Drugs for Heart Failure

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  • Опубликовано: 24 дек 2024

Комментарии • 298

  • @inalaura9292
    @inalaura9292 Год назад +292

    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 +176

    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 2 месяца назад +1

      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 +50

    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.

  • @Albert23456
    @Albert23456 8 месяцев назад +19

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

  • @aminaqamar50
    @aminaqamar50 10 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 😭

  • @ricknimusiima6571
    @ricknimusiima6571 4 месяца назад +15

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

    • @thekharataykid
      @thekharataykid 4 месяца назад

      what does that mean asking on behalf of non american people

  • @lucamirea135
    @lucamirea135 2 года назад +88

    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!

  • @sallieukamara5156
    @sallieukamara5156 7 месяцев назад +11

    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 5 месяцев назад

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

  • @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 9 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 5 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.

  • @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!

  • @yachiapatel
    @yachiapatel 2 года назад +21

    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 🌠

  • @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 4 месяца 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 Месяц 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.

  • @Wallowby
    @Wallowby 20 дней 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.

  • @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.

  • @garrettross9999
    @garrettross9999 10 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.

  • @faisalmehedi2490
    @faisalmehedi2490 2 года назад +6

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

  • @Gogoat28
    @Gogoat28 2 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

  • @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 🇸🇩🇸🇩

  • @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 !!!!!

  • @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 🇿🇦 ❤

  • @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 10 месяцев назад +1

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

  • @hansbeukers7725
    @hansbeukers7725 11 месяцев 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.

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

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

  • @karenmoore2972
    @karenmoore2972 7 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 Год 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!

  • @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

  • @robynneRN
    @robynneRN 2 года назад +2

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

  • @nanadarkoampem
    @nanadarkoampem Год назад

    This is one of the best educative sites ever visited

  • @ednatrepanier
    @ednatrepanier 9 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!!!

  • @tl4340
    @tl4340 Год 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 10 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.

  • @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!

  • @searching_4_truth.
    @searching_4_truth. 6 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 ).

  • @TroyWoods-lu4ch
    @TroyWoods-lu4ch Месяц 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!

  • @ngoziemozie9779
    @ngoziemozie9779 Год назад +1

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

  • @sucedeu
    @sucedeu 5 месяцев назад

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

  • @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!

  • @kusineraunoniebyang6102
    @kusineraunoniebyang6102 10 месяцев назад

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

  • @janemercado5815
    @janemercado5815 Год назад +2

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

    • @I_am_Anne
      @I_am_Anne 11 месяцев назад

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

  • @amanalok4647
    @amanalok4647 7 месяцев назад

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

  • @kabirmoz5369
    @kabirmoz5369 7 месяцев назад

    Thanks!

  • @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

  • @SuperLittleTyke
    @SuperLittleTyke 10 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.

  • @abigailtembo5570
    @abigailtembo5570 5 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 🙏🏾🙏🏾

  • @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.

  • @hiratariq3293
    @hiratariq3293 4 месяца назад

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

  • @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 💗

  • @pharmacistfayadhaliahmed4111
    @pharmacistfayadhaliahmed4111 6 месяцев назад

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

  • @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.

  • @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

  • @teresawalker2294
    @teresawalker2294 2 месяца назад

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

  • @Scoob-hb5eb
    @Scoob-hb5eb 9 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.

  • @paulbaddoc2470
    @paulbaddoc2470 Год назад +3

    Zach Murphy the great 🖤🇸🇸

  • @JagjeetJuneja
    @JagjeetJuneja 9 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.

  • @jenispatel1024
    @jenispatel1024 2 года назад +5

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

  • @katiela972
    @katiela972 7 месяцев назад

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

  • @BassantMohammed-i6n
    @BassantMohammed-i6n 10 месяцев назад

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

  • @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

  • @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

  • @JETMDS
    @JETMDS Год назад

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

  • @unicefox_sharksit109
    @unicefox_sharksit109 Год назад +1

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

  • @carpe996
    @carpe996 10 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 )

  • @irame5701
    @irame5701 8 месяцев назад

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

  • @CarolReidCA
    @CarolReidCA 8 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!

