Supraventricular Tachycardia/Arrhythmia (SVT) Treatment, Vagal Maneuvers, ECG, Lecture USMLE/NCLEX
HTML-код
- Опубликовано: 2 июн 2024
- Supraventricular Tachycardia/Arrhythmia (SVT) Treatment, Vagal Maneuvers, ECG, Lecture USMLE/NCLEX
In this video on treatment and management guidelines of supraventricular tachycardia (svt) i have explained in detail all the vagal maneuvers, how to administer adenosine, role of metoprolol (merol), as well as role of betablocker and cardioversion as end resort. I have explained ECG Findings, clinical presentation, symptoms of patient with svt. This video is part of video series on cardiology bootcamp lectures where i have explained all cardiology topics for doctors nurses and medical students who are preparing for USMLE step 2 ck and NCLEX.
Time Stamps: (CLICKABLE)
0:00 Intro
0:14 What is Supraventricular Tachycardia(SVT)?
3:20 Clinical Symptoms
4:20 Important Point
4:51 Auscultation Finding
5:25 ECG
7:28 How to see Hidden ''P'' waves?
8:08 Treatment
11:34 Vagal Maneuvers (Valsalva Maneuver)
12:08 Modified Valsalva Maneuver
13:23 Diving Reflex
13:45 Carotid Sinus Massage
14:45 Adenosine
17:50 Flow Diagram
18:57 Summary
Cardiology Bootcamp Lectures: • Cardiology Bootcamp Le...
Atrial Fibrillation Lecture: • ATRIAL FIBRILLATION (A...
FOLLOW ME ON :)
Instagram: / docwaqasfazal
Facebook: / drwaqasfazal
Email: docwaqasfazal@gmail.com
SUBSCRIBE TO MEDNERD FOR MORE INTERESTING VIDEOS
Infectious Medicine Playlist: • Infectious Medicine Le...
Cardiology Lectures: • Cardiology Bootcamp Le...
Neurology Lectures Playlist: • Neurology Lectures
Emergency Medicine Lectures Playlist :
• Emergency Medicine Lec...
TOXICOLOGY/POISONING LECTURES: • Toxicology/Poisoning L...
#supraventriculartachycardiaecg #supraventriculartachycardia #supraventriculartachycardiatreatment #svttreatment #svttreatmentvagalmaneuvers #supraventriculararrhythmia #supraventriculararrhythmiaecg #supraventriculartachycardiamanagement #supraventriculartachycardiaadenosine #supraventriculartachycardiacardioversion #supraventriculartachycardialecture #supraventriculartachycardiausmle
cardiology lectures,usmle step 2 ck,supraventricular tachycardia nclex
DON'T FORGET TO CLICK THE SUBSCRIBE BUTTON ❤
FOLLOW ME ON :)
Instagram: instagram.com/docwaqasfazal/
Facebook: facebook.com/Drwaqasfazal
Time Stamps: (CLICKABLE)
0:00 Intro
0:14 What is Supraventricular Tachycardia(SVT)?
3:20 Clinical Symptoms
4:20 Important Point
4:51 Auscultation Finding
5:25 ECG
7:28 How to see Hidden ''P'' waves?
8:08 Treatment
11:34 Vagal Maneuvers (Valsalva Maneuver)
12:08 Modified Valsalva Maneuver
13:23 Diving Reflex
13:45 Carotid Sinus Massage
14:45 Adenosine
17:50 Flow Diagram
18:57 Summary
Effective ... even a high school student can follow and understand. Makes complex medical phenomenon easy to make sense of and comprehend. You have the art nd skill to teach the discipline of cardiology par-excellance
The best explanation for SVT i have ever come across. Thank you.
God has given you an excellent brain and you are working for the benefits of folks.An ajray Azeem .God bless you.
MashaAllah sir your style of teaching is so good. Allah bless you 💝
Fantastic explanation by a true teacher Dr. Fazal Sir...
Salam saheb...
I understood it because I am SVT patient who underwent DC electrocardioversion in the year 2007.
