of heart failure.
    (He had a quintuple bi -pass just just 3 1/2 years before.)
    Which then lead to the three scheduled tests US of abdomen, CT, and an Echo!
    All waiting to take place, to help find the cause of his now (some 70 lbs )of Water weight gain in 4 weeks time!

  • @noormamoon8920
    @noormamoon8920 11 месяцев назад +1

    From all different countries, we support you, love you, and wish all best for you

  • @sibuleleshude3366
    @sibuleleshude3366 2 года назад +8

    One of the best teachers in the world 🌎 ❤ I'm learning a lot from your lectures. Keep it up guys, your work is highly appreciated
    All the way from South 🇿🇦 ❤

  • @Wallowby
    @Wallowby Месяц назад

    Working in the multiple ICU's we as nurses are Always looking for better resources to learn and better understand the entire process of meds and mechanisms of action and interactions of how they effect and work in the body. You were recently introduced to me by one of the premier nurses on our unit, I'm so appreciative. You explain everything with such excitement and in a conversational mode, that it's easier to understand and relate to. Much better than any Instructor I've ever had in my Nursing program. I've listen to other videos where the content was awesome, the voice of the moderator put me to sleep. I'll recommend you to all of my friends who are nurses, np's and doctors.

  • @JodyLeeSchroeder
    @JodyLeeSchroeder Год назад +1

    literally was asked to do this by my professor today - let''s go ! Cant wait for this video :) Love you ninja nerds

  • @robynneRN
    @robynneRN 2 года назад +2

    I never knew medicine could be this interesting!! BRAVO!

  • @MH-yr6bp
    @MH-yr6bp Год назад +2

    I am not even a physian but in another medical field and enjoy the courses.

  • @alexistremblay3604
    @alexistremblay3604 2 года назад +2

    hey, I'm not a medical student or anything but I love genuinely learning about how the body functions, thank you so much for making this knowledge available for free, actually would cost thousands of dollars of books to learn this stuff otherwise. actual chad

  • @em8066
    @em8066 2 года назад +2

    I wish this was published prior to my ICU rotation in PA school, but it's still a great review now. Thanks!

  • @karenmoore2972
    @karenmoore2972 9 месяцев назад

    This guy does such an AMAZING job of explaining these concepts!! I hope he continues to teach bc many are not able to explain complex mechanisms this well, making it easy to hold our attention in my opinion!! His pace of speaking is just perfect!, easy to keep up with & definitely not dull & boring!! Thank you!!

  • @demetrikasher1237
    @demetrikasher1237 2 года назад +5

    Awesome video, I have heart failure and like to review what my meds are doing for me every now and then haha. Losartan, Carvedilol, Warfarin, spironolactone, and a few others in the past. Thanks everyone in the medical field!

  • @tl4340
    @tl4340 2 года назад +3

    1:04:15 Actually, the 2022 AHA/ACC Guideline on heart failure now suggests that ARNi are now first-line RASi in HFrEF, *ahead* of ACEIs and ARBs. ARNi first, then ACEI if ARNi can't be tolerated (or afforded), then ARB if ACEI can't be tolerated (e.g., angioedema, bradykinin cough). This recommendation is different than what you say in here regarding order of priority.
    Nitpicking aside, this is a *fabulous* teaching video.

    • @Vamparina413
      @Vamparina413 11 месяцев назад

      Ah yes coz that was what I was given which is the Entresto when I was diagnosed with CHF last year with reduced EF.

  • @nanadarkoampem
    @nanadarkoampem Год назад

    This is one of the best educative sites ever visited

  • @ngoziemozie9779
    @ngoziemozie9779 Год назад +1

    You just dymystified heart failure with low EF. Thank you so very much for this presentation

  • @TroyWoods-lu4ch
    @TroyWoods-lu4ch 2 месяца назад

    These videos are getting helping me through my pharmacy school exams, thank you so much!!!!

