Atrioventricular reentrant tachycardia (AVRT) & AV nodal reentrant tachycardia (AVNRT)

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  • Опубликовано: 7 июл 2014
  • Created by Bianca Yoo.
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Комментарии • 166

  • @Emine958
    @Emine958 8 лет назад +164

    Best video on the internet regarding this topic. Very few people can clearly and adequately explain it. Amazing job! Thank you!

    • @fatilyuz4011
      @fatilyuz4011 4 года назад

      take THİS: ruclips.net/video/yLI4yj1TZhc/видео.html

    • @Dgenz24
      @Dgenz24 Год назад

      Agreed!!

    • @MyLittleFarmhouse
      @MyLittleFarmhouse 5 месяцев назад +1

      Totally agree 👍🏽

  • @MegaMrDanne
    @MegaMrDanne 4 года назад +27

    Everyone: trying to study for exams
    Me: trying to make sense of what's wrong with my heart

  • @abeam91
    @abeam91 7 лет назад +55

    i'm crying, literally. got incoming internal medicine exam in 2 days, found this video, really give me a hope to pass the exam with flying colours. thank you very much, ma'am.

  • @94lovinlife
    @94lovinlife 2 года назад

    ER nurse here, been on the floor for 3 years and this is hands down the best video I've found and keep coming back to for refreshers

  • @Sara-vg9xu
    @Sara-vg9xu Месяц назад

    I spent so much time trying to find a good explanation on RUclips, this was by far the best and most concise. Thank you so much!!

  • @psid8
    @psid8 6 лет назад +6

    This is the best video I could find on this difficult topic!

  • @sumanuel
    @sumanuel 4 года назад

    This is wonderful. I gotta give a seminar about this in about 9 hours and now I know how to do it well. Thanks a bunch.

  • @frankchiang9441
    @frankchiang9441 5 лет назад +8

    Stumbled across this topic while doing my own extra research study. Your presentation is absolutely fantastic, and I believed you just made my next three-and-a-half-year of miserable life a little bit brighter. Cheers!

  • @graciouslygrace4782
    @graciouslygrace4782 8 лет назад +2

    wow! you explained it amazingly well...thanks a lot!!

  • @MyLittleFarmhouse
    @MyLittleFarmhouse 5 месяцев назад +1

    Thank you for explaining what’s going on with my heart so clearly 💕👍🏽

  • @anteater2536
    @anteater2536 3 года назад +2

    much more clear than my professor explained in the class. thanks

  • @MohammadrezaSd4574
    @MohammadrezaSd4574 12 дней назад

    This is the best video I could find on this topic, Thank you so much

  • @TheAlirra
    @TheAlirra 9 лет назад

    this made it so clear. THANK YOU

  • @mrkekman9526
    @mrkekman9526 5 лет назад +5

    Holy shit what a video.
    Been trying to learn this for the last year.
    You have one very happy Paramedic student.
    Thankyou.

  • @Bellg
    @Bellg 2 года назад +3

    I'm not a medstudent, I'm just here because it seems I suffer from this. Thanks for the video, it is nice to get a better insight into the condition

  • @amandaforesteire2615
    @amandaforesteire2615 5 лет назад +1

    This was so helpful, thank you so much!!

  • @rishithaaa
    @rishithaaa 3 года назад

    Best explanation i ever found. Satisfied much.

  • @athenaky8555
    @athenaky8555 8 лет назад +40

    Ok if i pass my cardiology exams i will own it to you. really

    • @andreiplopeanu8133
      @andreiplopeanu8133 8 лет назад +4

      +athena ky Have mine next tuesday...this is the first video that makes things clear...started to loose my hope

    • @athenaky8555
      @athenaky8555 8 лет назад +4

      Andrei Plopeanu Girl don't loose your hope! Keep on trying. Cardiology is a pain in the ass. I was crying like a little baby the day before my exam. But I assed the exam :) Don't stop trying :)

    • @ABCEDEFG911
      @ABCEDEFG911 4 года назад

      Andrei Plopeanu ce specialitate ti-ai ales la rezi? 😅

  • @luisahah123
    @luisahah123 3 года назад +1

    THIS VIDEO ALONE SHOULD REPLACE ALL MY ARRHYTMIA LECTURES, I ADORE YOU

    • @tulibaumbusch9973
      @tulibaumbusch9973 3 года назад

      Did you understand why the fast pathway of the AVNRT (8:02) is the one with the long refractory period? Why is it faster when the AP takes more time to recover? Doesnt make sense to me honestly

  • @zara123999
    @zara123999 7 лет назад

    Really very well explained! Thankyou

  • @akshayholla346
    @akshayholla346 8 лет назад

    such an amazing way to explain svt

  • @ayeshaansari3518
    @ayeshaansari3518 3 года назад +1

    Thank you for creating this!! :)

  • @doctorsofgoldenhour
    @doctorsofgoldenhour 3 года назад

    Best video so far i found on this topic

  • @nebrasabuabed1115
    @nebrasabuabed1115 7 лет назад

    wow !!!! now , I understand this concept much better !!!!! thank you !!!!!!!!!!!!

