Cardiology is very interesting to me. Been EMT for 7 years.... Don't quite have enough drive to be a paramedic for other personal reasons but I love learning anout this stuff more and more, particularly with working with paramedics.
The rate in VT is usually greater than 120 bpm with broad QRS complexes. VT may be monomorphic (typically regular rhythm originating from a single focus with identical or similar QRS complexes) or polymorphic (may be irregular rhythm, with beat to beat variation in QRS complexes). Monomorphic VT is the most common form of sustained VT. Non-sustained VT is defined as a run of tachycardia of less than 30 seconds' duration; a longer duration is described as sustained VT.
I think I had it as a double session of 1 minute while had a swimming lesson. I had a very hard fatigue (not been to swimming around some weeks) and a headache. After when I went home I was perfectly healthy with no symptoms.
The short answer is no. VT is not a form of chronic heart failure. Think of it this way....from time to time we all of experience a a muscle twitch, sometimes in an arm or leg, etc. This happens because the muscle may be irritable from fatigue or injury. VT is similar. An impulse starts firing randomly or in sequence, as in VT. In other words VT and other irregularities in heart rhythm are a often symptom some some sort of heart problem like muscle fatigue, failure or inadequate flow flow.
Hi oNEgunDRop, To be frank I am not sure I have ever seen an ECG with a true ventricular flutter. It would be virtually indistinguishable from ventricular fibrillation and may look like a Torsade de Pointes which I talk about in a separate tutorial. It would be treated with defibrillation just like VF, pulseless VT and Torsade de Pointes. Hope that helps. Rob Theriault
My sister died of an arrhythmia 3 months after her stress test showed a 3 beat run of VT. She went home thinking she was ok. VT is a dangerous rhythm that can lead to fibrillation.
I just had 3 ventricular contractions in a row no more than five minutes ago. This happens every month or so, I have them for a few days, then nothing for weeks. What the hell is the deal? It's driving me insane.
Hi, You won't like my answer, but your best bet is to speak your family physician or a cardiologist. The purpose of this channel is purely for educating healthcare professionals on how to interpret ECG rhythms.
Hello. Hope you're still alive (lol). I experience THE SAME THING every so often and it's also driving me insane. Did you ever talk to your doctor/cardiologist? Did you get tested? What is causing it?
That's tricky. If you can find a base line you can measure from one side of the complex to the other. It's often difficult to be sure where depolarization end and repolarization begins. If it appears wide (> 0.12 sec) at a glance and there are no discernable P waves, then it wide until prove otherwise.
you mentioned beats more than 250 would mean itz a ventricular flutter, can you do a tutorial on v flutter? is v flutter a lead on from v tach or itzzit a different form of v fib?
Is it possible to have 2, 3, 4 or 5 premature atrial complexes in a row? In other words, could couplets or salvos be atrial or are they ALWAYS ventricular?
Hi Max, as you know, 2 ventricular beats would be a couplet. 3 or more in a row is a run of VT. The same principle applies to supraventricular beats. Three or more in a row would be a bout of SVT/PSVT.
Ok so it does happen. I just wasn't sure because every source I've seen had described couplets as ventricular and nothing else. Are ventricular couplets much more common than atrial ones?
Hi Max, I think I understand your question now. Couplets refer to two ventricular beats in a row. I’m not aware of a term for two atria beats, nor I have ever seen it.
Ok, thanks. What's the shortest episode of PSVT you've seen? Most sources state that it can go from a couple of minutes and up. The lower limit seems to be at least a couple of minutes. Have you ever seen episodes that were a couple of seconds or just a couple of beats (less than 10) long?
Sir thank you for the great explanation. Could you spare time to explain the following three points: 1. Monophasic Taller left wave in rabbit ear in V1 2. Indeterminate axis -90 deg to -180 deg 3. Why is the QRS widened in VT?
@rrtheriault But if you have cardiac arrhythmia in the form of ventricular tachycardia, is this considered stable chronic heart failure? Sorry about all the questions... I should've asked my doctors more but I couldnt wait to run out of that hospital XD
Cardiology is very interesting to me. Been EMT for 7 years.... Don't quite have enough drive to be a paramedic for other personal reasons but I love learning anout this stuff more and more, particularly with working with paramedics.
The rate in VT is usually greater than 120 bpm with broad QRS complexes.
VT may be monomorphic (typically regular rhythm originating from a single focus with identical or similar QRS complexes) or polymorphic (may be irregular rhythm, with beat to beat variation in QRS complexes).
Monomorphic VT is the most common form of sustained VT.
Non-sustained VT is defined as a run of tachycardia of less than 30 seconds' duration; a longer duration is described as sustained VT.
