2:16 ok how is that atrial flutter when the rythm is irregular and the flutter waves have no pattern. Even in variable block they may mimic AFib but there is still a pattern
#11 I agree with the diagnosis of 2nd degree type 1 block but there are also ST elevations in II, III, aVF and probably in V6 which would indicate an inferolateral STEMI if I am not mistaken? Or is there another explanation?
Thank you for your support. 🙂 If you like, check out this ECG quiz in which the abnormality is identified after showing the answer…. 12-Lead ECG Quiz Series ruclips.net/video/oRMH1Q6Jfws/видео.html
You getting bad advice you can diagnose TDP without having known the previous QTc. With torsades de pointes you can clearly find parts of the wide (Pointed ) QRS going up and transitioning to going down. Hence the literal term torsades de pointes “twisting of the points”. This example is not TDP. what you’re looking at is a 12 lead of ventricular fib giving the appearance of changing patterns but you’re really looking at multiple leads. With TDP the twisting of the points will occur in a single lead such as lead II or V1. It has the ability to self terminate and go back into the baseline rhythm also torsades de pointes is very rare and over diagnosed. While it is true that it’s almost always seen in patients with QT prolongation, it can also be seen in profound cardiac hypoxia and in severe cardiomyopathies without QT alterations.
Yeah, I am trying to do a systematic approach and there are no p-waves and the rat eis irrregular so it should be afib or is this all due to the STEMI?
If you believe that they are incorrect, would you care to mention why? For detailed explanations of the ECG findings associated with left and right bundle branch block, check out this video... ruclips.net/video/M7Fti-qLh18/видео.html
PowerPoint was used to make this quiz. It’s really quite straightforward…. Just ecg images with a timer. Is there anything in particular that you are interested in?
The ventricular rate depends on the AV conduction ratio. In this case, variable AV conduction has resulted in a ventricular response that is irregular. Indeed, this may mimic atrial fibrillation.
Nahh. Random is good. You won’t know whats gonna come. It might just come as sinus rhythm and we could be interpreting as something else by overthinking it
@@nab7 It creates issues for students who ate trying to learn ecg and become expert in future. I have seen people failing to identify potassium abnormalaties,seen this in one shorts video of one ICU medical study related ecg videos.
Thank you so much.
It was a great practice of ECG interpretation.
I interpreted 20 to 25 ECG Correctly.
Well done!! 😃
omg you actually changed my life! The last one being Digitoxin poisoning made me so incredibly happy! amazing video and thankyou so much
You’re welcome
2:16 ok how is that atrial flutter when the rythm is irregular and the flutter waves have no pattern. Even in variable block they may mimic AFib but there is still a pattern
Thank you so much
It was a great if you identefy the specific cause for diagnosis on ECG for example j wave on v1,v2
dear author/sir / maam we want more ecg graph for practice
#11 : BAV II is caused by inferior STEMI !!!
Bezold-Jarisch!
I did bad and got five out of thirty right that is about sixteen percent. I hope to do much better in the future
That’s not bad! It’s very difficult to read an ECG in just 10 seconds. More time is often required to accurately interpret an ECG.
#11 I agree with the diagnosis of 2nd degree type 1 block but there are also ST elevations in II, III, aVF and probably in V6 which would indicate an inferolateral STEMI if I am not mistaken? Or is there another explanation?
Yup my question arise you.........
Inferolateral STMI
Yes you are indeed correct!
Thanks for the replies!
you are right, thought the same thing.
#3 how do you distinguish lbbb from lvh? As they both produce tall r waves and st elevation
Echo
thanks for video😊
You’re welcome 🙂
Next time you make a video like this add markings on ecg too. It will add more value and comprehension too.
Check out this RUclips short for an ECG question and answer with markings.
ruclips.net/user/shorts_dpmvxlmiaw?si=je7ijzQuJOtgoWaH
well that's nice! could do a bunch under 10 but others really took me some time.
Very nice ecgs very useful,thanq
Thank you 😊
thank you very much. I hope you identify the abnormality on the picture after showing the answers so we will be able to understand as well. thank you
Thank you for your support. 🙂 If you like, check out this ECG quiz in which the abnormality is identified after showing the answer….
12-Lead ECG Quiz Series
ruclips.net/video/oRMH1Q6Jfws/видео.html
thank you for taking the time to make this video.It is exactly what I was looking for.