  • @syedshah6378
    @syedshah6378 3 года назад

    I have watched many videos its my favourite video of all time.
    Thank you

  • @dnavaez
    @dnavaez 7 лет назад

    AMAZING video, Thank you very much!

  • @deepikaaggarwal5124
    @deepikaaggarwal5124 Год назад

    Thank you so much for this wonderful explanation 😊

  • @srilakshmikalidindi2461
    @srilakshmikalidindi2461 3 года назад

    just amazing, I wouldn't have understood this topic without your video!

    • @tulibaumbusch9973
      @tulibaumbusch9973 3 года назад

      Did you understand why the fast pathway of the AVNRT (8:02) is the one with the long refractory period? Why is it faster when the AP takes more time to recover? Doesnt make sense to me honestly

  • @summaiyafathima2689
    @summaiyafathima2689 4 года назад

    Awesome 👍 explanation. Good work👏🏼👏🏼👏🏼

  • @JesusBeloved18
    @JesusBeloved18 8 лет назад

    This is amazing. Thank you so much!

  • @seymss15
    @seymss15 3 года назад

    Thank you so much!! I finally understood it.

  • @maheshwariv7744
    @maheshwariv7744 3 года назад +1

    I thought i could never understand this.. bestestestestet explination.. thank you soooo much❤

  • @artushhovhannisyan1683
    @artushhovhannisyan1683 2 года назад

    Just amazing. Thank you.

  • @shantanusingh9571
    @shantanusingh9571 4 года назад

    Thanks a lot! Crisp explanation

  • @jamesperry6298
    @jamesperry6298 9 лет назад

    Thank You so much for the thorough explanation. I was diagnosed in 1998 with AV Nodal Reentry Tachy, had an ablation shortly thereafter to treat the condition. However, after the procedure my doc informed me that the affected area was too close to the a/v node, and he was not able to completely get all of it. So fast forward to today, I average 4 to 6 skipped beats per minute, with the occasional runs of tachy occurring. I am back on the heart meds, taking Metoprolol extended release 100mg 1x per day. I just somehow feel like this will be the bugger that gets me in the end. At least I now know what is happening inside my chest, Thank You :)

  • @harveenkaur1713
    @harveenkaur1713 Год назад

    super helpful! thank you!

  • @seykimbob8531
    @seykimbob8531 2 года назад

    It's pretty good. The vdo make me easy to learn about AVNRT and AVRT. Thank you!,!!

  • @ravidsakumar1
    @ravidsakumar1 5 лет назад

    Wonderful job ... great video...

  • @shakezilla29
    @shakezilla29 4 года назад

    god, this is so clear. thank you

  • @Sallasdup
    @Sallasdup 5 лет назад

    as below. Extreeeeemely well presented!

  • @MohamedAhmed-jf4qu
    @MohamedAhmed-jf4qu 2 года назад

    wow just wow ...thank you

  • @thomassutedja9285
    @thomassutedja9285 Год назад

    Simple but excellent explanation...👍

  • @johnsonmatola6601
    @johnsonmatola6601 6 месяцев назад

    very well explained 👍

  • @a.m.e.r.k1805
    @a.m.e.r.k1805 4 года назад

    thanks a lot for a great explanation

  • @user-wt4id1hn4g
    @user-wt4id1hn4g 4 года назад

    Thank you so much! You saved me.

  • @peterfuchs4858
    @peterfuchs4858 9 лет назад +1

    Perfect!

  • @user-zw8zp8xw3m
    @user-zw8zp8xw3m 5 месяцев назад

    Im a 5stage pharmacist from Iraq thanks you alot❤

  • @g81417
    @g81417 9 лет назад

    great video!

  • @Humbleman2024
    @Humbleman2024 2 месяца назад

    8:27 Yep, that is perfection! 🎉

  • @joshfraser3991
    @joshfraser3991 5 лет назад

    You did an awesome job!

