Ventricular tachycardia (VT) - causes, symptoms, diagnosis, treatment & pathology
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- Опубликовано: 27 авг 2024
- What is ventricular tachycardia? Ventricular tachycardia (V-tach or VT) is a type of arrhythmia in which a fast heart rate originates from the ventricles. Find our full video library only on Osmosis: osms.it/more.
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I work as an EKG tech at my hospital & man it is beyond scary when a patient sustains V-Tach and calls for immediate medical attention. That persons life is really at stake. It’s one of the reasons I enjoy my job, getting to play an active role in saving lives is humbling. Great informative vid 👍🏾
Why did the doctors do like nothing
@@arny625 they respond to the “medical crises” but the first people to notice and call the codes are the techs and the nurses
@@hawaiianhonu97 my nurse just asked if I was nervous
@@arny625 hmm every nurse is different depending on experience- I also don’t know your personal medical conditions but yes being nervous can elevate your heart rate! Again - every situation is different though
This happened to me during my clinical externship as an echo tech, I did have my preceptor there with me, but I was the one scanning and it was definitely a scary learning experience!
We had just got off a late flight and made our way outside the airport towards the taxi rank. My partner was recovering from nose surgery to better her breathing due to an assault she experienced in her past. She was approx 2 weeks post op. As we walked our 16month old son she just collapsed.
Unresponsive, her heart was beating very fast & her breathing wasn't normal and at times stopped for up to five seconds at a time. As I called for an ambulance I had airport staff get me a defibrillator from inside. I was monitoring her breathing best I could as I tried to confort our son who was in hyterics. I was just waiting to begin CPR. I was very thankful a stranger offered to watch my son as I couldn't focus on him, listen to 000 and my partners breathing/heart at the same time. By the time the defibrillator arrived she gained consciousness for a moment but then fainted once more. Her heart seemed to have stopped for a moment but as I moved my ear from her mouth and hand off her chest she gasped and her fast heart rhythm continued. Her breathing started to become normal once more however her heart was still beating fast by the time the ambulance arrived. The only thing that stopped me from beginning CPR was the fact she was breathing still. The whole time I was waiting for her heart and breathing to stop. The adrenaline, shock and fear I was experiencing was something I never want to experience again. She already had PTSD and was in a lot of pain from the nose surgery and also had a few wines at the airport and on the plane to help calm herself.. I believe all contributed to her cardiac arrest. She does have other health complications aswell but you get the main picture.
I am trained in CPR and advanced resuscitation & am required to refresh the training anually for my work.. despite having a decent understanding of what was happening and what I needed to do I was very scared and just did my best to remain calm. If it ever happens again and I have the ability to put a defibrillator on her I will do so much more promptly as my knowledge on them has since grown.. they are very smart machines and don't just shock once turned on and applied.
It scarred me going through this. I still feel a similar sense of shock when I think about it and that was about six months ago now I think.
I got her out of hospital that morning she was there from roughly 10pm to 4am. She's laying next to me 19weeks pregnant and angry at me as I write this haha
She wouldn't believe me but I'd give her my heart if she ever needs it.
Wishing your wife health and wellness ❤
She is very lucky to have such a caring partner❤
You guys are amazing!!! Seemingly difficult concepts are made so simple! A big thank you to the entire team!
you guys deserve wayyy more subscribers :D
What is your pursuance madam,?
That's exactly what happened to me yesterday night (and some months ago too). I was about to fall asleep when it suddenly started. I felt a fluttering sensation in my chest so I put my hand over my heart and it was beating JUST LIKE in the video at 1:34. There were 4-5 beats per second and it lasted for about half a minute. I wasn't panicking at all, nor did I have chest pain, anxiety, sweating, dyspnea or anything like that. The only thing I felt was weakness. It was like I was almost dead. I could only stare into nothingness and was unable to lift my arms or move. I just felt an utter weakness.
How are you now?
