Aortic Dissection - Dissecting Aortic Aneurysm

Aortic Dissection - Dissecting Aortic Aneurysm - Cardiology Series

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Aortic Dissection - Dissecting Aortic Aneurysm - Cardiology Jamie's Story.
JP Morgan Chase is the currently the biggest bank in the world!
Aortic dissection is tearing of the tunica media of the aorta, it produces severe chest pain that radiates to the back.
It is divided into Stanford Type A and Stanford Type B.
Aortic Dissection | Jamie's Story...On Thursday, Mr. Dimon had an emergency surgery!
What is aortic dissection? -It's triggered by a tear in the media of the wall of the blood vessel...Hypertension is a risk factor.
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@MedicosisPerfectionalis 4 жыл бұрын

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@luminousji Жыл бұрын

As it is aortic dissection, beta blockers are typically the first-line treatment to control blood pressure and prevent reflex tachycardia. Nitroprusside may be used in addition to beta blockers if needed to further control blood pressure.

@zupulynn4764 3 жыл бұрын

LMAO this is the funniest medical lecture I’ve ever watched. Thanks for this you’ve made my day.

@MedicosisPerfectionalis 3 жыл бұрын

Thank you 🙏

@whiteguyplays6229 4 жыл бұрын

Great job 'Dissecting' this topic

@MedicosisPerfectionalis 4 жыл бұрын

Haha 🤣 You’re sharp!

@MedicosisPerfectionalis 10 ай бұрын

❤️Cardiology Playlist: kzfaq.info/sun/PLYcLrRDaR8_dc8IwFj3UcZKkZimMFMCwC&si=mz0oqFg-xsdyNTJU

@DrElla-vm9mo 4 жыл бұрын

May be B blocker🤔, I think using VD first will cause rebound or reflex tachycardia which it will exacerbate the condition 😅

@MedicosisPerfectionalis 4 жыл бұрын

You’re excellent!

@maryrapp1 10 ай бұрын

Thank you! 10 year survivor type B descending - Labetelol, HCTZ, and lisonopril and still under surgical size

@williamsmith7221 4 жыл бұрын

Love how you base your videos on current events! Million subs here we go

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much, dear!

@estherssebbowa3043 4 жыл бұрын

Thank you Medicosis really great content - "The "Pharaoh" has spoken " answer to your question - Blood supply to right heart border via the marginal artery and posterior wall via the posterior interventricular atery / posterior descending artery - in the event of a dissection taking out the right coronary artery.

@mariaisabelposadaarbelaez4476 3 жыл бұрын

OMG! I love youu. You're my medical superhero. Please don't stop to do this

@MedicosisPerfectionalis 3 жыл бұрын

Thank you so much 😊

@DrElla-vm9mo 4 жыл бұрын

Thanks a lot, you don't know how much I love you Please continue CVS I have my final exam at the end of this month

@MedicosisPerfectionalis 4 жыл бұрын

Thanks 🙏 Good luck 🍀

@makasheenocent1412 2 жыл бұрын

start with B-Blockers; if we start with Nitrates we'll have our heart beating fast and a little pre-load (little time for ventricular filling). we'll then have a little stroke volume. I don't know, correct me

@acea1331 4 жыл бұрын

This is actually the best damn medical page on KZfaq

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much ☺️

@nisrinemansour8102 Жыл бұрын

That's pure informative comic relief! My mom was rushed into urgent surgery for aortic dissection and I wanted to know more about it. I fell on your video and it is the most hilarious super informative and kick ass vid on the topic! Thanks for putting such a great effort into it! I wish I studied medicine :)

@MedicosisPerfectionalis Жыл бұрын

Thank you! How is your mom doing now?

@glob3242 3 жыл бұрын

Very well explained! Thank you.

