How are we going to differentiate in case 6 that MI is in inferior wall and anterior leads changes are reciprocal or posterior wall MI is present while ignoring completely elevation in contiguous leads in inferior wall?
Sterling. Thank you. 8:25 Lead Grouping 17:33 Reciprocal Lead Groups 17:45 : Contiguous leads (two or more leads that view similar areas of the heart. They follow lead grouping. Eg II, III and aVF look at the inferior part of the heart)
I am a bit confused, didn't you explain in a different vid that in order to verify whether an ST-elev. is a "true" ST-elev., one would need to check for the smiley vs. frowning faces? In 21:45, aren't there only smileys? Or isn't that rule valid here since we have the symmetrical, broad-based, hyperacute T waves and reciprocal changes? Answer highly appreciated!
Great question and thanks for watching. ST segment elevation and T wave morphology are both things to look for on the ECG. The shape of the T wave can independently raise suspicion of ongoing myocardial ischemia. In this example, there is significant STE in multiple contiguous leads and therefore STEMI is diagnosed. The presence of smiley face ST segments does not negate the finding of STE. Indeed, there are causes of STE that are not due to OMI and sometimes the shape of the ST segment can help us differentiate them from the more sinister STEMI.
![Felix "Unfair" | [Stray Kids : SKZ-PLAYER]](http://i.ytimg.com/vi/Oswujxm2Ag0/mqdefault.jpg)
It is the most valuable video I found in social media thanks sir.
The best video I ever seen on ECG. Thank you.
Excellent video and presentation. I should be able to get my ACLS certification now. It summed up STEMI very nicely.
Wow Ah! You are such a great educator! I feel like I finally get it!! Thank you thank you!
Good analysis✔️👍✅
Very nicely explained. Thank you very much
AMAZING LECTURE !!!!!!! Huge tnx from Ukraine !
I’m currently relearning about ekg’s so this helps so much, thanks man
How are we going to differentiate in case 6 that MI is in inferior wall and anterior leads changes are reciprocal or posterior wall MI is present while ignoring completely elevation in contiguous leads in inferior wall?
EXCELLENT LECTURE AND SUPERB REVISION
Thank you, it was very clear explanation
Sterling. Thank you.
8:25 Lead Grouping
17:33 Reciprocal Lead Groups
17:45 : Contiguous leads (two or more leads that view similar areas of the heart. They follow lead grouping. Eg II, III and aVF look at the inferior part of the heart)
How accurate is the EKG for ischemia?
Thanks!
Great lecture..thank u so much
You are the best !
Is that lead II at the start?
which tablet are u using to write: wacom tablet or deco xp pen or ...?
So helpful! Thank you so much!
Adipoli... 👌
I am a bit confused, didn't you explain in a different vid that in order to verify whether an ST-elev. is a "true" ST-elev., one would need to check for the smiley vs. frowning faces? In 21:45, aren't there only smileys? Or isn't that rule valid here since we have the symmetrical, broad-based, hyperacute T waves and reciprocal changes?
Answer highly appreciated!
Great question and thanks for watching. ST segment elevation and T wave morphology are both things to look for on the ECG. The shape of the T wave can independently raise suspicion of ongoing myocardial ischemia. In this example, there is significant STE in multiple contiguous leads and therefore STEMI is diagnosed. The presence of smiley face ST segments does not negate the finding of STE. Indeed, there are causes of STE that are not due to OMI and sometimes the shape of the ST segment can help us differentiate them from the more sinister STEMI.
@@Touzeau123
Thank you very much! Makes sense now! I
I will recommend your videos to my mentees!
Tooooooo good 👍
Thank you so much
A ma zing 👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻
Nice
Awesome!
Great lecture, thank you so so sos os sosososo much
Great video! Thank you! :)
The best
This feature of you tube where talk is typed is very inconvenient.Ecg tracing can not be seen . Otherwise teacher is excellent.
Hello Dr. Anand.
goood