@@kuldeeptalukdar9494 Thank you for asking. I haven't seen a doctor yet, but if it occurs once again I'll see one. My family tells me I should not worry as they think it was a panic attack. But I'm almost sure it was not. It started and ended abruptly, not gradually. As for my family history... it's not the best. Both my fatherly grandfather and great-grandmother died due to sudden cardiac arrest in their thirties (probably due to heart failure) and my father also has dilated cardiomyopathy. I also figured out that my maternal grandfather also died at the age of 40 due to a heart attack.
@@Norahungary have you seen a doctor since? family history is a big reason as well to go see one
I felt something like that 2 days ago. It felt like a rapid vibration, I felt pins and needles in my hands on feet and I started to very slightly sweat. It felt like I was going to faint. I think it lasted 8 seconds. Usually, I get 6 PVC/min all the time but this one was new. I've had PVCs for 8 y now and I'm in my 4x.
Was there anything you can think of that triggered it?
Today i was at a bottomless brunch and had alcohol. I have some social anxiety as well at times (I wonder if this is what triggered it) but I felt like I had V-Tach. At one point I was speaking and suddenly my heart was going so so fast I started to feel lightheaded I thought I was going to pass out.
Is this V Tach? Can anyone relate? I have a history of PVC bigeminy and Trigeminy
I have a murmur, ventricular tachycardia and HCM. Learning about all of the issues, so this was great!
I just got home from the hospital, this past Sunday morning at 4am, I woke with Tachycardia. I’ve had it before many times since the 90s and it usually stops on its own after a few minutes.
It didn’t stop, in fact got worse and I could see my chest bouncing. After 10 minutes I called EMS and when they got to me I was passing out.
They attached defibrillator and gave me a shot of a pain medicine that sent me high as a kite.
One night stay in the hospital I am now home.
Only after effects are feeling worn out and mild dizziness.
I have heart studies coming up in OKC, maybe they will find the offending electrical path.
Thank you for your bideo
thank you for sharing your story, its nice to get to picture real life situations with what we only get to study in textbooks.
What did they find?
@@abdoarby I have to go to a heart study with a specialist of heart electrical
@@tomcook5813 did they find what was the problem ?
@@tomcook5813good luck, you’re not alone. 46, pvc’s full blown v-tach a few weeks ago, they had to cardiovert me. Im on all new meds (borderline EF is 45-50%). I have all kinds of tests in the next month
Nurse, been in er, just make it simple. You treat VT by two mean: if someone ends up at the hospital, and have had the VT before, the only opotion is the defibrillation. They have the meds, taken them, and will not fix it, so only option is to defibrillate/give an electric impulse to reset the rythm.
True
This was very useful to me. I'm a CT Radiographer who suddenly developed a fast HR of 240bpm whilst scanning a patient. Fortunately for me, my colleagues took me straight to triage who then took me straight to resus. I'm now writing this from a bed on our cardiac ward. People can bash the NHS but when it needs to move fast it does. I've had an angiogram, cardiac MRI and echo within days and am just waiting to find out if I have to have an ablation.
Thanks again for the informative video which I am about to pass onto my wife so she understands what is going on.
Our pleasure to help! 🙏🏼
Thank you for sharing this informative video. The animation was equally helpful. I have a family member currently experiencing VTC so I wanted to educate myself on it
Glad it was helpful! 🙏🏼
How did it go? I hope everything ended up fine!
So beautifully explained. Keep up the great work. Only because of guys like you, I turn to RUclips videos every time I fail to understand something.
Always glad to help, Jamba! 🥰❤️🙏🏼
I had an episode of spontaneous pneumomediastinum in hospital and experienced VT for nearly two sustained minutes. Didn't lose consciousness, did get dizzy, did vomit. Considering I had zero cardiac history, am young (33 male) and relatively healthy and a heart CT showed no arterial blockage, I'm assuming the mechanical pressure of air in the mediastinum is what caused my arrythmia since it went away and has never returned. Had a heart ultrasound and EKG all of which came back perfectly normal. Stayed in the ICU 3 nights and was released straight away. I don't even list VT in my history because I don't consider myself a cardiac patient, but I did leave with a cardiologist who I never followed up with.