Prior to that I underwent CMV in the year 1994.
I am now 66 yrs of age.
I have watched this vedio after had attended a patient with SVT.u were clear and made it easy to understand.thank you for helping us to learn more and more.
For 5 years, i was misdiagnosed with anxiety and panic disorder. I kept telling the doctors something was wrong with my heart. They didnt believe me. Since it was left untreated, in having more episodes and much longer episodes. Finally a new cardiologist diagnosed SVT.
I went through the same case. Did they prescribe you any medication? how do you cope with the svt episodes?
@@ronnasurmon1656 they first prescribed Dialtezem. It brought my blood pressure through the roof so I had a bad reaction to it. Then they switched me to metoprolol and the same thing happened, super high blood pressure and I felt totally out of it on that Med too. They took me off of the meds and they are talking about doing an ablation. However I have been doing tons of research and so far I have taken all caffeine out of my diet, including chocolate or anything with caffeine. If you research foods that trigger SVT it is very helpful so you know how to rearrange your diet and things you can add in to help prevent attacks. There are also different maneuvers you can do to try to stop the attack, one is putting very cold water or preferably ice on your face for at least 15 seconds and taking it off and then putting it back on for another 15 seconds. Start searching here on RUclips for Maneuvers to stop SVT. I just got off of the metoprolol yesterday after three days in a row going to the emergency room for symptoms and side effects
eforda çıkan 250 nabız nedir
What is your condition now.and mention medicine names or you your recovery procedure
@@sirmachi7061 tried dialtezem, then metropolol tartrate. Both were horrible for me. I had to stop taking them. Side effects of both medications were horrible for me. Now I'm just winging it. If I have super fast heart rate, I put a bunch of ice with water in a baggie and out it on my face, from forehead to upper lip. I leave it on 15 seconds crate it off 15 seconds, and repeat. It usually calms the heart. My resting pulse as soon as I get up is over 100, I just pray and try to stay calm until it comes down. Medical system in Illinois is a big joke!
EP dr ordered an MRI of my heart, to see if there's any scarring that could be causing my issues. Not sure what husband will be, if there is scarring.
Took all caffeine out of diet and found sugar also triggers my heart rate to go fast. So trying to not eat candy, donuts. Etc. Change of diet seemed to calm it down a but, too. Less salt.
You are helping people beyond your expectations, thank you doctor
This was very helpful.....thank you Dr
Very good illustrations n way to pass information easily to viewers. Full of information & management of the cases. Thnx n jazak Allah Dr sb
I have an assignment in my emergency department, this video saved me in front of madam ! More duas to you✨
Best of the best. Every patient got cure, that helping this knowledge will bless from god.
Great video and explanation. About the very best I have seen, and so helpful for AF/SVT sufferers like myself who want to learn more. BTW, if you're new to the subject, these things won't kill you. It's many weeks of this, unabated, that begins to cause heart failure. In the meantime, you will have presented to an ER or to a cardiologist and been treated appropriately. One tip: if your SVT doesn't correct inside of 24 hours, get yourself to the ER. Do not delay after 24 hours.
bende eforda çıktı 250 nabız oldu 2 ila 3 dakika sürdü düştü tekrar öksürme ıkınma su ile bu hangisi taşikardi
You are an amazing teaching. Thank you God bless you
I was one of those patients that did not respond to any measures that they tried to bring down my heart rate. In February this year, nothing would bring the heart rate from 237 bpm. I told them that previously (2020) had to be on diltiazem, metropolol and digoxin until cardiac ablation could be performed months later (during Covid restrictions). I am wearing a holter monitor now for 2 weeks and my own cardiologist will follow up.
One of the most thorough profs 🙏🏼 Thank you Sir
Very nice Presentation
Sir you r one of the best teachers I v ever come across my regards and deep respect 🙏 for you, thank you.
Thank you very much for the best explanation of svt. Amazing doctor God bless you always.