  • @SortedBody
    @SortedBody 11 месяцев 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.

  • @abikim912
    @abikim912 6 месяцев назад

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

  • @5pmShaun
    @5pmShaun Год назад

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

  • @milesholland6826
    @milesholland6826 27 дней назад

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

  • @thekharataykid
    @thekharataykid 4 месяца назад

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

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

    Just in time!
    Thank you

  • @rezatorabfam4458
    @rezatorabfam4458 25 дней назад

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

  • @joudizawet7573
    @joudizawet7573 Год назад

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

  • @trudikaye2326
    @trudikaye2326 8 месяцев назад

    LOVE his energy for teaching!!!

  • @deepakrtr4840
    @deepakrtr4840 2 года назад +1

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

  • @annjelasantiago8057
    @annjelasantiago8057 2 года назад +1

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

  • @EntEmpireTV
    @EntEmpireTV 10 месяцев 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.

  • @heinrichnel727
    @heinrichnel727 8 месяцев назад

    Best 3 hours ive ever invested in

  • @labs2798
    @labs2798 Год назад

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

  • @hewhoknocks2880
    @hewhoknocks2880 10 месяцев назад

    Dude I have heart failure and you just answered sooooo many questions for me with this one.
    I was in the air about all of this and what each drug does before your picture
    I understood absoloutely everything and I’m not a doctor
    Amazing explanation

  • @rawaashaar9679
    @rawaashaar9679 Год назад +1

    You deserve to be the hero who save medical students ❤

  • @ssdedsst3585
    @ssdedsst3585 Месяц назад

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

  • @mathiasmontalvo3683
    @mathiasmontalvo3683 Год назад

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

  • @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 🥰🥰🥰

  • @duaajawed2273
    @duaajawed2273 Год назад

    Thank you so much for saving my semester! ❤

  • @tamngoc6046
    @tamngoc6046 9 месяцев назад

    Thank you Ninja Nerd very much!

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

    Thanks Dr ...from Yemen

  • @griselgaspar6904
    @griselgaspar6904 Год назад

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

  • @pilotogeta
    @pilotogeta 8 месяцев назад

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

  • @lich5655
    @lich5655 2 года назад +1

    In Australia we've added SGLT2 inhibitors like dapagliflozin to our first line therapy along with the beta blockers and ARNI + valsartan. It's unknown why but seems to be cardioprotective and improve outcomes, likely due to the diuretic effect.

    • @em8066
      @em8066 2 года назад

      We also learned about the role of SGLT2-i in my PA program in the US. Seems especially useful given the frequent comorbidity of HF and DM.

    • @prithvirajdhonde2430
      @prithvirajdhonde2430 2 года назад

      In NHS too we add DAPA 10 along with others

  • @thomascooper6679
    @thomascooper6679 Год назад

    Professor-
    Please do a similar exposé on how SGLT2 inhibitors work for non-diabetic heart failure patients with low EF (

  • @mercyochoa2135
    @mercyochoa2135 Год назад

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

  • @ndukeabasiinyang9421
    @ndukeabasiinyang9421 8 месяцев назад

    Thank you Dr., for this awesome video

  • @mathewskataso8907
    @mathewskataso8907 2 года назад +2

    amazing stuff as usual

  • @Vamparina413
    @Vamparina413 10 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 2 месяца назад

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

  • @yoshtisune
    @yoshtisune 2 года назад +1

    Aldosterone antagonists arent an add-on therapy, its a GDMT which means all HFref patients should take this medication with an acei or an arb because it reduces heart fibrosis and hypertrophy

    • @DavidRamirez-lw8lp
      @DavidRamirez-lw8lp 2 месяца назад

      Depends on the NYHA stage/EF.

    • @yoshtisune
      @yoshtisune 2 месяца назад

      @@DavidRamirez-lw8lp i specified it in my comment that it should be for HF with reduced ejection fraction (less than 40%)
      This was a long time Avon I don’t remember the video tbh

  • @dagimsamuel8086
    @dagimsamuel8086 10 месяцев назад +1

    God bless you