You’re welcome ☺️
26 of 30... 2 completely different, more practice needed
That’s great!!! These ECGs are hard to identify without a vignette! It’s really more for fun than anything else :)
Could #10 not be Brugada type 1 ?
Cover ST segment elevation in V2-V3 with T wave inversion (Brugada sign)
How come #3 is LBBB? There's no M or W sign on V1 or V6..??
Check out this video for an explanation of ECG findings associated with LBBB..... ruclips.net/video/0XDvp6eIsXY/видео.html
Excellent
Thank you 😊
Why is 13 not specifically torsades de pointes?
We cannot make out “Qt prolongation”.
If no previous ecg showing prolonged qt interval, we could call it is polymorphic VT only.
You getting bad advice you can diagnose TDP without having known the previous QTc. With torsades de pointes you can clearly find parts of the wide (Pointed ) QRS going up and transitioning to going down. Hence the literal term torsades de pointes “twisting of the points”. This example is not TDP. what you’re looking at is a 12 lead of ventricular fib giving the appearance of changing patterns but you’re really looking at multiple leads. With TDP the twisting of the points will occur in a single lead such as lead II or V1. It has the ability to self terminate and go back into the baseline rhythm also torsades de pointes is very rare and over diagnosed. While it is true that it’s almost always seen in patients with QT prolongation, it can also be seen in profound cardiac hypoxia and in severe cardiomyopathies without QT alterations.
thx
You’re welcome ☺️
excellent ecg quiz. thanks
Thank you :)
I think its 2 deg heart block also in#2 quiz
Is there anything else on #2, like a atrial fibrillation or something? We see a tachiarrhythmia with no P-waves, right?
Yeah, I am trying to do a systematic approach and there are no p-waves and the rat eis irrregular so it should be afib or is this all due to the STEMI?
Thanks sir.
You’re welcome ☺️
Thank you very much.
Welcome 😊
Great quiz experience 👏👏👏👏👏
Thank you!
Video ottimo
🙂
For #12 can't it be BER, with the Fish-Hook J wave?
I guessed 28 sir
Fantastic!!
👍🥳
Thank you 😊
Boundless branch block are wrongly mentioned....please refer the book..
If you believe that they are incorrect, would you care to mention why? For detailed explanations of the ECG findings associated with left and right bundle branch block, check out this video... ruclips.net/video/M7Fti-qLh18/видео.html
#14 Isn't it also a type 1 atrioventricular block ? PR interval seems to be large
ECG da Pacemaker
Very nice
Thank you :)
#10: how do you know that that the premature complex comes from the atrium and not from the ventricle??
Amongst other distinguishing features, the QRS complex will be normal with PACs (unless there is aberrancy), but will be abnormal with PVCs.
How to make this quiz video
PowerPoint was used to make this quiz. It’s really quite straightforward…. Just ecg images with a timer. Is there anything in particular that you are interested in?
@@Med4VL yeah I like ur videos n i like it I wanna make like this quiz type only thanku for ur reply
@@aaaaaass361 you’re welcome ☺️
#20 leads are wrongly placed.. avR is positive.. normally it's negative
Not necessarily, we can see that there’s left axis deviation by looking at leads 1 and 2 , so conduction will shift
3:34 No Inferior STEMI?
There is inferior stemi?
why was 7 atrial flutter when the rhythm was irregular?
The ventricular rate depends on the AV conduction ratio. In this case, variable AV conduction has resulted in a ventricular response that is irregular. Indeed, this may mimic atrial fibrillation.
atrial flutter can be both regular or irregular
#3 isn't it RBBB?
No, but close. :) It is a left bundle branch block.
Very boring arrangment of examples.
Quizes should be arranged from easy to difficult levels.
From common to rare examples to facilitate learning.
Then you may prefer this quiz….
ECQ Quizzes: Easy to Hard
ruclips.net/video/DpsnVTlshzM/видео.html
Nahh. Random is good. You won’t know whats gonna come. It might just come as sinus rhythm and we could be interpreting as something else by overthinking it
@@nab7 It creates issues for students who ate trying to learn ecg and become expert in future.
I have seen people failing to identify potassium abnormalaties,seen this in one shorts video of one ICU medical study related ecg videos.