Acute Coronary Syndrome (Heart Attack) - Unstable Angina vs NSTEMI vs STEMI | With ECGs

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  • Опубликовано: 24 ноя 2024

Комментарии • 119

  • @RhesusMedicine
    @RhesusMedicine  2 года назад +6

    For more medicine videos consider subscribing (if you found any of the info useful!):
    ruclips.net/channel/UCRks8wB6vgz0E7buP0L_5RQ
    Buy Us A Coffee!: www.buymeacoffee.com/rhesusmedicine
    Video Timestamps:
    0:00 What is Acute Coronary Syndrome - Acute Coronary Syndrome Definition
    0:25 Coronary Artery Anatomy
    1:17 Acute Coronary Syndrome Pathology - Atherosclerosis
    2:08 Acute Coronary Syndrome Pathology - Unstable Angina vs Non ST Elevation Myocardial Infarction vs ST Elevation Myocardial Infarction
    3:00 Acute Coronary Syndrome Risk Factors
    3:23 Signs and Symptoms of Acute Coronary Syndrome
    4:17 Acute Coronary Syndrome Diagnosis - ECG STEMI
    5:45 Acute Coronary Syndrome Diagnosis - ECG NSTEMI and Unstable Angina
    6:42 Acute Coronary Syndrome Diagnosis - Cardiac Troponin I
    7:11 Acute Coronary Syndrome Diagnosis - Imaging
    7:42 Treatment of Acute Coronary Syndrome

    • @jealt4111
      @jealt4111 Год назад

      ❤😂🎉😢😅🎉🎉😢😢😮🎉❤😂😅🎉❤😅😂😂😂😂❤😂😂😊😂🎉😂😅🎉😂😂😊🎉😂😂😅❤😊😅2😅😅 0:55 ❤😅😅😂😂🎉❤🎉😂😂

  • @bellas_adventure_s
    @bellas_adventure_s 8 месяцев назад +7

    I like that they’re putting people qualifications on their channels now it’s very much needed

  • @sassneversleeps
    @sassneversleeps Год назад +58

    This is actually the best video I have found in my 3 years of medical school hands down. You are doing God's work. Thank you so much.

    • @RhesusMedicine
      @RhesusMedicine  10 месяцев назад +3

      Very kind! Glad it helped, good luck!

    • @premprakash9237
      @premprakash9237 2 месяца назад +1

      Correct .. best of best; simple n broad content

  • @jannatsaleh4317
    @jannatsaleh4317 9 месяцев назад +5

    Actually the Best explanation regarding this topic, I've seen so far 👏

  • @norlynamante8366
    @norlynamante8366 Год назад +34

    Great explanation, I learned more from your 9 minute video than my professor's 3 hour lecture

    • @RhesusMedicine
      @RhesusMedicine  Год назад

      Very glad to hear it was useful, best of luck 😊

    • @aboutcomments
      @aboutcomments Год назад

      I wonder how this is happening to us how can a 9 min video give us more informations then a 2 hour lecture!! Are we running into fish 😂😂😂

  • @dasadasaanudasa521
    @dasadasaanudasa521 2 года назад +7

    U saved my life, seriosly, i m in europe medical uni, and nobody ever explained it like this

  • @charlesworrell5946
    @charlesworrell5946 Год назад +13

    Excellent job, Great for EMTs and Paramedics, clear and concise.

  • @teshomeabebe2819
    @teshomeabebe2819 Год назад +4

    An excellent video which is short, clear & precise for easy understanding.

    • @RhesusMedicine
      @RhesusMedicine  Год назад +1

      Thank you for your comment, glad it was useful 😊

  • @philipmarsden7104
    @philipmarsden7104 Год назад +8

    A superb video! Thanks for all the effort you put into it!