Very clear demonstration! Thanks for sharing!
You are most welcome! ❤️
Thanks for this video, it gives me more sense of what my grandma is dealing with :(. Can this happen due to blockage in RCA and LAD?
Hope our video helped. 🙏🏽
i have this since 2 years .. is it dangerous?
Brilliant! Great channel
Thank you Osmosis.
This is quite easy to understand.
Glad you think so! Thanks! 🙌🏼 💕 ✨
Thx I had a better understanding of this then when the doctor was trying to explain it to me. My 10 yo son's heart was beating at 179 during his football game and all of a sudden he just felt weak. Im glad he's ok but it was a scary experience
We're glad that our video was able to help! 🙏🏼
How ur son
Well done 👍🏻
That's beyond helpful. Thank you so much
You're very welcome! 💕
Atria Ventricle
Ventrum means belly. Dorsal ventrum. EnDORSE means to support the back(spine)
*Excellent*
*Amazing*
*Superb*
*Awesome*
*Love the way you teach*
Thanks! 💖
260 is my record. Cause anxiety...
So that's why i am still medicated with ssrna and xans. I can't stop smoking cause of that too. My tension get out of control and my Heartbeat too. This isn't a mechanic one i have 0 mechanic damages on it. That's adrenalin overload. That's why. I also have a blood condition which vary (too much blood cells)😂 various results to thyroid tests😂😂 They never find any disease which i am close to. But i already saw what's being close to death is. ( Not funny and blurry)
Thank you for the help! Just wondering if there was one about Ventricular Fibrillation.
Hi! We do have one over at osmosis.org! Feel free to create a free trial account to access our entire video library. No worries, as we won't be charging your account once the trial expires. 😊
Haooened to me just last week on July 4th. They had to shock my heart with 200 volts while i was atill conscious. I was almost in sufden cardiac arrest. Heart rate was 245 beats a min. God saw me thru tho and now i have a defibrillator.
Mine heartrate was often 160 bpm my GP noticed it. Now with a beta blocker its 96 to 110, next apointment is in 2 weeks but i'm getting kind of worried since i think my heartrate has been high fot atleast 5 years. Hope i didn't do damage to my heart. i'm a male 28 years old, not overweight but i do smoke.
How are you doing? What did your Dr say?
@@noordervaish4226 i had a bad reaction on the beta blocker. Mental confusion, intens dizziness, Costed me 3 months of my life full of daily panic attacks.. my heartrate is now around 90 bpm with daily exercise ect so i'm not going to try any other medication for a long time.
omg me too ,I’m hyperthyrodic,I’m on carbimazole and propranolol but I still feel shit,stuck raving mad and scared ..how did you get fine hun..and what’s your heart rate then and now
Same for me, metoprolol is a total nightmare and I am trying to get off of it.
Sir could you please tell the pathophysiology of VT
Thanks for sharing
Thank you very much.
Welcome! 😊
Simply superb 🙏🏻🙏🏻
Thank you! Cheers! 🙏🏼
Very helpful video.
Glad you think so, Hamlett! Thanks! 🙏🏼
Today i was at a bottomless brunch and had alcohol. I have some social anxiety as well at times (I wonder if this is what triggered it) but I felt like I had V-Tach. At one point I was speaking and suddenly my heart was going so so fast I started to feel lightheaded I thought I was going to pass out.
Is this V Tach? Can anyone relate? I have a history of PVC bigeminy and Trigeminy
Redbull in the alcohol probably didn’t help it. I am still feeling like my heart is on the thumping side 4-5 hours later. Is this normal?
@@karlauesson I think it is
"Slow" ventricular tachycardia? Is it less dangerous than the common fast tachycardia?
A person with a bundle branch block would be harder to diagnose as to whether their tachycardia is VT or supraventricular? (Since all of their ventricular complexes are wide whether VT or not)?
Does VT ever resolve itself back to a more benign rhythm or even sinus rhythm (without cardioversion)?