    • @joshfraser3991
      @joshfraser3991 5 лет назад

      Just wish u talked alittle more about other accessory pathways.

  • @hatirose7503
    @hatirose7503 6 лет назад

    beautiful! thanks

  • @c.linfordnitin7390
    @c.linfordnitin7390 5 лет назад

    Thanks a lot !!! Really helpful!!!

  • @preetisinha4484
    @preetisinha4484 5 лет назад

    Amazing thank you !!

  • @TheShabooka
    @TheShabooka 4 года назад

    Love the explaination ty

  • @williamyates5863
    @williamyates5863 8 лет назад

    so good thank you from an intern!

  • @aleyup8158
    @aleyup8158 7 лет назад

    Very useful, thank you

  • @findaika
    @findaika 5 лет назад

    Thankyou!! Best video

  • @Nogirlsnolife
    @Nogirlsnolife Год назад

    thank you for this video

  • @sumityadav-dw3be
    @sumityadav-dw3be 3 года назад

    Much helpful video.. gud job👌👌

  • @SuperYaniv12
    @SuperYaniv12 3 года назад

    Thank you so so much!

  • @Nndngn
    @Nndngn 4 года назад

    Excellent explanation tq so much

  • @selamyemane1640
    @selamyemane1640 2 года назад

    Thank you!

  • @shazaaa8444
    @shazaaa8444 4 года назад

    So helpful thank you

  • @mohammedkabir3485
    @mohammedkabir3485 5 лет назад

    THANK YOU!!!

  • @jamesmcnally4571
    @jamesmcnally4571 Год назад

    that was very good thanks

  • @gavisel
    @gavisel 5 лет назад

    Amazing from Italy

  • @036484639207
    @036484639207 2 года назад

    Thank you 🙏

  • @dodadoda517
    @dodadoda517 9 лет назад

    u r brilliant

  • @Lindokuhlem
    @Lindokuhlem 9 лет назад

    you are awesome! :)

  • @traumagotmesick6750
    @traumagotmesick6750 5 лет назад

    Thank you!!!!!!!

  • @nefertiti7367
    @nefertiti7367 5 месяцев назад

    First time in my life understanding the difference

  • @tulibaumbusch9973
    @tulibaumbusch9973 3 года назад

    AMAZING Video THANK YOU! the only question I have regarding the AVNRT is: What do the 2 sketches on the right exactly represent in the heart? Is the straight line before the branch the AV node and the two branches coming from it the right and left ventricel?

  • @anjalivijayan2294
    @anjalivijayan2294 2 года назад

    Thank you

  • @Mysttable
    @Mysttable 4 года назад

    Thanks !

  • @iriinaradoi
    @iriinaradoi 7 лет назад

    Thank youuu

  • @alcarinna
    @alcarinna 4 года назад

    Thank you

  • @johnydavilma8409
    @johnydavilma8409 5 лет назад

    Genius!

  • @haiderissa163
    @haiderissa163 11 месяцев назад

    Thanks🙏

  • @imacheese1
    @imacheese1 9 лет назад

    Great video! Can you tell us what software you've used to create this video?

  • @danielnavarro-orozco1161
    @danielnavarro-orozco1161 7 лет назад +3

    Thank you, excellent video. My only comment is that the normal QRS width is .08-.12ms, this means that in order for it to be narrow complex the parameter should be

  • @SouryaYallapragada
    @SouryaYallapragada Год назад

    Why does the AV node have 2 pathways? What's between them? The AV node feels like the most important thing in this conduction system, with the SA node right behind it. What is the proper physical (anatomically close) structure to a healthy AV node and how is different in AVNRT?

  • @chijiokenwambam5854
    @chijiokenwambam5854 2 года назад

    My lecturer's slide on this topic is so annoying and confusing. Thanks so much for making this very clear

  • @fredtzystuck5794
    @fredtzystuck5794 Год назад

    Thanks for the video. With an accessory pathway such as wpw or lgl conducting in the presence of afib with rvr it isn’t safe to give a nodal blocker such as adenosine, beta blocker, cc blocker, or even amio. However, procainamide is considered safe. What is it about the pharmacology of class Ia anti-dysrhythmics (thinking of the relatively flat phase 0 action potential in the av node that makes it safe and not prevent conduction in av node?

  • @elena.derm1
    @elena.derm1 8 лет назад +5

    Wow I didn't know that the normal AV node has 2 pathways :-o none of my books mentions it :P thanks!

    • @patrickmorris5377
      @patrickmorris5377 7 лет назад +7

      The normal AV node has only one pathway, physiologically. The presence of two pathways is a congenital defekt.