  • @abbiecohen2996
    @abbiecohen2996 2 месяца назад

    Hands down the best video out there for thjs

  • @roland.j.ruttledge
    @roland.j.ruttledge Год назад +5

    Simple, clear and much appreciated. Many thanks

    • @RhesusMedicine
      @RhesusMedicine  Год назад +1

      Thank you for watching and the kind comment 😊

  • @dennissilber287
    @dennissilber287 Год назад +3

    The illustrations corresponding to the different levels of severity of acute coronary syndrome (ACS) can be seen in the corresponding degrees of ACS but it is often not the case that EKG abnormalities as displayed can be seen. In unstable angina (UA) or NSTEMI there may be minor, subtle, or non diagnostic abnormalities. Dynamic EKG abnormalities that appear and resolve as symptoms occur and resolve can be seen and are strongly suggestive of ACS. In STEMI though total occlusion is usually the case a tight non occlusive thrombus proximally can impair perfusion to a large enough area of myocardium to cause ST elevations. It is possible that ischemia or infarction due to a circumflex artery thrombosis can cause no EKG abnormalities in the lateral leads at all, the so called “blind spot”.

    • @bbmtge
      @bbmtge 7 месяцев назад

      Exactly why did you find it necessary to try to impress anyone by posting on aclip that is very basic? The funny thing about people like you is that there is no goal to inform, only to impress. Utter foolishness.

  • @ksaianirudh9449
    @ksaianirudh9449 10 месяцев назад

    Excellently explained ❤

  • @simuchimbahumphrey.3482
    @simuchimbahumphrey.3482 8 месяцев назад

    Thank you very much Doc💉
    This is all well understandable ✨

  • @claudedametto2785
    @claudedametto2785 Год назад

    This is priceless!
    Keep up the good work,
    Claude (commencing CCU RN)

    • @RhesusMedicine
      @RhesusMedicine  Год назад +1

      Thank you Claude, I appreciate the kind comment! 😊

  • @Old_Sailor85
    @Old_Sailor85 Год назад +18

    Or nothing...I'm recovering from open-heart surgery (CABG, etc.). My EKG/ECG was normal. It took a blood test to indicate I was having a heart attack.
    So a normal ECG does not necessarily mean you are OK!

    • @8ty6th
      @8ty6th Год назад +10

      ekg will only show your rhythm at that time, sometimes it can show old infarct. however acutely, a troponin level will indicate damage to the cardiac tissue. certain conditions can cause a chronically elevated troponin.

    • @CalciumChloride4
      @CalciumChloride4 Год назад +8

      That’s called an NSTEMI

    • @gabrielglenn1714
      @gabrielglenn1714 Год назад

      NSTEMI widespread ekg changes with the wave inversion right?

    • @gamingwitchutuu429
      @gamingwitchutuu429 11 месяцев назад

      Do you remember how it felt , my chest feel sore on the left if I move a certain way

    • @Old_Sailor85
      @Old_Sailor85 11 месяцев назад +1

      @@gamingwitchutuu429 Really bad indigestion is the best description I can come up with.

  • @sarfrazhussain9816
    @sarfrazhussain9816 4 месяца назад

    Thank you sir for such a great explanation ❤❤

  • @mirandakhaidem7781
    @mirandakhaidem7781 2 года назад +6

    Nice explanation...

  • @StudyWithDrMehsud
    @StudyWithDrMehsud 3 месяца назад

    Thank you sir it was very very informative ❤❤❤

  • @jedielnaidoo4513
    @jedielnaidoo4513 2 года назад +8

    Great explanation 🙌🏽

  • @Cheeruppy6166
    @Cheeruppy6166 Год назад

    Your video helped me a lot thank you

  • @rishiraman1997
    @rishiraman1997 2 года назад +1

    Very well explained Good Job, You need to fine tune your drug knowledge - Alteplase use is decades old ! Even TnK is old now since there are more Cath Labs around.

  • @njokigichigo5989
    @njokigichigo5989 9 месяцев назад

    best explanation

  • @mehwishgeorge259
    @mehwishgeorge259 6 месяцев назад

    Thank u sir u makes very fantastic video

  • @most.jarminakter5241
    @most.jarminakter5241 9 месяцев назад

    Gread explanation

  • @bethtremain3409
    @bethtremain3409 Год назад

    Absolute legend! Thank you

  • @midhudas3910
    @midhudas3910 Год назад

    Very well explained..