Thank you, that helped clear up a mental block I was having with VT for my ECG training
No problem! Glad it was helpful.
How r u now
I think I had it as a double session of 1 minute while had a swimming lesson. I had a very hard fatigue (not been to swimming around some weeks) and a headache. After when I went home I was perfectly healthy with no symptoms.
The short answer is no. VT is not a form of chronic heart failure. Think of it this way....from time to time we all of experience a a muscle twitch, sometimes in an arm or leg, etc. This happens because the muscle may be irritable from fatigue or injury. VT is similar. An impulse starts firing randomly or in sequence, as in VT. In other words VT and other irregularities in heart rhythm are a often symptom some some sort of heart problem like muscle fatigue, failure or inadequate flow flow.
Love this anaolgy
Hi oNEgunDRop,
To be frank I am not sure I have ever seen an ECG with a true ventricular flutter. It would be virtually indistinguishable from ventricular fibrillation and may look like a Torsade de Pointes which I talk about in a separate tutorial. It would be treated with defibrillation just like VF, pulseless VT and Torsade de Pointes. Hope that helps. Rob Theriault
My sister died of an arrhythmia 3 months after her stress test showed a 3 beat run of VT. She went home thinking she was ok. VT is a dangerous rhythm that can lead to fibrillation.
I just had 3 ventricular contractions in a row no more than five minutes ago. This happens every month or so, I have them for a few days, then nothing for weeks. What the hell is the deal? It's driving me insane.
Hi,
You won't like my answer, but your best bet is to speak your family physician or a cardiologist. The purpose of this channel is purely for educating healthcare professionals on how to interpret ECG rhythms.
Hello. Hope you're still alive (lol). I experience THE SAME THING every so often and it's also driving me insane. Did you ever talk to your doctor/cardiologist? Did you get tested? What is causing it?
What are the ECG findings of ventricular tachycardia, fibrillation pulse less electrical activity, Ventricular asystole write and send it
does vtach always have the "tomb" wave pattern?
@rrtheriault torsades de points is a form of V-tach.
How do you measure the QRS in a VT? I can't measure where it starts and where it stops
That's tricky. If you can find a base line you can measure from one side of the complex to the other. It's often difficult to be sure where depolarization end and repolarization begins. If it appears wide (> 0.12 sec) at a glance and there are no discernable P waves, then it wide until prove otherwise.
you mentioned beats more than 250 would mean itz a ventricular flutter, can you do a tutorial on v flutter? is v flutter a lead on from v tach or itzzit a different form of v fib?
Is it possible to have 2, 3, 4 or 5 premature atrial complexes in a row? In other words, could couplets or salvos be atrial or are they ALWAYS ventricular?
Hi Max, as you know, 2 ventricular beats would be a couplet. 3 or more in a row is a run of VT. The same principle applies to supraventricular beats. Three or more in a row would be a bout of SVT/PSVT.
Ok so it does happen. I just wasn't sure because every source I've seen had described couplets as ventricular and nothing else. Are ventricular couplets much more common than atrial ones?
Hi Max, I think I understand your question now. Couplets refer to two ventricular beats in a row. I’m not aware of a term for two atria beats, nor I have ever seen it.
Ok, thanks. What's the shortest episode of PSVT you've seen? Most sources state that it can go from a couple of minutes and up. The lower limit seems to be at least a couple of minutes. Have you ever seen episodes that were a couple of seconds or just a couple of beats (less than 10) long?
Max, the lower limit for SVT is a minimum 3 consecutive narrow complex regular tachycardia beats without discernible P waves. Not 2.
Thank you so much man !! God bless you .
Sir thank you for the great explanation. Could you spare time to explain the following three points:
1. Monophasic Taller left wave in rabbit ear in V1
2. Indeterminate axis -90 deg to -180 deg
3. Why is the QRS widened in VT?
@rrtheriault But if you have cardiac arrhythmia in the form of ventricular tachycardia, is this considered stable chronic heart failure?
Sorry about all the questions... I should've asked my doctors more but I couldnt wait to run out of that hospital XD
whats the intervention for the client having V-tach?
Character In the video It's great, I like it a lot $$
this was great ..thanx!!
Hi, is ventricular tachycardia a form of chronic heart failure?
Is it?
Is it vtach if its 3 to 5 row of ectopics but it does not reach 100 bpm?
I’d like too know that too!
@@arny625 how r u
@@user-od5fg6hu9b I’m fine why?
@@arny625 do u have vtach
@@user-od5fg6hu9b uhh I suppose it was kinda slow that’s why I replyed to ladykershaw
@rrtheriault thanx :)
Im confffusedd