Basic Arrhythmias | Sinus, Brady, Tachy, Premature Beats | ECG EKG Interpretation (Part 3)
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- Опубликовано: 16 июл 2024
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In lesson three, we start to take a look at a few of the basic arrhythmias in our ECG/EKG interpretation. This will essentially be the first part in our basic arrhythmia course with our goal being to have arrhythmias made easy!
We start off talking about the overview of the major types of arrhythmias that you will come across. From there we move in to talking about the most basic of these rhythms. First is sinus arrhythmia. We cover the basics including its defining characteristics.
From there we move on to our various premature beats that we will see. This includes PACs, PJCs, and PVCs. We show examples of each and again give causes and defining characteristics for each.
Final we move on to talk about our basic brady and tachy rhythms. This includes sinus bradycardia, sinus tachycardia, and supraventricular tachycardia (SVT). Once again we talk about their causes and help explaining their identifying defining characteristics.
We hope that by the end of this lesson that you would be able to recognize and identify these arrhythmias by their defining characteristics so that you would be able to interpret them on your patients rhythm strip if you came across them!
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Stay tuned for the next lesson in our series on ECG/EKG Interpretation, in which we continue our discussion on arrhythmias and talk about atrial and junctional arrhythmias! • Afib, Aflutter, Juncti...
Make sure and check out all the lessons in this series on EKG Interpretation here: • ECG/EKG Interpretation
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Hemodynamics Principals: • Hemodynamic Principals
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Arterial Blood Gases: • Arterial Blood Gases (...
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These videos are amazing! Thank you for making them! 🤗
Truly a brilliant nurse. A smart person can make anything easy to understand. Thank you!!!!!
Wow, thank you. So humbling. I'm just happy to be able to help others connect the dots!
He is a blessing for all who are starting working in ICU. Continue being a gift for those in need. Godbless you brother.
V-Tach and A-Fib. Survived cardiac arrest in 2020. Had V-Tach episode 12 hours later in hospital. They had to shock me twice. 5 days later, had a Biotronik AICD implant. No shocks yet 🤞 FYI, had a WPW episode 30 years ago with heart rate of 320 bpm. Tried RF Ablation, but could not find extra circuit after 8 hours on the table.
Great job with these videos 💯. After release from the hospital after the SCA, found the ECG strip that recorded the V-Tach episode. That's why I'm here 3 and a half years later, trying to read the ECG souvenir 😊
Find myself reviewing your ECG lessons again since I need to renew my ecg certificate next week! It’s really easy to understand. Thanks, Eddie!
I just want to say thank you SO much. I have gone through hundreds of videos trying to study for my NREMT paramedic psychomotor exam. Your videos are by far some of the best videos I have seen. Clear, concise, easy to understand, not too long/too short and keep my interest. I’d love to see you to some more rhythms, maybe some less common ones, and how they look on a 12 lead. Also a walk through of the treatments (maybe you already have some?...I just didn’t check yet)
You definitely got a subscriber, a fan, and a VERY greatful student!! Thank you again! 🙏🙏🙏
You are very welcome Caroline! So glad to hear this video was helpful for you. Very kind words and I appreciate you! If you look through my videos I have a whole playlist just dedicated to ECG/EKG Interpretation. Welcome aboard!
Just wanted to say Thank you for thr ekg/ecg interpretation. I work for oral surgeons and am taking the ACLS for the first time. I am not a nurse, but your tutoring is fantastic. I received a package from the appointed instructor and I was not able to get what I have gotten from your lessons. I feel confident in passing my test now
I’m still too poor to contribute financially, so my mission is to leave a like for every video 🫡
I don't know if anyone has thanked you for this but Thank You for spelling out your words. I'm "old school" and like things spelled right and I'm not the greatest speller (I take notes while listening to your videos)...so again, thank-you. Ps, Im probably the oldest nurse studying to be an ICU nurse...I've been a nurse 36 years. I'll be 61 years old in a couple months. Never too old to learn - that is what keeps you young. I love your videos.
Utterly impressed, i was lights out and boom, i grasped easily and pretty fast. Thank you very very much Eddie
Thank you so much for the excellent explanation! - a new Cardiac ICU nurse
Congrats on the new job! How exciting! So glad to hear this was helpful for you.
Just found your videos. So informative will be watching the past videos. I have dealt with dcm in my dogs ( dobermans )and your videos where great to help with stuff I was not sure about. Thank u
You are an EXCELLENT TEACHER 👏 Something about your voice, is very soothing. Thanks again! On to the next video!
Love your videos Eddie !! You make complex learning easy to understand !!!
