Thank you so much for your videos. I was wondering if it could be possible you upload your presentations in PDF format or similar to Google Drive or website, so we can print it out and take notes while you are talking. It could be much easier to remember all the concepts. Thanks again and by so far your videos are the best to learn EKG/ECG
+asheriko26 More are definitely coming. 2 reasons for the delay: First, there have been many many requests for other topics, so I didn't want to alienate too many subscribers by focusing on more batches of ECG videos all at once. Second, the more advanced the topic is, generally speaking, the less common the findings - so I'm still trying to track down some great examples of things like different pathways in WPW, atypical AVNRT, unusual flutter pathways, cool electrolyte-related findings, etc... Since EKGs themselves are not copyrightable, I could just "borrow" ones from other sites, textbooks, or journal articles, but although it's legal to do so, it usually makes those authors cranky. Thus still awaiting for a few more patients to come through my way...
I think out of your videos this is one of your best playlists! I have an article/case study I am reading in which this patients suddenly has an SVT, adenosine was given and the author wrote 'It is important to note that the last observed event on cessation of this patient’s supraventricular tachycardia was a QRS complex and not a P wave, and the previously observed P wave was of high-to-low atrial activation, as seen in lead II ' .... I am not sure what he/she means by this line and if you could provide some clarification would really appreciate it.
Regarding the ECG showing a supraventricular tachyarrhythmia abruptly terminated by adenosine administration, could the patient (in rare cases) go into cardiac arrest if the latent ventricular pacemakers for some reason failed or used too much time to respond? Or could this scenario never happen due to the very short half life of adenosine?
+mr Highbury Cardiac arrest following adenosine administration is frequently cited as a theoretical concern, and is the reason patients should have the crash cart nearby when given adenosine. Some providers also advocate for placing pacing pads on the chest prior to adenosine administration, in the even that transcutaneous pacing is necessary. However, I've never seen a case where this was necessary, and have only heard a 3rd hand report of it happening in our hospital, which occurred in a post-cardiac transplant patient. (Post-transplant patients are reportedly more sensitive to adenosine in general.) I also just did a quick literature search on the phenomenon of adenosine-triggered arrest, and found only a couple of case reports. One described a fatal asystolic arrest immediately following out-of-hospital administration of adenosine by EMS to a person with a hemodynamically unstable SVT (www.sciencedirect.com/science/article/pii/S1090312700700402), and another which described persistent 2nd degree AV block in a patient following adenosine administration for a nuclear stress test (www.ncbi.nlm.nih.gov/pubmed/18301154). But bottom line, life-threatening cardiac arrest secondary to adenosine appears to be a very rare phenomenon. Nevertheless, its administration should not be taken lightly, and it will make almost every patient feel absolutely terrible. (I've had more than one patient tell me they literally thought they were dying during the transient ventricular standstill...)
I saw SVT with type1 second degree AV block is in regularly irregular so I wonder if SVT with others types of heart block are in irregularly irregular. For example, SVT with type2 AV block. Thank you !
Hello. Love your work... I understand that these lectures are unavoidably reductive, but you may reconcider at least mentioning antidromic AVRT while listing etiology of vide qrs comlex tachycardia. Greetings from Poland.
Thanks for pointing this out. I posted this a long time ago, so can't say whether the omission was accidental or deliberate (i.e. trying to keep things simple), but looking at the video now, it should have been included. Coincidentally, I just posted this video on WPW And AVRT yesterday that you might find interesting : ruclips.net/video/edf3Hq7XhKM/видео.html
While v-fib is irregularly irregular electrical activity, it's so disordered (and so obvious on inspection) that it's not usually included in lists of irregularly irregular tachycardias.
+Vekneswaraj Arumugam Marriot's Practical Electrocardiography, Advanced ECG: Boards and Beyond, Clinical Arrhythmology and Electrophysiology, Chou's Electrocardiography in Clinical Practice, various articles in UpToDate, various papers in the primary literature, personal knowledge I've picked up in the last 15 yrs, and finally, I usually ask my wife the vet the EKG videos before posting them (she's an electrophysiologist). There are a few other sources that I've used for small questions, but those are the main ones.
+Vekneswaraj Arumugam I'm so sorry, I'm just seeing your question now! (6 months late...). References for the EKG videos are predominantly a combination of the primary literature and Uptodate, supplemented by Marriot's Practical Electrocardiography, Chou's Electrocardiography in Clinical Practice, and Advanced ECGs: Boards and Beyond. I also occasionally ask my wife to review the more advanced EKG concepts to make sure that she agrees with how it's being presented (she's an electrophysiologist).
Thanks!
Thank you!
Thank you Dr Strong. I just got that your six questions is a way alternative of pattern recognition, and you said it is better.
Outstanding, sophisticated, and pleasent lectures, thank you!
Thank you Dr Eric Strong.
Thank you very much Doctor Strong.