@Bam97277 3 жыл бұрын

😂😂😂love how you make the lessons so interesting and easy to understand

@MedicosisPerfectionalis 3 жыл бұрын

Thank you 🙏

@keyblademaster179 4 жыл бұрын

Love your video. Even though I can’t fully understand… still working on the pre-med

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊 This means that you really care about learning and you enjoy medicine! Good luck 🍀

@simonequattlebaum898 Жыл бұрын

This video is everything!! 💕 SO good!

@MedicosisPerfectionalis Жыл бұрын

Thank you so much, Simone! Would you please help me by sharing?

@bojkenaselmanaj6522 3 жыл бұрын

omg i have enjoyed this video so much. i actually laughed and really understood. u re so good

@MedicosisPerfectionalis 3 жыл бұрын

Thank you so much 😊

@omar-iv9xi 3 жыл бұрын

Fantastic, thank you so much!!

@MedicosisPerfectionalis 3 жыл бұрын

My pleasure 😇

@kawsarzaman608 9 ай бұрын

Very interesting and enjoyable lesson for such a complicated topic and easy to follow too. THANK you very much!

@MedicosisPerfectionalis 9 ай бұрын

You're very welcome!

@emailmanu1 3 жыл бұрын

Great video with both information and humor

@MedicosisPerfectionalis 3 жыл бұрын

Thank you 🙏

@manishkamat559 Жыл бұрын

amazing lecture video...its just wow.thank you so much

@MedicosisPerfectionalis Жыл бұрын

Thank you 🙏

@argumentumadbaculum 4 жыл бұрын

Thoroughly enjoyed

@MedicosisPerfectionalis 4 жыл бұрын

Amazing 😉 Thank you so much for watching!

@Kaalokalawaia 3 жыл бұрын

My friend just had an aortic dissection and he is barely 40 years old, is physically active and not obese. I'm trying to find out why this may have happened to a person so young and I'm not finding any information other than Marfans (which he doesn't have) or EDS (which he also doesn't have). Any other possibilities that come to mind, anyone?

@MedicosisPerfectionalis 3 жыл бұрын

I am sorry to hear that! Other possible causes of aortic dissection include: Copper deficiency (weak vessel wall), Hypertension, Coarctation of the aorta, Bicuspid aortic valve, Trauma, Cigarette smoking, High cholesterol, Atherosclerosis, Loeys-Dietz syndrome, Marfan and Ehlers-Danlos, A Familial disease. Hope this helps! Best of luck to both of you!

@amgani4840 2 жыл бұрын

You are brilliant doctor 👏... Keep going

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 😊

@mohda.9420 4 жыл бұрын

It will be the inferior surface of the heart that's affected in a RCA MI if i recall correctly? Which would correspond to leads 2, 3 & AVf on ECG.

@MedicosisPerfectionalis 4 жыл бұрын

Excellent! What else? Can you just mention the different parts (chambers, borders, surfaces) that are supplied by the right coronary artery?

@mohda.9420 4 жыл бұрын

@@MedicosisPerfectionalis ooh good question. Would it be: Right ventricle, inferior and posterior wall of left ventricle? (I'll admit I had to do some research for this second question😅)

@babinasab1039 4 жыл бұрын

I really like your videos, please continue

@MedicosisPerfectionalis 4 жыл бұрын

Sure

@itsanunfface8913 2 жыл бұрын

Best lecture ever

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 😊

@cubeofdoom4855 4 жыл бұрын

Great video!

@MedicosisPerfectionalis 4 жыл бұрын

Thanks 🙏

@zahra_hassan Жыл бұрын

14:55 IV labetalol before Na nitroprusside ( coz of reflex tachycardia)

@L_MD_ 3 жыл бұрын

Patients with Turners syndrome are at risk of this if there’s a history of bicuspid aortic valve and or repair of coarctation of the aorta.

@dhaiialzahrani9434 3 жыл бұрын

well explained Dr I like ur videos

@MedicosisPerfectionalis 3 жыл бұрын

Thank you 🙏

@vitekpaulik7705 10 ай бұрын

You are the best!

@MedicosisPerfectionalis 10 ай бұрын

Thank you so much for your support!

