Heart Failure (Acute Decompensated Heart Failure)

The music!! Lol

Love this video, thank you!!!

Understansing at its best!! Thanks a lot sir!!!

I've really been enjoying these recent videos. Thanks for all the hard work you've put in!

Pls doc make videos on echo ...

I really appreciate the effort you do into making these videos! You are really good at breaking complex topics into manageable, understandable bitesize nuggets of knowledge. Grateful for your time!

Great video. Can you do primer on dialysis, types and indications.Really appreciate your videos!

Great video. Thanks for your effort.

Great video as always sensei Dr Strong ! Thank you !

First of all thank you for this lecture, very informative, and high yield in inpatient care.

Regarding the beta blockers it's always controversial where I work each attending has his own practice.
But I came to understand that if the patient was on a betablocker and compliance is assured then it should be continued and not held or reduced during the admission regardless of the severity of the CHF. ( unless the patient is HD unstable from hypotension/bradycardia)

Can you please guide from which reference you came with reducing or holding a betablocker if patient has mod/severe CHF?

That will help a lot. Thanks in advance.

Excellent approach to HF for any one in IM rotation .Thank you .

You are great

Thanx sir for your lectures....God bless you

Simply excellent. Very grateful for clear, concise and well presented video. Thank you for the great channel. 😊😊 9/9/2019

Hello Dr. Eric. Do you also consider Neprilysin+ARB Combination to your hospitalised HFrEF patients after ADHF?

Hi dear Eric .. does de novo acute heart failure share the same traitement principles ?

Is a well compensated hear failure („dry and warm“) actually an „acute decompensated heart failure“ and not rather just a chronic heart failure?
They shouldn’t have any acute symptoms or am I wrong???

ONE Question please to YOU DOCTOR AND THOSE WITH GOOD HEART KNOWLEDGE. Thank you all very much.
I was born with a tiny heart soplo. Which was noticed 6yrs ago at age 28. I was told it was nothing to worry about becaue it was a very small size. I was on absolute bed rest at age 30 and my baby was at high risk. In btw I wasn't given any anticuaglants for 3 months. After baby was born. I got a mild pulmonary Trombos. I was placed on Back to my normal life etc.while on XARELTO for 1yr. I was adviced by 3 diff doctors to operate the soplo to avoid stoke for future pregnancies, other 4 diff doctors said it wasn't necessary and placed me on aspirin protect... says every one above 30 is supposed to be taking it. My breathing. ECO results, lifestyle have being normal. I DON'T SMOKE. The aspirin is provoking colitis and I am very scared about the operation, I don't want complications and I hope for more kids. How serious is this case? I have being traumatized with this fear for years now. PLS YOUR SINCERE HELP AND FEEDBACK WILL BE VERY VERY APPRECIATED. Thanks and God bless.

This is amazing, Thank you so much!! HUGE fan.

Hi Dr. Strong,

Thank you for these great videos! I am a little confused about the treatment of warm/wet pts. You mentioned that loop diuretics would improve preload and vasodilators would improve afterload. Why does treatment of warm/wet pts focus on improving cardiac function when cardiac output is normal?

Thanks again.

You are a legend sir, I wish I watched this lecture before today, but after today I will not make the same mistakes again, I promise.

GREAT SIR

Thank you Doctor Strong. No salt restriction , I like to eat salt , :). This is a wonderful lecture indeed. Would you suggest the dose of hydra lazing and nitrate since you said it is better in acute situation than ACE I and ARB

💞💞💞💞

Iam so Thankful

Thank you so much! Pls make more videos like this!!

Your lectures are sooooo helpful. Big thanks 👍👍

Great and helpful info, especially the last part with the example of report. Thank you, Dr Strong!

Drugs with Mortality benefit in Heart Failure with reduced Ejection fraction are
1. ARNIs/ACEI/ARBs
2. Beta blockers
3. Spironolactone
4. Hydralazine/Nitrate
5. Ivabradine
6. SGLT2 Inhibitors

Thank you very much Doctor Strong. So practical.

Perfectly and in proper way of explanation 🙏 excellent

"Intern"?? lol i haven't even taken the hesi yet

Doctor, can you please make a teaching video lesson on Chronic Heart failure management.

I sincerely love you and thanks for letting us be your overseas students

Thank you so much for your detailed explanation.
It is extremely helpful as a nurse to understand the reasons behind the physician's decision.
Thank you so much for your great work.

This is so helpful. Thank you very much.

Truly excellent & immensely appreciated. We are really indebted to you.

So so good !!

The Presentation on texts is blurred to read it.

I have congestive heart failure and take no medication for it because I stopped, My heart is gonna get worse and I can't wait till it happens, The pharmacist will never see my face again, The cardiologist will never see my face again.

Thank you Dr. Strong! In the patient presentation, does inotropy refer only to positive inotropes (since B blockers are included in the neurohormonal blockade section)?

x1.25 speed makes him almost sound like he's talking normally. You're welcome.

Thank you Doctor
And I've i Question please answer me


Acute Heart failure Patient with shortness of breath(SOB) and peripheral edema, which forrester classification?
• A. dry and cold
• B. wet and cold
• c. dry and warm
• D. wet and warm Stage

Which one is the correct answer ?

This is great! Thank you! From a resident in sweden. Could you provide me with some article on the conversion between IV furosemid and oral furosemide?

How to present the patient treatment plan at the end was such a wonderful and practical way how to teach medicine that it left me in awe. Huge thanks!

Keep up the Strong work

Strong is a really nice part of Stanford. Not a fan of everything that school does but they do have some Strong Medicine

Great video doc. Thanks a lot!
Any reference for which type of exacerbation leads to what type of ADHF with pathophysiology ?

If we use loop diuretics in low cardiac output patients with SBP less than 90,wouldn’t it worsen hypotension ,even if patient is on ionotropes?