Thanks a lot. The best tutorials in a while!
best 💯❤
Thank you so much for your videos. I was wondering if it could be possible you upload your presentations in PDF format or similar to Google Drive or website, so we can print it out and take notes while you are talking. It could be much easier to remember all the concepts. Thanks again and by so far your videos are the best to learn EKG/ECG
Hi, you noted at the start of the series that you plain to do 30 videos in total. are you ? or this is basically it?
+asheriko26 More are definitely coming. 2 reasons for the delay: First, there have been many many requests for other topics, so I didn't want to alienate too many subscribers by focusing on more batches of ECG videos all at once. Second, the more advanced the topic is, generally speaking, the less common the findings - so I'm still trying to track down some great examples of things like different pathways in WPW, atypical AVNRT, unusual flutter pathways, cool electrolyte-related findings, etc... Since EKGs themselves are not copyrightable, I could just "borrow" ones from other sites, textbooks, or journal articles, but although it's legal to do so, it usually makes those authors cranky. Thus still awaiting for a few more patients to come through my way...
I think out of your videos this is one of your best playlists!
I have an article/case study I am reading in which this patients suddenly has an SVT, adenosine was given and the author wrote 'It is important to note that the last observed event on cessation of this patient’s supraventricular tachycardia was a QRS complex and not a P wave, and the previously observed P wave was of high-to-low atrial activation, as seen in lead II ' .... I am not sure what he/she means by this line and if you could provide some clarification would really appreciate it.
Amazing!! Thx a lot!
Regarding the ECG showing a supraventricular tachyarrhythmia abruptly terminated by adenosine administration, could the patient (in rare cases) go into cardiac arrest if the latent ventricular pacemakers for some reason failed or used too much time to respond? Or could this scenario never happen due to the very short half life of adenosine?
+mr Highbury Cardiac arrest following adenosine administration is frequently cited as a theoretical concern, and is the reason patients should have the crash cart nearby when given adenosine. Some providers also advocate for placing pacing pads on the chest prior to adenosine administration, in the even that transcutaneous pacing is necessary. However, I've never seen a case where this was necessary, and have only heard a 3rd hand report of it happening in our hospital, which occurred in a post-cardiac transplant patient. (Post-transplant patients are reportedly more sensitive to adenosine in general.)
I also just did a quick literature search on the phenomenon of adenosine-triggered arrest, and found only a couple of case reports. One described a fatal asystolic arrest immediately following out-of-hospital administration of adenosine by EMS to a person with a hemodynamically unstable SVT (www.sciencedirect.com/science/article/pii/S1090312700700402), and another which described persistent 2nd degree AV block in a patient following adenosine administration for a nuclear stress test (www.ncbi.nlm.nih.gov/pubmed/18301154). But bottom line, life-threatening cardiac arrest secondary to adenosine appears to be a very rare phenomenon. Nevertheless, its administration should not be taken lightly, and it will make almost every patient feel absolutely terrible. (I've had more than one patient tell me they literally thought they were dying during the transient ventricular standstill...)
+Strong Medicine thank you so much for your answer.
I saw SVT with type1 second degree AV block is in regularly irregular so I wonder if SVT with others types of heart block are in irregularly irregular. For example, SVT with type2 AV block. Thank you !
Hello. Love your work...
I understand that these lectures are unavoidably reductive, but you may reconcider at least mentioning antidromic AVRT while listing etiology of vide qrs comlex tachycardia.
Greetings from Poland.
Thanks for pointing this out. I posted this a long time ago, so can't say whether the omission was accidental or deliberate (i.e. trying to keep things simple), but looking at the video now, it should have been included. Coincidentally, I just posted this video on WPW And AVRT yesterday that you might find interesting : ruclips.net/video/edf3Hq7XhKM/видео.html
Thank you so much
Merci beaucoup
isnt Vfib also an irregularly irregular tachycarrythmia?
While v-fib is irregularly irregular electrical activity, it's so disordered (and so obvious on inspection) that it's not usually included in lists of irregularly irregular tachycardias.
@@StrongMed Cool, thank you!
what references do you use to make these videos? so that I an answer my medical lecturers...
+Vekneswaraj Arumugam Marriot's Practical Electrocardiography, Advanced ECG: Boards and Beyond, Clinical Arrhythmology and Electrophysiology, Chou's Electrocardiography in Clinical Practice, various articles in UpToDate, various papers in the primary literature, personal knowledge I've picked up in the last 15 yrs, and finally, I usually ask my wife the vet the EKG videos before posting them (she's an electrophysiologist). There are a few other sources that I've used for small questions, but those are the main ones.
+Eric's Medical Lectures thank you :D
+Vekneswaraj Arumugam I'm so sorry, I'm just seeing your question now! (6 months late...). References for the EKG videos are predominantly a combination of the primary literature and Uptodate, supplemented by Marriot's Practical Electrocardiography, Chou's Electrocardiography in Clinical Practice, and Advanced ECGs: Boards and Beyond. I also occasionally ask my wife to review the more advanced EKG concepts to make sure that she agrees with how it's being presented (she's an electrophysiologist).
thanks
OK thanks
Everything is good. Except the music which is horrible.