  • @MaryVanlandingham-e2k
    @MaryVanlandingham-e2k Год назад +1

    This as a phenomenal lecture. I listened to some of your stuff during nursing school and am now studying for PCCN and wow, so helpful. Thank you!

  • @rubenruiz6250
    @rubenruiz6250 2 года назад +22

    I had heart failure with a LVEF below 40%. With Entresto and after a year on it and then discontinuing it, my LVEF was 65%. I've been without the drug for more than a year now and my heart is still perfect. In other words, I've been cured of heart failure thanks to Entresto!

    • @hillarywilkins7395
      @hillarywilkins7395 6 месяцев назад +1

      Entresto has improved my EF from 25% -45% in 6 months and i have been wondering if I will need to keep taking the med if EF returns to normal range - my cardiologist says that’s close enough to normal but I’m hoping fr further improvements at the 12 month marker as the study results showed. Good to know what’s possible thanks👍👍👍

    • @thabelongwenya4666
      @thabelongwenya4666 2 месяца назад

      Please help. I have heart failure and i do not know what to do because I am always weak and fatigued. I cannot even do nothing by sit still and lie down all day. I feel so hopeless and painful body.

  • @amandavitaglian5859
    @amandavitaglian5859 2 года назад +2

    so impressed by the depth of your knowledge and how well you are able to explain it. You're a tru master of your craft.

  • @JagjeetJuneja
    @JagjeetJuneja 10 месяцев назад +1

    You are so intelligent, You have such a cool way of explaining things and I absolutely love your board and marker pens. Keep up the good work.

  • @hansbeukers7725
    @hansbeukers7725 Год назад

    I am a 74 year old male with a pacemaker and use anti hypertension drugs. I did not want to use metaprolol because I am still a racing cyclist and I want a high cardiac output for that reason.
    You told that metaprolol initially lowers the heartrate (and therfore the Cardiac output) but after some time it even increases the cardiac output. That is nice to hear and I wished I knew that earlier. Thank you! Today I use Perindopril, Nifedipine, Xarelto and Jardiance and I feel fine.

  • @mrzero8849
    @mrzero8849 17 дней назад

    You are doing an AMAZING job, thank you so much Dr. Zach

  • @sucedeu
    @sucedeu 6 месяцев назад

    Teaching like this is a GIFT that this superstar shares with all of us! 👍👍👍

  • @janemercado5815
    @janemercado5815 Год назад +2

    Just amazing! he is like the Bob Ross of medical teaching!

    • @I_am_Anne
      @I_am_Anne Год назад

      Yes. Exactly. 🤣😂🤣😂 It is funny because it is true.

  • @Knickkknack
    @Knickkknack 23 дня назад

    I’m not even a student, but I still watch your videos every day. I know more about medicine than most people now lol thinking about the medical field… I have a few misdemeanors on my record. That’s the only issue.

  • @brucenome989
    @brucenome989 2 года назад +1

    I enjoy all your videos I think I'm ready for medical school now after watching your videos and the way you teach the lecture

  • @abigailtembo5570
    @abigailtembo5570 6 месяцев назад

    Thank you so much, you are just the best of all.
    I Pray for more wisdom and long life so that you keep of helping even the new generation to come 🙏🏾🙏🏾

  • @ednatrepanier
    @ednatrepanier 10 месяцев назад +2

    You are the best person ever who can discuss anything you’re asked to do. You have a unique way of explaining everything so we can understand. Pls keep doing your education videos. Plenty of medical staffs are benefiting out of them like me. I love you!!!

  • @katiela972
    @katiela972 8 месяцев назад

    wow this is helping me drastically. I am an ICU new grad and this is very helpful! THANK YOU!!!