  • @mustafaalnagdi2815
    @mustafaalnagdi2815 4 года назад +2

    Really great job.
    You made it look really easy.
    I just have a little question here.
    What is the significance of having a slow pathway & fast pathway?

    • @yohannchineegadoo6444
      @yohannchineegadoo6444 3 года назад

      Smn Commented theres only one pathway physiologically but in congenital defect, theres 2

  • @zahramomeni4007
    @zahramomeni4007 4 года назад

    This video was really great.helped me to understand this difficult topic could i know the doctors name?

  • @josephs8029
    @josephs8029 2 года назад

    Love you 😘

  • @k.f9096
    @k.f9096 7 лет назад +4

    8:14 so does that mean normally impulse conduction in avn down to bundle of h n so forth is done by fast pathway n not slow ? cuz u said slow comes down hits fast which is refractory n it goes refractory itself? plz any help

  • @luqi01
    @luqi01 6 лет назад

    at 5:36 she said that the impulse can travel from the accessory node back to the AV node and cause a tachyarrythmia, my question is, since A/V node has a refractory period and can regulate the rate and rythm, why will the A/ V node cause tachyarrythmia, as in why will it let the impulse from accesory pathway through to begin with?

  • @shuenshuen
    @shuenshuen 3 года назад

    For the first time in 2 years I finally understand the way AVNRT works, all I knew before this is that it sucks haha.

  • @markyounger1240
    @markyounger1240 7 лет назад +1

    Very good lecture. The only thing I would change is that the slow and fast pathways are not really "in" the AV node. The slow pathway is between the tricuspid annulus and the coronary sinus and the fast pathway is on the other side of the coronary sinus. Otherwise, excellent presentation.

    • @merngerm
      @merngerm 6 лет назад

      more specifically it is in the triangle of coch...tendon todaro area. but YEAH!

  • @hustle-kn5xp
    @hustle-kn5xp 4 года назад +1

    This is 100000 times easier than I thought. Most people do a poor job explaining it (or perhaps they do not understand it themselves)

  • @lauren1359
    @lauren1359 7 лет назад

    wow... leaving Thursday morning for mapping study plus or minus ablation with possible cryoballon... my hearts insane... I hope it works. thank you for this video!! would avrt or avnrt cause 17 pauses in 48 hours with the longest being 8.7 seconds?

  • @kalldagreat
    @kalldagreat 9 лет назад +1

    3rd question, since the reentry phenomenon is going to revolve around the AV node and the accessory pathway in a vicious cycle manner, there will be new electrical signals coming from above (SA node/atrial pacemaker cells) too right? wouldn't that cancel off the reentry mechanism and lead to a normal anterograde conduction again, if that's the case, how can it still be said "the reentry circuit phenomenon takes place over and over and over again".. because it doesnt..??

    • @mohamadawada4656
      @mohamadawada4656 9 лет назад +2

      The normal sinus rythm (SA node signal) will be blocked due to the refractory period of the reentrant circuit. And you are correct, the sinus rythm might stop the AVRT if timed precisely.

  • @poliklolik
    @poliklolik 4 года назад

    Can AVNRT re-enter back to atria as it loops around AV,what is the atrial rate/rhythm if ventricular was around 150 in that example,thank you..

  • @queenmavichak6183
    @queenmavichak6183 7 лет назад

    Is it normal for nodes to have slow and fast pathways?! In the first example, how come the slow pathway doesn't go down the tract? Why is it halted when the fast pathway is going through refractory period?

  • @becjarvis1432
    @becjarvis1432 5 лет назад

    Thank for the video! Why does the AV node not work as "the gate keeper" for the conduction from the accessory pathway in AVRT?

    • @CountZero78
      @CountZero78 4 года назад

      Because the accessory (extra) pathway shouldn't be there in normal anatomy, the AV node is at the "gate" but it cannot stop electrical activity from crawling through a hole in the fence 100 yards away. (I think that makes sense)

  • @irembozkurt2605
    @irembozkurt2605 6 лет назад

    Not all heroes wear capes.

  • @shuenshuen
    @shuenshuen 3 года назад

    Also a question, is this something one is born with? Or can this be caused later on in life? I never had any problems until I abused a cathinone called 3mmc for over a year. After a few ECG's my doc told me it's was AVNRT. I just wonder if I caused this entirely by the substance abuse or if I only 'triggered' it.

  • @hunnz7785
    @hunnz7785 2 года назад

    maam, avnrt this one refer to slow-fast right? what abt fast-slow and slow-slow?