Thank you so much Liz! Really happy to hear this. Its truly my goal here and so happy to know it is well received! 😊
Learning a lot from your videos!!! I'm new here in the US and will be working in the ICU and your content really helps me be more prepared for my work! Thanks so much!😊
So great to hear this and welcome to the US btw. Glad they have been helpful for you
This was super helpful! Nice and simple explanation of each arrhythmia. Thank you so much!!
Awesome! Happy to hear this.
Man.... You are a God send! I keep messing up on my junction rhythms and heart blocks and you make this so easy. Thank you 1000 times.
Just did a practice test and I got a 83.3%. I'm listening to all of these before I take this test! ❤️
AWESOME! Really glad you liked them and you've got it for the test!
I left Ortho Medsurg and Now in New To Specialty ICU training. I never had to read EKG strips in Ortho. Pts were cleared by a Cardiologist prior to surgery and they usually went home same day or next day after surgery, Thats quite the opposite in the ICU. The trainers are nice but they seem to make things harder than they hv to be and so dry that I find myself fighting sleep. Your vides are clear and to the point and I understand the differences between the strips. I feel more confident for my test next week. Thank you!!!
This is the best presentation I’ve ever watched 💯💯💯
This is my first time to feel more comprehensive the interpretation of the ECG! Thanks
Glad to have been able to help!
😊 thank u Eddie I wasn't able to understand the ecg this is the first time I understand everything you are an awesome teacher ❤ 👏.
Yay!!! This is so great to hear Angeles! Happy I was able to help and sometimes it just takes hearing it a certain way and then it all makes sense.
great job wish I could have found you during my paramedic class great review
EKG made easy.... thats what you do. Thanks for you lessons!
Thank you for your videos! Very helpful and informative.
Thanks a million Eddie for sharing your knowledge... your lecture is very useful to us . God bless you. From Dublin Ireland.
Very cool! Truly my pleasure to be able to help. Glad you found it helpful!
What a treasure to have! Thank you for the well explained video!
Truly my pleasure to be able to help!
As someone recently diagnosed with Long QT Syndrome, I would really love it if you could do a video of or including it. I am still new to learning about it and any help would be great!
Thank you so much ...this is greatly appreciated
I love your videos. I watch each video several times. Can you please make more videos on advanced ECG/Cardiac stuff?
Awesome so glad you enjoy them Jean! I definitely have plans for more stuff in the future.
Love this video! Thank you so much!❤
Awesome. Youre very welcome!
Thank you. Very helpful and yet simple to understand. Keep up the good work😃
Awesome. Happy to hear this Cynthia!
a new follower!! excellent explanation. very didactic. thanks
Awesome, thank you and glad to have you on board Noelia!
I love your classes, thank you so much :)
Woohoo!! Happy to hear this Ana! You are very welcome 😊
love this video!! could you do one on other monitor rhythms like cvp, pa, art lines? and how to measure them?
Yay! Glad you liked it! I do plan to cover those in another video in the future!
You are amazing teacher!
U are truly a gem 💎, really you made learning easy.
Really happy to hear this!
Thank you, Sir!
For sinus tachycardia it was around 150 bpm. But was close. I just wanted to calculate using te boxes
I want to thank you sooooo much for doing these lectures; I've watched all your videos, and today I got 100% on my ecg exam for our hospital training. 😃 😊
Yaaaaasss!!! Woohoo, way to go! Thats so awesome to hear. Really glad that you enjoyed the content and that it was helpful for you. So awesome! ❤️
@@ICUAdvantage I even shared it to a few ppl I know. You're awesome; I really love your videos, I even go back a few times 😅☺
@@rn9167 You’re so amazing. 😍 Thanks so much for sharing! Nothing wrong with coming back. The beauty of online videos ya know. Truly happy to be able to help. Don’t ever hesitate to reach out if you need anything 😊
@@ICUAdvantage Thank you ☺🙏❤
@@ICUAdvantage out here helping all the travel nurses pass their ecg interpretations
Best lecture!!!! Thank you.
Wow, thank you so much!
saw many videos, but liked only your explanation keep going with rhythm s
OMG thank you. HUGE help!
So great to hear! Youre very welcome!
Best lesson ever!!! thank you
Wow, thank you so much Zofia!
Thank you sir!
Hands down the best teacher!!!!!!!!!
Aww thanks Bernadette. Too kind! Glad you liked it.
Thanks
Very helpful. Thanks very much.
Glad it was helpful!
Well presented👍
Thank you 🙂
Hello. Thanks for the videos, big help:) just a clarification, how do I differentiate between sinus arrhythmia and pac? The strip looks similar. Thanks
Glad you like them! :)
In the PAC strip the rhythm is otherwise regular, so you will see equal time/distance between each beat and then this occasional early beat.