  • @pharmacistfayadhaliahmed4111
    @pharmacistfayadhaliahmed4111 7 месяцев назад

    For those who are interested in Pharmacology strongly advised I strongly recommend this channel to be followed

  • @amanalok4647
    @amanalok4647 9 месяцев назад

    I’m a med tech entrepreneur and you are the reason my company exists ❤

  • @shoukatmirza5014
    @shoukatmirza5014 Год назад

    Great work. Doctors can easily make their right approach towards patients and diseases. You make it too easy. God bless you for your great work.

  • @unicefox_sharksit109
    @unicefox_sharksit109 Год назад +1

    NOT ONLY YOU ARE AN AMAZING TEACHER, YOU ARE SO FUNNY TOO

  • @teresawalker2294
    @teresawalker2294 3 месяца назад

    An artist with great handwriting! As a layperson, I actually understand the illustrations and can read the handwriting❣️

  • @hiratariq3293
    @hiratariq3293 5 месяцев назад

    I am a pharmacy graduate and bro u are good enough hats off to you

  • @SortedBody
    @SortedBody Год назад

    Thank you very much for your time and effort producing this learning material. It will help me in my practice and benefit hundreds of my patients.

  • @Scoob-hb5eb
    @Scoob-hb5eb 10 месяцев назад

    Just want to say you have gotten me through nursing school. Used you last semester and got an A when the previous semester I got a C.

  • @fatimaalarabi5581
    @fatimaalarabi5581 2 года назад +1

    My exam is on the 5th of January
    And I'm so thankful cos I'm studying pharma from your wonderful channel
    It's so entertaining to learn it from you zach
    Thank you so much for your magnificent effort 💗

  • @awalehussein9614
    @awalehussein9614 2 года назад +2

    Thanks you Dr ninjanerd you are best lectural for medical department, we hope next video for pharmacology will be Diabetes mellitus drugs and their classification in best teaching and memory way

  • @jenispatel1024
    @jenispatel1024 2 года назад +5

    Due respect 🙏 .....!!bow down to u dr Zack🙌🙌🙌🙌

  • @milesholland6826
    @milesholland6826 Месяц назад

    Getting back into the field after 4 years of stay at home dad. This is perfect. Damn you are good!

  • @paulbaddoc2470
    @paulbaddoc2470 Год назад +3

    Zach Murphy the great 🖤🇸🇸

  • @BassantMohammed-i6n
    @BassantMohammed-i6n 11 месяцев назад

    No matter how much i try .. i can't thank u enough

  • @SuperLittleTyke
    @SuperLittleTyke 11 месяцев назад

    I'm male, 78 (almost) and I was diagnosed with heart failure 4 months ago with an ejection fraction of 25% to 35%. I'm now taking a cocktail of drugs: Entresto, Apixaban, Rosuvastatin, Furosemide, Bisoprolol, Eplerenone, Dapagliflozin and Aspirin. 11 years ago I had a triple CABG and made a full recovery. Three months after the operation I had a follow-up with a cardiologist and had an echocardiogram. The result of that, however, was an EF of 60%, no noticeable valve disease and the heart was pronounced good. In the intervening years I lost a lot of weight by counting calories and I modified my diet considerably with grains, wholemeal bread, lots of fish, including oily fish. What I want to know is how the EF can sink from 60% to as low as 25% in 11 years.

  • @ssdedsst3585
    @ssdedsst3585 2 месяца назад

    Add this to pharmacology playlist please
    I was seeking this a long time

  • @searching_4_truth.
    @searching_4_truth. 7 месяцев назад +1

    I have had this forever, it will or can cause a person to faint which it’s happened to me. No no drugs in my system. That bad thing is the cops put me in hand cuffs , which of course they didn’t find anything and had to let me go. The worse for me was my name was in the newspaper people automatically assumed that I was on drugs,so of course that’s all people think of you when nothing I did was wrong. This embarrassed me and caused my depression and made my anxiety worse. Don’t let this happen to you. I did get tested on my heart and I’ve always had very low blood/pressure, arterierial wouldn’t open and caused my blood to pool . I have always had thickening of my heart wall( a sort of orcardiomyopathy ).