  • @khurrammohibq6136
    @khurrammohibq6136 Год назад +2

    Where i can find your notes?

  • @IMIRZ02
    @IMIRZ02 9 месяцев назад +1

    MONA is excluted from guidelines

  • @UNCLETUDE
    @UNCLETUDE 10 месяцев назад

    BRAVO!!

  • @fathimanishana2326
    @fathimanishana2326 2 года назад +1

    Can u suggest a topic related to anemia in acs for a research topic

  • @manoharpitrubhakta1307
    @manoharpitrubhakta1307 Год назад

    Nice explanation sir ji

  • @Motivational_thoughts95
    @Motivational_thoughts95 6 месяцев назад

    Does T wave flattening also indicates ischemia?

  • @nsreennasr6654
    @nsreennasr6654 Год назад

    Thanks very very helpful

  • @nourelhoda9633
    @nourelhoda9633 11 месяцев назад

    you're amazing !!!!

  • @mazlanibr.9816
    @mazlanibr.9816 2 года назад +1

    Great, tqvm

  • @BoneyaDida
    @BoneyaDida 4 месяца назад

    Thanks teach

  • @foodiesworldUSA
    @foodiesworldUSA Год назад

    why do we give beta blocker for left ventricular systolic dysfxn?

  • @Nadeemsart154
    @Nadeemsart154 Год назад

    Sir Angised use in

  • @nodoc_tv
    @nodoc_tv 2 года назад +2

    Thank you !!^^

  • @jaclyncaro799
    @jaclyncaro799 2 года назад +2

    If someone has untreated unstable angina for three months, can they still have a heart attack?

    • @marcosrua7223
      @marcosrua7223 2 года назад +2

      Yes

    • @SonarTheBat
      @SonarTheBat Год назад

      I'm sure they'd be at high risk of a heart attack.
      I'm not a medical professional though.

  • @sowinski4
    @sowinski4 Год назад

    What would cause the right chamber to swell like a water balloon & next aggressively contract to correct that?

  • @clarkkent4872
    @clarkkent4872 2 года назад +2

    How to differentiate st depression of NSTEMI and st depression in anterior leads due to posterior STEMI??

    • @RhesusMedicine
      @RhesusMedicine  2 года назад +9

      Thanks for the question- additional ECG leads (V7-V9) placed on the posterior chest wall would reveal ST elevation in a posterior STEMI. Having ST depression in the anterior leads with a clinical picture suggestive of MI should raise the question of a posterior STEMI (as the management would change from NSTEMI to STEMI). Bear in mind though that isolated posterior STEMI is less frequent, it's more common to have it in the presence of an inferior or lateral STEMI. Life In The Fast Lane (LIFTL) have a really good article:
      litfl.com/posterior-myocardial-infarction-ecg-library/

    • @clarkkent4872
      @clarkkent4872 2 года назад +1

      @@RhesusMedicine thanks

    • @RhesusMedicine
      @RhesusMedicine  2 года назад +13

      @@clarkkent4872 No problem, Superman

  • @rohandeshpande8832
    @rohandeshpande8832 10 месяцев назад

    Pharmacy students where you at

  • @disarose5752
    @disarose5752 2 года назад +1

    good

  • @joelludvigsson5645
    @joelludvigsson5645 Год назад

    Thank youuuu

  • @sinclair657
    @sinclair657 Год назад

    Thank you

  • @SandraMartin-q5y
    @SandraMartin-q5y Месяц назад

    Hudson Common

  • @drzz2
    @drzz2 Год назад

    best video😊😊

  • @amirabbasbaharfar2328
    @amirabbasbaharfar2328 8 месяцев назад

    Done.