Sinus arrhythmia is just an irregular beat in which there is not that consistent time/distance between each beat. It's speeding up, or slowing down or both.
Hope that helps!
Thank you!
You're welcome!
Excellent!
Many thanks!
Very clear explanation
Thanks again Socorro! Happy to hear you think so!
What if you have a PVC but have a P wave showing up? These happen to me often throughout the day for the past 6-8 days. Usually 1 or 2 every hour. I think I have anxiety/stress right now. Also thought it might be caffeine. Wish I could share my Apple Watch ECGs on here.
You are more intelligent than doctors, your knowledge and experience…immense!
Ty so much!!!
You're welcome!
Awesome videos! What song is that at the beginning?
Thanks!
Thank you so much Dora!
Excellent👏👏👏
Thank you very much
Good basic info
Thank you
Thanku so much ❤️
You are very welcome! 😊
very easy to understand.
Awesome!!!
Thank you from 🇹🇷
Youre welcome! How cool!
this is great
Thank you!
Hi. I am currently working on a project on detecting and classifying cardiac arrhythmia. However I have a few questions. Can someone please assist me with those.
Thank you for the video, but actually "T wave opposite R" is not like a constant feature of PVC. There are different ECG leads and T will have different form in different leads. You can just say that QRS will have different form from usual SA complexes 🙌
Thanks❤
Youre welcome!
at 10:32, I think the QRS is just the positive part of the wide wave, the negative defection should be the T wave. But you drew the line across both QRS and T wave. Am I understanding it right?
Good catch. The example there wasn't the best drawn, but somewhere probably south of our normal isoelectric line is where the inverted T wave probably starts.
"Innocent" arrhythmias ? Do doctors often call supraventricular premature beats "premature ventricular contractions" when the person really had premature atrial or junctional beats? (Healthy person with "palpitations" perhaps due to coffee? )
"narrow complex" vs. wide complex (in someone whose normal EKG shows nice narrow complex normal ventricular complexes as to their basic rhythm)
Could you tell us how to you record and arrange this video?
I screencast my computer to my iPad and then use that to do the writing. I just then do a screen recording on my computer and use the mic for the audio as I go through the notes that I prepare 🙂
Hello. For interpreting arrhythmias using a machine, the ecg signals have been converted to numbers ranging from 0-1. Could you please explain something about what do those numbers mean and what converting them means. It will be a great help as i need this for a project. Thanks
I'm not sure I get what your asking?
@@ICUAdvantage I think it will be easier if I can explain over an email. I hv emailed on the ID given in your about. I really hope you can help me w this.
Good video
Awesome
Appreciate that!
So would it be safe to say if you're trying to locate a PAC to look for the p wave occurring earlier than expected and it would be moving closer to the t wave?
Yeah essentially
I have pvc since last year, come and go and approx 10-12 pvc per day in a week very often no particular time and days sometimes 20 days no PVC sometimes 2-3 month no PVC please suggest me what to do and is it okay ? Safe ?
I hear that sinus arrhythmia is healthy not sure how true that is i had a sinus arrhythmia without abnormalities but haven’t had that in any of my other ekgs they came out normal
In many cases its benign.
ICU Advantage glad to know i was very anxious and nervous when that ekg was performed i have been suffering from anxiety for quite a while
@@johnnyflores1978 He says it benign. Its means near future you have greater risk of heart failure.
Personally, I think these should be worth CEUs. They are that good, in my opinion.
Thank you Estella! Glad you liked them!
In terms of a sinus arrhythmia, how do you know that the impulse is originating from the SA node and not another atrial focus?
Similar p-wave morphology
First thanks for the video. However, the morphology of the p wave in the sinus arrhythmia where somewhat different which makes it difficult to differentiate between sinus and PAC arrhythmias
If it helps, don't focus on the P-wave morphology. Its a matter of the timing. The PAC will usually come in "premature" or early compared to when you'd expect, in an otherwise normal rate rhythm. In sinus arrhythmia, the rhythm is speeding up and slowing down and so you'll see fluctuations in the HR. Hope that makes sense.
Where can I find videos 1 and 2
I have been recently diagnosed with either Sinus arrhythmia or sinus bradycardia. They are still trying to figure out what’s going on with my heart and I’d like to know more about that’s going on
I have the same also. But they cant seem to find its cause. Any luck with u?