VT can resolve back to a more benign rhythm on its own, yes, that's called non-sustained VT or NSVT when the VT lasts for less than 30 seconds before resolving. NSVT is typically asymptomatic, though if it does cause symptoms, it would be things like palpitations, trouble breathing, and chest pain. It can also cause dizziness or syncope. NSVT can be completely harmless in some people, though it's still important to have it checked out as it could be a sign of something more serious. Causes and risk factors for NSVT include:
Coronary Artery Disease
Dilated Cardiomyopathy
Hypertrophic Cardiomyopathy
Valvular disease, especially Mitral Regurgitation and Aortic Stenosis
RMVT or Repetitive Monomorphic Ventricular Tachycardia, which is an electrical conduction disorder that occurs in young or middle aged people without structural heart disease
Brugada Syndrome -> Especially if the NSVT is accompanied by syncope
Electrolyte imbalances like hypokalemia
Substance use
Hypoxia
Anemia
And some conditions that aren't of the heart itself such as thyroid disease
Tycardia with grade 1 dysfunction do need treatment or not.
When its built up n the stomach it can be cold a cold or the common cold or flu..in if it worsen it become co2 which nakes it hard to breath which theres pain in the stomach
Why father ecg is showing 160 to 180 bps but it show normal in 70 to 80bps in oximeter and smart watch.
Thanks team 🎉🎉🎉🎉
Our pleasure! 😊
you are a god thank you so much
We hope our video was able to help, Khushi! 🙏🏼
You are a perfection
Gee, thanks! 😊
Awesome🔥
Good
SA 1 sec
normal ventricle automaticity to intiate need 2 sec(doesnt get chance)
but abnormal ventricle Automaticity only need 0.5sec!
i had a sinus T from a sinus infection
I understand so much better now. Cool. Okay thank you seriously. Now I want to quit meth fr.
IS VERY NICE
Absolutely terrifying
Tachycardia has ruin my fucking existence
Thank you ☺️ my dogs think someone’s at the door 😂😂
Just had an hour and a half of my heart beat going from 80 to 120 to 180 that lasted over 1.5hours I felt so weak numb electrified so I put my oximeter on, my heart felt like coming out of my chest then my oxygen went down to 70 which made faint not knowing how low my oxygen went and my BPM high.. I was just browsing fashion websites... I'm still trying to recover how exhausted I am it happpeens often these days but hospitals don't want to see me..I have many medical conditions HYDROCEPHALUS, epilepsy, general dystonia that is too severe I have hypoxia as a result of restricted airways due to spasticity..they suspect MiTo disease but they wouldn't even want to test it or treat what conditions they already confirmed 😢😢
Oh no you forgot a quick review 😢
I accidentally made myself faint for a few seconds because of VT all because I was holding my breath making a weird noise to p¡ss off my sister. Almost like a yawning sound. I literally fell over and hit my head and everything was dark although my sister said my eyes were open. It felt so weird. ;_;
❤
I'm spending more time in home,with my mother who loves me very much,my father that care for me as i know I'll not live long due to my pvcs,I'm kuldeep talukdar from Assam,India,either i will die or will commit suicide,i hope good gives me a good life in some other form.
Hey,Kuldeep, we care about you. If you want to talk to someone or are experiencing suicidal thoughts, text the Crisis Text Line at 741-741 or call the National Suicide Prevention Lifeline at 1-800-273-8255. For international resources, this list (www.suicide.org/international-suicide-hotlines.html) is a good place to start.
I'm extremely nervous of having VT, coz if it weren't for this, Gilbert Gottfried would still be alive.
You should research on Google his death, he had an actual disease that cause this, yes it was VT that caused it but it was something else in his body that was causing the VT and other organs in his body
Speak slowly please
Me watching it with my resting heart rate 118-128 bpm 🤗
U okay dear?
@@dailybtsupdates510 I am fine. It was because of thyroid disbalance.