  • @dr.satyabratasahoo5644
    @dr.satyabratasahoo5644 5 месяцев назад

    Nice

  • @hiiamtheclydicier
    @hiiamtheclydicier Год назад

    "NSTEMI has smaller infarctions than STEMI in general" A patient with almost normal ecg having distal RCA OMI: 💀💀💀💀

  • @MoolsDogTwoOfficial
    @MoolsDogTwoOfficial Год назад

    I just got my polar h10 yesterday and when I checked my ECG on it, I had what appeared to be st-elevation. But when I che kid my Apple Watch ECG, it showed no sign. What does that mean?

    • @bbmtge
      @bbmtge 7 месяцев назад

      Why not ask your doctor instead of a youtube channel. More foolishness.

    • @MoolsDogTwoOfficial
      @MoolsDogTwoOfficial 7 месяцев назад

      @@bbmtgeDon't worry, my hypochondria is much more under control since I wrote this comment. My heart's fine, I'm only 18 and I exercise nearly daily so I'm good.

  • @venkateshakrishnappa2445
    @venkateshakrishnappa2445 Год назад

    Great

  • @ShelbyFahrenkrug-g9f
    @ShelbyFahrenkrug-g9f Месяц назад

    Willms Tunnel

  • @PhilemonVic-o5i
    @PhilemonVic-o5i 2 месяца назад

    Lewis Susan Johnson Linda Young Thomas

  • @SE45CX
    @SE45CX Год назад +1

    Not much for the laymen, this video.

  • @Nurse_lab
    @Nurse_lab 6 месяцев назад

  • @davidkremer288
    @davidkremer288 Год назад

    Superbe 🤩👌👍🇨🇭

  • @Hujuraq-wj3no
    @Hujuraq-wj3no Год назад

    ❤❤❤❤

  • @sreenivasgarikina3089
    @sreenivasgarikina3089 10 месяцев назад

    I wanted Telugu

  • @mr.h9921
    @mr.h9921 Год назад

    🫶🏼🫶🏼🤩🤩 thaaaaaanks

  • @jwhbos
    @jwhbos Год назад +30

    It’s interesting learning to how much shit can go wrong with my body at any given second. Really increases my existential dread 10/10 would recommend 👍

  • @broformation6530
    @broformation6530 2 года назад +15

    "in women than in males" really weird

    • @sleepynoodles6425
      @sleepynoodles6425 2 года назад +14

      Maybe women since they are more pain tolerant just shrug off the pain and think nothing of it?

    • @broformation6530
      @broformation6530 2 года назад +1

      @@sleepynoodles6425 literally the opposite of your statement is true and I was referring to how he
      he used 'males' instead of men or used women instead of females.
      Weird to objectify one sex and not the other.

    • @sleepynoodles6425
      @sleepynoodles6425 2 года назад +5

      @@broformation6530 you're maybe right about men being more pain tolerant (pls link studies I'd like to learn more since I'm pretty sure women tend to be ignored when it comes to pain studies because of hormonal imbalances and studies inaccuracies)
      But then maybe he means women tend to shrug off any pain they had?
      Especially during cardiovascular pain so you should look out for them and not underestimate a woman's "slight" chest pain complaint
      About your second opinion
      We're in a scientific video literally using females/males women/men doesn't matter in the slightest and for sure doesn't mean objectifying and literally no one cares. This is not reddit.
      I mean have you read any medical books? It's pretty normal
      And I'm sure the video writers didn't look twice at the terms since they are interchangeable and doesn't matter the use of one over the other

    • @broformation6530
      @broformation6530 2 года назад +1

      @@sleepynoodles6425 I'm ok with using male/female. I found it weird he avoided using female but had no problem with male.

    • @sleepynoodles6425
      @sleepynoodles6425 2 года назад +11

      @@broformation6530 again it's because the terms are interchangeable so the writer didn't look twice on what word was used for which and they for sure as hell didn't think of whatever you're thinking
      Don't overthink this, in a scientific video.
      This isn't reddit.

  • @varshabaiju2301
    @varshabaiju2301 5 месяцев назад