Best possible teaching.
the best thing that all your videos are very updated to the recent guidelines ,, thank you very much sir
love your videos
Thanks for this information. The MULLER MANEUVER, which is trying to INHALE rather than PUSH against a blocked airway (the Valsalva maneuver), works far better for me. Over 40 years and many SVT episodes, I used to always try the Valsalva maneuver and it often didn't work - I had to go to the ER several times and get Adenosine. But several years ago I discovered the Muller maneuver and it works every time (sometimes I have to do it more than once). It's a weird feeling to lower your intrathoracic pressure, but it's worth the discomfort. Hope this helps someone!
I'm trying to avoid medicine. Inhaling or holding my breath makes me feel dizzy where I nearly pass out. Do you just inhale deep and breathe, or for you hold your breath?
بارك الله فيك
Very informative. Just a couple of things. When you mention sedation it would be helpful if you explain whether you use propofol or merely fentanyl and midazolam, which would definitely be a Knogo in my case. Secondly., it would be helpful as well as compassionate to mention how the patient will feel and react to adenosine. Thank you
Thank you so much Dr Fazal. Your the best !
Great lecture. Thank you!
Excellent lecture
Excellent lecture Sir
Very interestin and well explained. Thank You very much!
Exclent advice sir
Clear my doubts
You are absolutely great
Thanks sir.. your explanation method is very easy ...
Watching ur video afer giving 6 mg and 12 mg adenosine to a patient.
Before adenosine.
Rate was 220 , regular, p wave absent and after adenosine..rate became 100.. mission successful
This was Great. Thank you.
Excellent Doctor!
Excellent video thank you
wow what an explaination sir
most excellent!
Thank you sir. Really helpful
Great as usual 👏
Your videos are best i learn alotfrom your vedio thanks sir
Sir
You are very good teacher
great video
Good sequence ...but it would be more charming if u showed different ECGs in differential u described like ECG of sinus tachy ,sinus arrythmia ...
Sir thank you
your lectures are so great short concise thorough easy to understand
can you do one on basic reading ecg
explanation, presentation and synthesis are great. Very useful. Thanks
Thank you. 😊 Keep supporting
Very good
AA. Dr sb, your videos on every topic is wonderful in all respects. We are regular listeners of your videos and this great job for humanity. 2. Can you please tell your area of specialisation and where you practice now a days. Your complete address for consultation.
3. Kindly make a video on Hyperthyroidism with multi nodular goiter . Regards. Dr Muhammad Zareef Ph D
Dear Dr you are contributing to the significant illness for the patients upto the mark. I hv one patient and want to get an appointment from you, so pl guide me, I shall be obliged...
Sir...thank you....u explain complicated topics so easily.......❤
Thank you Aarif Bhatt. 😊
Pure gold 🥂
Thankyou dr waqas. Your videos are really great. May Allah give you ajar for this.ameen.
Please keep making vidoes like these
So kind of you Israh. Ameen. Keep supporting 😊
Thank you very much Doctor
Crystal clear explanation thank you so much sir
Thank you Rumjhum Datta. Keep supporting 😊
Thank you very much sir.
Thank you sir. Needed this badly
Stay tuned for more videos 😊
Easily explained such a difficult topic thank you sir
Thank you very much Rajesh deore. 😊
Sir please make vedio on stepwise management of all type of arrythmia
Best vedio i have seen
So kind of you Abhay Kairati. 😊
Thanks for such a great and detailed video. My wife diagnosed with PSVT on 19th October and then doctor given Antiarrhythmic in IV. They did not apply any kind of vagal maneuvers or Valsalva maneuvers. If next time it happens can i do these all maneuvers at home and if it do not control then visit to hospital?
if this Catheter ablation safe? how much risk of life have in this operation. Can you suggest best hospital or doctor in india
Thanks😘... Your voice and the way of explaining is very beautiful🎊
Thank you very much shubham for your kind words. 😊
Allah bless you . Great thanks for you and full clear explanation.❤
Thank you very much Radhwan Abdulla for all your comments. I read all of them. So Nice of you 😊
@@MedNerdDrWaqasFazal please if you visit uk please visit us in Wales . Really we are proud of you .
