Thank you!! Your videos are very informative and helpful!!! For me, it is always a struggle to understand what actually happens and why it looks like that on an ECG, and you make everything clear. Please continue to upload more videos! It would be amazing if you could upload a video about SVT and explain the different definitions, for example: what is the difference between atrial tachycardia and focal atrial tachycardia? Or is SVT the same as atrial tachycardia? And of course the ECG patterns of each SVT. THANK YOU!
Thank you very much and I'm glad you enjoyed it. It is always a struggle to figure out if I should make a video short and sweet, or a little bit longer to flesh out more detail and give more examples. I'm sure that people have differing opinions on the topic in general, and for this video in particular. I am very glad you enjoyed the various examples I presented!
Hello Dr Cooper , im a first year cards fellow and interested in EP. Your videos are some of the best EP videos! Would love a lecture on voltage mapping
@@dr.joshuacooper-arrhythmia9917 Respected Doc, I am an USMLE aspirant & strict follower of your youtube videos. Your way of teaching is commendable. 👏🙂 It is helping me alot in CK (cardiology section).
A patient with a dual chamber his bundle pacemaker for SSS and CI wears a zio patch and findings show 2nd degree heart block mobitz 1. Av delay has been changed several times. What would cause a block to happen with a pacemaker.
Depending on the brand if there is programming to promote intrinsic conduction, certain brands may allow what looks like AV block. Possible this could also occur during threshold testing of the device, or if the intrinsic rate is fast, and it is programmed to AAI with some VVI back-up. If the v-rate is occurring faster than the VVI back-up it may look like AV block. Also if the device is programmed to AAI for some odd reason that could also occur. There's also the option of oversensing on the device leading to no pacing occurring, or non-capture of the ventricle pacing given his bundle pacing often has high thresholds that increase over time for pacing. in short you don't really know unless interrogating the pacemaker and seeing the issue happening during interrogation
Thanks so much! You might find what you are looking for in my "EKG reading: How the QRS is made" video, where I start the section in aberrancy at 4min 20sec. ruclips.net/video/AB-IK0QKoY8/видео.html
How to resolve if it is Mobitz 2 if Holter Ecg strip goes like this: longer PR interval, shorter PR interval, longer PR interval with very little differences in interval longevity among them and then P wave with dropped QRS complex? And it is nocturnal in sleep? Thanks very much in advance for every answer.
Would be an unusual pattern to see a shorter PR interval after a longer PR interval in a 2nd degree AV block situation. Can certainly see different beats conducting down slow vs fast components of the AV node, giving different conducted PR intervals. And can see AV block with subsequent junctional escape beat giving appearance of long PR with conduction. But I can't come up with a good explanation for the pattern you describe without seeing the tracing. During sleep, high vagal tone is common, and can see patterns consistent with AV node slowing and/or block in the context of high vagal tone.
This is phenomenal. Sincerely. I am a cardiologist and listening to your videos help me teach my residents. Cannot thank you enough!!!
Always waiting for a new video from Dr Cooper!
Amazing video
I certainly hope that you will have presentation on differentiating RVOT LVOT PVC’s soon
Thank you
These videos are amazing, hope to see more of it 😊
Thanks so much! I really like the Telemetry videos but they haven't been as popular 🤷♂️
Glad you've found them useful!
verry important VIDEO, EKG, QRS complex video, also is in high degree off importance in electrocardiology physiopathology, THANK YOU DOCTOR
Excellent video dear Dr Josh. As an EP guy myself, I always enjoy your teaching style. Keep it up. waiting for more videos
Thank you so much! I hope you find the next Tele 3 video to also be helpful!!
Thank you!! Your videos are very informative and helpful!!! For me, it is always a struggle to understand what actually happens and why it looks like that on an ECG, and you make everything clear. Please continue to upload more videos! It would be amazing if you could upload a video about SVT and explain the different definitions, for example: what is the difference between atrial tachycardia and focal atrial tachycardia? Or is SVT the same as atrial tachycardia? And of course the ECG patterns of each SVT. THANK YOU!
Thank you for another great video! I really appreciate all these diverse examples.
Thank you very much and I'm glad you enjoyed it. It is always a struggle to figure out if I should make a video short and sweet, or a little bit longer to flesh out more detail and give more examples. I'm sure that people have differing opinions on the topic in general, and for this video in particular. I am very glad you enjoyed the various examples I presented!
Hello Dr Cooper , im a first year cards fellow and interested in EP. Your videos are some of the best EP videos! Would love a lecture on voltage mapping
Excellent explanations
Thank you so much for the great feedback!! 🙌
Thank u very much for this video. Ur just amazing. that was very helpful.
Fantastic! Thank you so much for watching and for taking the time to give feedback! 👍
Crystal clear explanation ! Amazing video 🙂
Awesome. Thanks so much!!! I've not gotten a lot of feedback yet on this one, so i really appreciate your comments!
@@dr.joshuacooper-arrhythmia9917 Respected Doc, I am an USMLE aspirant & strict follower of your youtube videos. Your way of teaching is commendable. 👏🙂 It is helping me alot in CK (cardiology section).
Congratulations! Excellent explanations as always. Thank you!!!!
Excellent !
A patient with a dual chamber his bundle pacemaker for SSS and CI wears a zio patch and findings show 2nd degree heart block mobitz 1. Av delay has been changed several times. What would cause a block to happen with a pacemaker.
Depending on the brand if there is programming to promote intrinsic conduction, certain brands may allow what looks like AV block. Possible this could also occur during threshold testing of the device, or if the intrinsic rate is fast, and it is programmed to AAI with some VVI back-up. If the v-rate is occurring faster than the VVI back-up it may look like AV block. Also if the device is programmed to AAI for some odd reason that could also occur. There's also the option of oversensing on the device leading to no pacing occurring, or non-capture of the ventricle pacing given his bundle pacing often has high thresholds that increase over time for pacing. in short you don't really know unless interrogating the pacemaker and seeing the issue happening during interrogation
Excelente video! Muy buena explicación, gracias!
Thank you so much! I never know how effective these videos are until I start getting some feedback. So thank you so much for your comments!
It was extremely helpful for me
Thank for sharing sach a good EP learning videos.
Such a great video with a huge amount of useful clinical examples. May I ask you to make a video about aberration types from EP lab pint of view?
Thanks so much! You might find what you are looking for in my "EKG reading: How the QRS is made" video, where I start the section in aberrancy at 4min 20sec. ruclips.net/video/AB-IK0QKoY8/видео.html
How to resolve if it is Mobitz 2 if Holter Ecg strip goes like this: longer PR interval, shorter PR interval, longer PR interval with very little differences in interval longevity among them and then P wave with dropped QRS complex? And it is nocturnal in sleep?
Thanks very much in advance for every answer.
Would be an unusual pattern to see a shorter PR interval after a longer PR interval in a 2nd degree AV block situation. Can certainly see different beats conducting down slow vs fast components of the AV node, giving different conducted PR intervals. And can see AV block with subsequent junctional escape beat giving appearance of long PR with conduction. But I can't come up with a good explanation for the pattern you describe without seeing the tracing. During sleep, high vagal tone is common, and can see patterns consistent with AV node slowing and/or block in the context of high vagal tone.
I wish you were my doctor!
Great talk. kindly could you please allow us to consult you for tracing. send us your email or other ways u preferred
🙏 𝐩𝐫𝐨𝐦𝐨𝐬𝐦