@@duh7737 omg me too ,I’m hyperthyrodic,I’m on carbimazole and propranolol but I still feel shit,stuck raving mad and scared ..how did you get fine hun..and what’s your heart rate then and now
The ill niece electronically bounce because node provisionally strengthen inside a evasive danger. judicious, powerful step-uncle
Fantastic explanation of the re-entrant mechanism! Thanks team : )
I had an episode of v tach 2 weeks ago. Lasted about 8 seconds. Im 23 years old, normal echo, MRI, stress tests, stress echos, EKG, blood tests, and EP study. Scared everyday of dying now, its horrible
Obsessive mind do you get beta blockers, ablation, or some kind of treatment
Obsessive mind aka The Sad Rapper I’m on the same boat my friend I have icd because of it and waiting for an ablation 3rd one actually
What did you feel in v tach? Please reply
Thanks for these awesome videos that can explain difficult concepts into something that's much easier to understand. The animation is also very helpful. Thanks again and appreciate all the hard work you put in to help the students!
Congrats for the 4000 subscribers!
You deserve much higher than that .
Keep going 👍🏻
+Mustafa Rafi' Thanks - help us spread the word Mustafa. =)
It's been a year ago since the 4000 subscribers and now they have over 100000 subscribers. Wow. Congrats!
+Sittie Haynna Sarip One month since your comment and they're at 350K :)
3 weeks since your comment and it is 381K , hooray
HamdaSaeed 11s3 3 more months and its 515k
all day i was so disappointed for not understanding this concept n suddenly now in the evening i thought about looking for this on ur channel n it was truly worth it...thank you sooo much...your videos have always come to my rescue
We love hearing that, Med Nectar! We're glad you're finding our videos useful. If you haven't yet checked out our educational platform we have a bunch of tools that we think you'd like. These include unreleased videos, tens of thousands of flashcards and multiple-choice practice questions, study workspaces, and daily exam schedule organizers to help you learn medicine. You can sign up for a free trial of Osmosis Prime here: bit.ly/2ut5ZEJ
your videos are actually amazing 💛 your explanations are wayyy easier to understand than any of our lecturers haha! thanks so much for making them! xx
+Natalie Tao Thanks so much! Tell your friends!
Got my first Medschool final on Monday, thank you for your amazing videos!
Thank you for these amazing videos! in several minutes you manage to explain things that I can't get from plenty of pages. they help me so much for my exams and for my future career. keep up the good work!
You are a god sent , so well explained with a calm voice , I would love if you did pod casts that were at least an hour long where you could go into more depth although your doing a good job with these short vids
Thanks for the suggestion!
So glad I found these videos. Wow you guys are awesome!
Man I have vt this video is awesome thanks for your time producing it
How r u
Thank you this helped me understand what my Dad is dealing with.
How is your father
thanks so much. it helps a lot to understand the pathophysiology behind those rhythms.
Excellent explanation . I was trying to explain this to my wife before I went to have my EP study for VT. Thank you !
We're glad we could help Mark! Good luck with your EP study.
How she is
Love your videos! I am a nursing student, and I appreciate your clean, knowledgeable approach to subjects! Thanks.
Thanks Sabrina - what school do you attend?
Osmosis, you are the future of learning.
Thanks . You are the best. I'll sure tell my friends about your videos.
This is one of the best explanations of arrhythmia and the re-entrant circuit .. Thank you
Ventricles conducting in the form of pvcs can also mean idoventricular rhythm or accelerated ventricular rhythm(neither of which are V tach due to rate being slower.
your videos make complicated topics look easier! 🙌
Thank you from the heart
Nicely put :-). I just had a 3D mapping/cardiac ablation for my PRVT a few weeks ago. 8 hours of sustained RVT despite 4 IV cardiac drips running simultaneously was just too much. Finally self converted but having the ablation was a piece of cake. Hopefully this will never happen again.
How are you doing now?
@@louistournas120 doing well. No more cardiac arrhythmia but had a significant stroke due to cerebral vasoconstriction syndrome 15 months later. Still recovering from that.