  • @kusineraunoniebyang6102
    @kusineraunoniebyang6102 11 месяцев назад

    Thank you so much for sharing in more in-depth information on these drugs. I am HFrEF

  • @hdskl2150
    @hdskl2150 Год назад

    This is so awesome. I have a child with chd and its sooooooooo helpful to hear what these meds are doing

  • @salahal-saleh3076
    @salahal-saleh3076 2 года назад +2

    Just in time!
    Thank you

  • @irame5701
    @irame5701 9 месяцев назад

    Zach is a such amazing human being- lovely and talented. ❤️

  • @abikim912
    @abikim912 7 месяцев назад

    No words... phenomenal lecture. Thank you so much❤❤

  • @JETMDS
    @JETMDS Год назад

    Thank you so much for educating patients with their diseases CHF.

  • @labs2798
    @labs2798 Год назад

    Great content as always. Easy to understand, easy to revise and learn from. Your videos are a lifeline!

  • @rezatorabfam4458
    @rezatorabfam4458 Месяц назад

    best of all time / thank you man for your efforts/ you are really changing the world- dentistry student from iran

  • @deepakrtr4840
    @deepakrtr4840 2 года назад +1

    Bro...I have no words for these masterpiece.. Greetings fm 🇮🇳

  • @carpe996
    @carpe996 11 месяцев назад

    You may be in residency or fellowship training now as I have noticed the decreased number of recent videos BUT I PRAY MY FRIEND that you are working toward a specialty where you will be able to teach at least a large percentage of the time in a medical school, and a medical school that will allow you to continue this work with these videos and on your website because YOU HAVE A SPECIAL GIFT and are helping so many health care professionals and others be better practitioners and better people. YOU HAVE HELPED RESTORE MY LOVE FOR MEDICINE WHICH I HAD GOTTEN AWAY FROM. GOD BLESS YOU MY FRIEND. I know you would be a phenomenonal researcher and clinical practitionerand I PRAY ( selfishly I readily admit 😂) THAT YOU LEAN TOWARD TEACHING ( along w some clinical care to keep you FRESH, of course )

  • @5pmShaun
    @5pmShaun Год назад

    You are the bomb!
    Better lectures than during med school
    The why’s of pharm!

  • @thekharataykid
    @thekharataykid 5 месяцев назад

    wow. i d think i would need my book after this. thankyou for helping me engrave this concept in m mind

  • @annjelasantiago8057
    @annjelasantiago8057 2 года назад +1

    Thank you for this awesome lecture. Your knowledge and commitment is remarkable.

  • @griselgaspar6904
    @griselgaspar6904 Год назад

    Amazing video Zack! You have an amazing talent to teach! You make all these concepts so easy to understand!

  • @trudikaye2326
    @trudikaye2326 9 месяцев назад

    LOVE his energy for teaching!!!

  • @CarolReidCA
    @CarolReidCA 9 месяцев назад

    I'm watching again. The signals from the heart to the medulla obligata is by the IXth (9th) cranial nerve, or the glossopharangeal nerve. The Xth (10th) is the vagus never.
    I had to look it up to be sure, as it had been a while, but hopefully, that's helpful for someone.
    The carotid sinus baroreceptors are innervated by the carotid sinus nerve branch of the glossopharyngeal nerve. Their stimulation results in heart rate reduction mediated by the vagus nerve.
    Thanks for your lectures!

  • @KaოA
    @KaოA 2 года назад +3

    When are you coming at India sir???

  • @joudizawet7573
    @joudizawet7573 Год назад

    Can't imagine studying medicine without your videos! :')❤❤❤

  • @EntEmpireTV
    @EntEmpireTV Год назад

    Thanks man , you are a great help to medical students

  • @yvonnevillalba7722
    @yvonnevillalba7722 Год назад

    Thank you for this detailed explanation. You are a fantastic teacher.