@medical__fragrance 3 жыл бұрын

Dude!!! How so perfect???

@MedicosisPerfectionalis 3 жыл бұрын

Thank you ☺️

@ThatsWhy- 3 жыл бұрын

In what playlist is this lecture??

@MedicosisPerfectionalis 3 жыл бұрын

Miscellaneous

@Mobycat26 4 жыл бұрын

We definitely can't downplay the possible urgency of an AAA. At the age of 23 I was DX with a stable dissection (it had happened previously), an AAA, cushings syndrome and Conn's syndrome. After one full and one partial adrenalectomy (then becoming AI) we discovered my AAA had grown large enough to warrant a large open repair with a Dacron graft (age 26). After sepsis (mutilation of 3 of my ribs because infection ate them), adrenal crisis and a spinal cord infarction, I narrowly escaped with my life. The damage to my body is irreparable and I still have a smal type b anneurysm because it was too large to repair. It's my understanding I'm more graft than aorta. I enjoyed your video. Thank you.

@MedicosisPerfectionalis 4 жыл бұрын

You’re welcome! I am so sorry that you went through this...It must have been hard! How is your health today?

@Mobycat26 4 жыл бұрын

@@MedicosisPerfectionalis thank you. My health is actually pretty poor atm. The aldosterone tumor has recurred on my partial adrenal and I also have essential htn. I actually have a question you might be able to answer...as someone with Conn's would I have a larger or smaller amount of ACE2? I'm being treated with eplerenone does that affect the answer? Lastly if the answer is a greater amount, could covid19 be more virulent to my system? I'm already immunocompromised because I don't make HC and replace my steroids. I ask, because most docs find this stuff interesting and I'm genuinely concerned.

@REAL.OAKLAND.RAIDERS Жыл бұрын

My wife has crohns and her aorta inflammation what’s the next step

@Mobycat26 Жыл бұрын

I honestly don't know much about "inflammation" but I would think you should see a vascular doctor

@neverdead1415 3 жыл бұрын

“The KGB” 😂😂😂😂🤣😂😂😂 LOVED THE PUN

@user-hc6cx2vh6e 2 жыл бұрын

So beautiful so amazing keep going please

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 🙏

@abyss8501 4 жыл бұрын

want more of cardiology lectures from u..

@MedicosisPerfectionalis 4 жыл бұрын

Ok 👍 I will try my best!

@8victories713 3 жыл бұрын

I had aortic dissection at 23 on 2017..its 2021 now.. I'll be back in 6 years!....maybe :)

@jimmymuhangi2315 Жыл бұрын

Bruh you know how to patch up! If you were at KABSOM, Uganda, you would be me

@santokhsingh6253 3 жыл бұрын

i am. 60. year. my aorta 3'6 what i do

@kawsarzaman608 9 ай бұрын

@6.50 you mentioned "A Tear in Media". Double checking with you, please correct me as I know it's "A tear in the Intima"

@ahmedabdelkreem9323 4 жыл бұрын

what is the promo for antibiotic course?

@MedicosisPerfectionalis 4 жыл бұрын

ahmed abdelkreem Hey Doctor, please send me an email!

@ahmedabdelkreem9323 4 жыл бұрын

@@MedicosisPerfectionalis dr.ahmed.zob3@gmail.com

@MedicosisPerfectionalis 4 жыл бұрын

ahmed abdelkreem My email is medicosisperfectionalis@gmail.com

@MedicosisPerfectionalis 4 жыл бұрын

Send an email to my inbox, please!

@imransisil854 3 жыл бұрын

Lovely

@MedicosisPerfectionalis 3 жыл бұрын

Thank you so much 😊

@donnaberscht5320 Жыл бұрын

Where are you from I'm in saskatchewan

@ghinacharafeddine 7 ай бұрын

You are great Thank you Medicosis🤍

@MedicosisPerfectionalis 7 ай бұрын

Thank you too!