@@lyarnes I'm sorry to hear that but at least the ablation worked.
@@louistournas120 thank you. I was lucky that my cardiologist had one of the best specialists in the country perform the procedure. And even though I was strapped down I was able to watch on the screen. It was fascinating.
@@louistournas120 how r u
Not bad. You should have mentioned EP though in your treatment summary, which is what i had, which is what everyone called it, which is why i always refer to it as that.
How r doing
Finished step 1 and almost done with step 2 but Never understood Arrhythmia as from you guys thank you😍😍😍
You are the best!!! Thanks a million. What other area do you cover?
We cover only pathology right now.
canm you cover pharma,anat and surgery tooo
Thank you!
I don't know what trachycardia do I have. doctor said sinus tachycardia but i went to see him only after that fast beating in low part of my heart . . It felt like my heart was stuck and was beating fast and than dropped on its own to 129 pulse ...could he see it on EKG after ? or what is it please
thank you for all of your videos, will you make something about tonsillitis or HIV?
+afwulpanda We have a community on Patreon set up where we invite folks to vote on upcoming topics. Check it out: www.patreon.com/osmosis?ty=h
afwulpanda naruto fan 😂😂
Brilliant Videos
Thanks!
1 hour lecture made my go mad. But you guys made the video so amazingly in such a short time even a normal non medical person can understand it so well....👏👏👏..keep up the good work and please do keep making more videos
We love hearing that, Appu! We're glad you're finding our videos useful. If you haven't yet checked out our educational platform we have a bunch of tools that we think you'd like. These include unreleased videos, tens of thousands of flashcards and multiple-choice practice questions, study workspaces, and daily exam schedule organizers to help you learn medicine. You can sign up for a free trial of Osmosis Prime here: bit.ly/2ut5ZEJ
Gave 5 star. Thank you for great videos .
Thanks for the support, Laxmi!
I just love ur channel!!!!
Thank you, Vaishnavi! If you’re interested in getting early access to our videos, check us out on Facebook: bit.ly/2u35D6J, or, even better, get exclusive access to dozens of our unreleased videos now at our website: bit.ly/2ut5ZEJ.
Love your videos! Is there a possibility of Pharmacology in future?
u played well.. nyc video
Electric cardioversion is done for VT with a pulse. If the patient is pulseless you need to shock them.
Thank you so much....
I too suffer from pvc’s I’ve been to the ER and my blood test have all came back normal, echo and ekgs. So why am I still getting these nasty sensations. V-Tach seems like it only happened if there’s dead cells from a heart attack.
Carlos amador
you are not alone. I always fear the worst when I get rapid heart bear with pvc
are you still suffering
Do you still get PVCs? How many per minute?
Thank you for korean support : )
Awesome! Thank you!!!!
Ultimate sirjee
Holy shit, never seen something that good before!
Thanks, storestore2273!We're glad you like the videos! If you haven't yet checked out our educational platform we’re working hard to be a one-stop shop for educating future clinicians. We have unreleased videos, tens of thousands of flashcards and multiple-choice practice questions, study workspaces, and daily exam schedule organizers to help you learn medicine. Check us out here! bit.ly/2ut5ZEJ.
I have a quick question... I have supraventricular tachycardia and when I have svt episodes my heart rate usually reaches above 200 bpm but I was told that it can't kill me. Can i have sudden cardiac arrest?
U okay sweetie?
@@dailybtsupdates510 5 years.....
Nice vid
I have a question, and you may find it silly, but I am trying to understand ventricular tachycardia better. My question is, with ventricular tachycardia, are the atria pumping/beating at all? if not, is this why we don't see a P wave on the monitor? also, can you please explain the name SUPRAventricular tachycardia? is this the same name as ventricular tachycardia? does this term just mean that the ventricles are taking over the heart beats and that there is no AV nodes working (as seen here), compared to tachycardia, where we still have an AV node working? thank you so much, appreciate any help and I really enjoy all of the videos posted.
and I am sorry, I didn't mean to say AV node, I meant to say SA node. thanks!