For chronic prophylaxis after controlling PSVT , should be give Metolar with dilzem together ??? If yes for how long ??
Sir please make the video of cardiac myopathy with full explanation
Thank you sir🎉
Sir.
Please make full video on ECG leads
Thank you doctor
Wow..👍
Super
Sir Can You Make a video on ECG basics and how to read It.
PERFECT
Thanks doctor
Aslam o alaikum sir.
Thank you so much for these videos
Walaikmasalam. You're welcome. Keep supporting 😊
Thank you for wonderful videos plz make video for ckd and full ecg reading
Sure Dr. Samreen I will upload these videos. Keep supporting 😊
Sir, pls upload VT explanation like this
I noticed my first episode of tachycardia when i was at university i felt as if my heart was behaving in a strange way felt as if heart is skipping beats after a while my heart started to beat extremely fast for about 30 minutes I felt as if i am dying, I was taken to ER and by the time i reached there my heart became normal ecg came out normal... This happened a couple of more times but never detected an episode on ecg. I got so pissed off that I have done echo, thyroid tread mill test, holter everything came back normal so I was told its panic attack but to this day i m unable to believe that it's a panix disorder. I have an episode of fasy beating heart once in a while sometimes once every three months sometimes 2-3 times a week. But my episodes are less frequent. I m still unable to detect it on ecg bcz my episode resolve itself. My family think i m just over reacting but every time an episode happens i feel very very scared. Other than a fast beating heart i have no other symptoms. Can someone relate to this، mostly before my episode starts i feel either a skipped beat of a fluttering sensation in my heart.
Sir please make a vedio of hypo hyper thyroidism
Tnk u soooooooooooooooooooo much sir❤
Sir...can jnj dilzem or adenosine be used for SVT if pt has hypotension..70/40mmg Age 18 years old.with No significant past history except taking some ayurveda medication for wy gain.
AVNRT-- the current just flow from AV NODE TO VENTRICLE AGAIN AND AGAIN?
sir make a video on all fluid therapy
Sir, my son is 2years old and he is svt patient.He is diagionise at 1 1/2 months and till now 6 time hospitalised.Sir at what age operation can possible.
Wonderful video. Dr Muhammad Zareef Ph D
Thank you Dr. M Zareef 😊
Very nice
Sir can we take cefixime 400mg for three months.one capsule daily.
Gd evg.sir
I m having a que
A pt.having h/o TIA 2 days back admit in icu , now developing SVT HR 190/min. and hypotensive .
Can we gave carotid massgae to pt having h/o TIA
There is one mcq asking which will not be given to above pt
having 4 options
A.CSM
B Adenosine
C.IV fluid
D.Cardioversion
Sir plzzz make a video for Interestial lung disease
Is it okay to not treat this bacause it just appear when my diet is bad or i play basketball like exerting more2 effort to do defence and offence.
Is there a way to get CME credits from ur site?
Thank you so much 🥰
Keep supporting 😊
@@MedNerdDrWaqasFazal I am waiting for next lecture
Excellent discussion.What is the cause of urinary urgency polyurea?
Mithi Das, different mechanisms of this polyuria have been proposed. They include increased release of Atrial Natriuretic peptide from heart and inhibition of ADH release. Urine output in SVT patient can increase upto 10 times the normal.
@mednerddrwaqasfazal Thanks Dr. My nephew is diagnosed with SVT. He is 14 yrs old...now will be taking 2nd opinion...for treatment..could you please guide on the treatment plan for more knowledge.
Sir what is the reason for polyuria in svt ?
Which part of the atria ? AV NODE you mean?
Hat off
Wat s d dose of metaprolol sir
Done
great although me gastroenterologist,but very good learning source
Your kind words mean alot to me Dr. Hussain 😊
Sir make a video on use of steroids
We have a patient suffering from this disease we live in Srinagar J&K can we have an appointment with u.