@grayhero1 3 жыл бұрын

Hit the RCA (wether an occlusion or as an Aortic Dissection complication or etc,):possibilities: Inferior STEMI. Mainly RV and diaphragmatic wall of LV. SA node,AV node ischemia.(leading to arrythmias) Right atrium ischemia. IV septum infarct also.(about this one correct me if I'm wrong please)

@smogavc123 4 жыл бұрын

love it hhow u re expalning?! th e style :D

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊

@takipngstrings6859 4 жыл бұрын

pls cancel the order #00915 i forgot to put the right address

@MedicosisPerfectionalis 4 жыл бұрын

Alright...No worries...You can enter it again using the right address...Thanks!

@Dmaiskie16 4 жыл бұрын

I think the inferior surface of the heart will be affected if you hit the RCA.

@MedicosisPerfectionalis 4 жыл бұрын

Correct

@vixr7870 3 жыл бұрын

Beta blockers first then nitroprusside to prevent reflex tachycardia 👍

@hezebelbeing 3 ай бұрын

Thank you for this. I have an Ascending Aortic Aneurysm 4.5 cm and pain in my chest and back and they are taking their sweet time getting me an echocardiogram or TEE even, I am on zero meds, I found this because my Dr wasn't getting me in for a chest CT, my arteries in my neck feel swollen even and I am nauseated and sick every day, OH I PAID for the chest CT as I wasn't going to wait (Canada) even yet another month, and voila...I was right, it's serious, I didn't even say I told you so, didn't get the opportunity, as my GP informed me BY EMAIL and now I am waiting for the Aorta Disease Clinic to call, but I feel like we should move umm....faster? My Dr just sent me an email saying she didn't know much about it and to take a low dose aspirin and let her know if I got a nose bleed? what EVEN IS THAT. Sorry to go on here...just this was a good amount of info, as I don't understand the waiting for a full on dissection, what If I've already had on or the flap thingy etc etc (dammit Jim I'm a musician, not a Dr.) I've seen lecture after lecture saying that many dissections of the ascending aorta happen

@DrMnike- 2 жыл бұрын

Beta blockers to decrease tachicardia and BP, two for the price of one.

@MedicosisPerfectionalis 2 жыл бұрын

Yup 👍

@minato1998ify 4 жыл бұрын

love and respect baby

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊

@mademoisellealex918 4 жыл бұрын

♥️

@MedicosisPerfectionalis 4 жыл бұрын

Thanks 🙏

@GoEunbeol_049 2 жыл бұрын

🤣🤣🤣 hilarious and educative.

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 🙏

@majeddwairi8671 7 ай бұрын

WOW

@emangamal6593 2 жыл бұрын

بنحبك من ايچبت😂❤️❤️❤️

@CJODell12 10 ай бұрын

Dimon survived BTW

@MedicosisPerfectionalis 10 ай бұрын

Yes!

@valeriabianca2104 3 жыл бұрын

👏👏👏♥️

@JyotsnaTY Жыл бұрын

The dilated pupils 😭😭😆😆😆

@MedicosisPerfectionalis Жыл бұрын

@shaguftayasmin2882 Жыл бұрын

I can barely focus on the video 🤣

@MedicosisPerfectionalis Жыл бұрын

@baneenhussain2558 3 жыл бұрын

Thank you sir 🤣🌈

@MedicosisPerfectionalis 3 жыл бұрын

My pleasure 😇

@ranaabuobaid5577 4 жыл бұрын

👍❤️👍❤️👍❤️

@MedicosisPerfectionalis 4 жыл бұрын

Thanks 🙏

@donnaberscht5320 Жыл бұрын

It's scary

@Malick-ix9io 3 жыл бұрын

The same illness that killed Miura...

@josefranciscojimenezfermin3552 2 жыл бұрын

Rip Kentaro

@mariamemad8235 8 ай бұрын

😂😂🥰

@hosamalamedien7722 3 жыл бұрын

You have a great way of explaining subjects, but you rocket through important stuff , and waste alot of time in insignificant info ... its a bit irritating .