@@okpolee no. I hate that. Every time they do an EKG it comes back normal
@@twilightfreak1554 same here. They never see anything
@@twilightfreak1554 My friend rahul passed away due to Sinus arrhythmia 😭
Only issue here is that in SVT it may be from an underlying medical condition. I was misdiagnosed with SVT when I actually have Hashimotos Thyroiditis. I ironically work on a cardiac floor and have rolled into work with a HR of 140+ on numerous occasions.
140+ 😮 wow!
@@taylorcervantes1995 yup I've hit 150+ helping my mom mow her yard. I was put on medication just last fall but it's helping
Is this what I’d learn if I’m training for BART? To be a monitor tech?
I haven't done that, but I'd think so.
Pl. Explain step by Step from Basic PQRST Wave Form of ECG every time,, You Start any Lecture Series Part 1, Part-2, etc,. This way only Everyone can Understand and Follow. Then only it will be Remembered and have Analytical REASONING and Interdisciplinary Approach. Thank you Very Much.
Here's a link to the playlist and you can begin with the first lesson...
ruclips.net/video/_AJ1SVhCeSQ/видео.html
How can we distinguish between a PAC and a sinus arrhythmia.. because they look the same to me
Typically PAC is going to be a single beat and the rate resumes at the same rate (approx) that it was before. Sinus arrhythmia is more a steady changing of the rate and fluctuating up and down.
@@ICUAdvantage thanks a lot
@@bre97bj Sinus arrhythmia is the leading cause of heart failure due to its steady changing of the rate & fluctuating up n down 😭
So can a ekg only itself detect any irregular heartbeats
Yup! If it's happening when its taken.
Cool video. I had been struggling so hard in interpreting ECGs in MedSchool and this video has just made things better for me. I still have a doubt though. In Premature Ventricular Complex how can you exactly point out the Q,R and S parts of the wide QRS complex???
Glad this video helped! You can still make out where it starts and where it ends, which is primarily the end points we often are looking for to determine the length of the complex. Q waves often aren't visible so you'd go from the start of the R wave.
May get in spanish ?
I went to the doctor and got an EKG, they said my heart was normal, a week later my heart skips a beat and it all started with shortness of breath about 3 weeks ago, I have no clue what to do. I’ve been very concerned about this.
Make sure you talk to a provider if you have concerns.
ICU Advantage I talked to my doctor, he said my heart was healthy but an ekg was the only test we did.
@Oh Simply
Like ICU ADVANTAGE said, consult your doctor. Now idk If know each other personally, but it’s never a good idea to get medical advice online unless it is directly from your doc. Theres no way ICU ADVANTAGE could tell what is going on with you, there’s just too many unknown factors . Also an ecg is just a snapshot, it doesn’t tell you everything.
(And trust me I get it, if I was concerned I’d want answers ASAP lol)
Also I am not trying to be rude or sarcastic in anyway just advice from a friendly paramedic 🚑👍😊 ....if you’re problems persist, or you are concerned in any way and can’t get into your doc...don’t hesitate to go to the ER! Hope you are well!
@@ohsimply178 How r u now dear
Please i hope you get to my comment but i get twitches like on my heart or chest feels like in my throat sometimes there not painful but its scary they only last a second its like if my heart stops and continues. Ive had chest xrays and ekgs and blood work ive gone 2 times to the er and all fine and i still get them i had them for years and they blame my anxiety but now there daily like 3 a day its scary
I'm so sorry to hear you are going through this. Unfortunately, theres not anything that I would be able to do or to help with. You might talk to your primary care provider and see if they can get you a referral to a cardiologist just to make sure. They might be able to put you on a mobile monitor for a few days or longer to see if anything shows. I sure hope you can get it figured out!
What would cause irritation in the heart to cause a PAC or PVC?
I've been told it can be due to stress or anxiety. if not those then most likely an electrolyte imbalance.
@@greenbareet Thank you
I really need help to my ECG reading
Hope these videos helped.
? Fears in life rooted at your heart
No pvcs?
❤
Is sinus arrhythmia a supraventricular arrhythmia
Technically yes. Supraventricular = above the ventricle.
Could we get slide shows
One of the perks to the entry level Patreon group is the notes that I prepare for each lesson.
how does the heart not just explode of 300 bpm?
I mean, if it kept up, it certainly would stop soon.
@@ICUAdvantage yeah, it would have too much o2 demand and the heart muscle would be hypoxic, because of the demand
Next part video?
Here's the whole playlist: ruclips.net/p/PL2oVjKTYocdPMaNwn4xbg6xAIaAnyraMj
I’ma Torsades girl
Oh yeah, dubstep
Respiratory sinus arrhythmia.
Is a death sentence. high risk of heart failure in near future