  • @margaritavivero4776
    @margaritavivero4776 2 года назад +1

    🫵 You, Professor Zach Murphy 🧠 gave a 2:52:11 on drugs 💊🧪💉for heart 🫀failure.
    W. O. W. Almost 3 hours!! I … had to take breaks🥵🥵🥵 THANKS 🥰🥰🥰

  • @pilotogeta
    @pilotogeta 9 месяцев назад

    Made it easy for me, I really really enjoyed it ❤❤

  • @CarolReidCA
    @CarolReidCA 9 месяцев назад

    I just found you. You're an excellent instructor/professor. I'm having to take this in a bit at a time, but excellent teaching, excellent content, and to the point.
    I hope and pray that you are teaching as many students as possible, as we need tons of clones of you who can learn, and then they can teach others as well, and so on.
    You have a great voice, you cover the subject matter in an organized manner, you are clear, you have drawings and printing that is great and readable.
    Can you do a video on Alpha-1 antitrypsin deficiency MZ phenotype, and treatments for lung, liver and eye inflammation, drugs to avoid (such as Tamiflu, NSAIDS, Tylenol, etc.), risks for heart, lung, liver, kidneys, brain, retinas (especially in children), etc.?
    It seems MZs are more at risk for both lung and liver problems, as well as other problems that have very little research, it seems.
    This would be greatly appreciated, both from a personal and professional standpoint. Thanks for at least considering this.
    I agree that Ivabrdine is a strange bird... Wouldn't the ion transfer create a delay in and/or prolongation of ST waves? And all that entails? (Early repolarization, aneurysms, pancreatitis, etc.)???
    I'm asking, as it seems that could be a problem, and without other meds, a possible increase in stroke risks???
    I can see why they'd need to ideally be maxed on a beta blocker when using Ivabradine. And a

  • @duaajawed2273
    @duaajawed2273 Год назад

    Thank you so much for saving my semester! ❤

  • @SnapStats247
    @SnapStats247 Год назад +1

    I didn't get where digoxin fits in negative chronotropic effect. Could anyone explain it to me please?

  • @Yem-Doc
    @Yem-Doc 2 года назад +1

    Thanks Dr ...from Yemen

  • @mathiasmontalvo3683
    @mathiasmontalvo3683 Год назад

    Thank you for this detailed explanation. It is truly a fantastic video.

  • @tamngoc6046
    @tamngoc6046 10 месяцев назад

    Thank you Ninja Nerd very much!

  • @Vamparina413
    @Vamparina413 11 месяцев назад +2

    It is interesting you mentioned the Entresto is an alternative because I was diagnosed with CHF with 35% EF and was started on Entresto and BisOPROLOL. I was told that I would be on four type of medication as my first line which is the Entresto, BisOPROLOL, Spironolactone and Empaglifozin. Is this perhaps the new standard for CHF first line?

    • @DavidRamirez-lw8lp
      @DavidRamirez-lw8lp 3 месяца назад

      Yes. This lecture, while amazing, is a bit outdated. SGLT-2 inhibitors are now part of GDMT for HF

  • @deimosmars1370
    @deimosmars1370 9 месяцев назад

    That " Bro please , stop filling me up , I've got too much in my ventricles " caught me off guard.

  • @mathewskataso8907
    @mathewskataso8907 2 года назад +2

    amazing stuff as usual

  • @heinrichnel727
    @heinrichnel727 9 месяцев назад

    Best 3 hours ive ever invested in

  • @mercyochoa2135
    @mercyochoa2135 Год назад

    Your video to this topic is impressive, Brilliant, thank you

  • @TrishErwin-hu4jo
    @TrishErwin-hu4jo 7 месяцев назад

    Another video on your channel explaining CHF was so clear, informative & helpful - so, thank you..Got anything on APS, Auroimmunity diseases? If one wants to empty a room of medical folks just ask questions about APS , lol (and yes, sometimes that is desirable). Can be difficult to get & understand enough information to make decisions regarding one's health- very frustrating.