Fantastic explanation by a true teacher Dr. Fazal Sir... Salam saheb... I understood it because I am SVT patient who underwent DC electrocardioversion in the year 2007. Prior to that I underwent CMV in the year 1994. I am now 66 yrs of age.
I have watched this vedio after had attended a patient with SVT.u were clear and made it easy to understand.thank you for helping us to learn more and more.
For 5 years, i was misdiagnosed with anxiety and panic disorder. I kept telling the doctors something was wrong with my heart. They didnt believe me. Since it was left untreated, in having more episodes and much longer episodes. Finally a new cardiologist diagnosed SVT.
@@ronnasurmon1656 they first prescribed Dialtezem. It brought my blood pressure through the roof so I had a bad reaction to it. Then they switched me to metoprolol and the same thing happened, super high blood pressure and I felt totally out of it on that Med too. They took me off of the meds and they are talking about doing an ablation. However I have been doing tons of research and so far I have taken all caffeine out of my diet, including chocolate or anything with caffeine. If you research foods that trigger SVT it is very helpful so you know how to rearrange your diet and things you can add in to help prevent attacks. There are also different maneuvers you can do to try to stop the attack, one is putting very cold water or preferably ice on your face for at least 15 seconds and taking it off and then putting it back on for another 15 seconds. Start searching here on TH-cam for Maneuvers to stop SVT. I just got off of the metoprolol yesterday after three days in a row going to the emergency room for symptoms and side effects
@@sirmachi7061 tried dialtezem, then metropolol tartrate. Both were horrible for me. I had to stop taking them. Side effects of both medications were horrible for me. Now I'm just winging it. If I have super fast heart rate, I put a bunch of ice with water in a baggie and out it on my face, from forehead to upper lip. I leave it on 15 seconds crate it off 15 seconds, and repeat. It usually calms the heart. My resting pulse as soon as I get up is over 100, I just pray and try to stay calm until it comes down. Medical system in Illinois is a big joke! EP dr ordered an MRI of my heart, to see if there's any scarring that could be causing my issues. Not sure what husband will be, if there is scarring. Took all caffeine out of diet and found sugar also triggers my heart rate to go fast. So trying to not eat candy, donuts. Etc. Change of diet seemed to calm it down a but, too. Less salt.
Effective ... even a high school student can follow and understand. Makes complex medical phenomenon easy to make sense of and comprehend. You have the art nd skill to teach the discipline of cardiology par-excellance
Thanks for this information. The MULLER MANEUVER, which is trying to INHALE rather than PUSH against a blocked airway (the Valsalva maneuver), works far better for me. Over 40 years and many SVT episodes, I used to always try the Valsalva maneuver and it often didn't work - I had to go to the ER several times and get Adenosine. But several years ago I discovered the Muller maneuver and it works every time (sometimes I have to do it more than once). It's a weird feeling to lower your intrathoracic pressure, but it's worth the discomfort. Hope this helps someone!
I'm trying to avoid medicine. Inhaling or holding my breath makes me feel dizzy where I nearly pass out. Do you just inhale deep and breathe, or for you hold your breath?
Great video and explanation. About the very best I have seen, and so helpful for AF/SVT sufferers like myself who want to learn more. BTW, if you're new to the subject, these things won't kill you. It's many weeks of this, unabated, that begins to cause heart failure. In the meantime, you will have presented to an ER or to a cardiologist and been treated appropriately. One tip: if your SVT doesn't correct inside of 24 hours, get yourself to the ER. Do not delay after 24 hours.
Very well explained Dr. I am from Himachal and I was suffering from SVT for 10 years , every time I went to hospital Dr gave me gastric injection, sometimes said it's a panic attack etc etc gave me too many strips of medicines. Fortunately, Finally in Kerala one gentleman cardiologist Dr K.Suresh from SK hospital, trivendram found that it is SVT and now I only take one tab. God bless Dr K.Suresh cardiologist 🙏🏻
Watching ur video afer giving 6 mg and 12 mg adenosine to a patient. Before adenosine. Rate was 220 , regular, p wave absent and after adenosine..rate became 100.. mission successful
Very informative. Just a couple of things. When you mention sedation it would be helpful if you explain whether you use propofol or merely fentanyl and midazolam, which would definitely be a Knogo in my case. Secondly., it would be helpful as well as compassionate to mention how the patient will feel and react to adenosine. Thank you
I was one of those patients that did not respond to any measures that they tried to bring down my heart rate. In February this year, nothing would bring the heart rate from 237 bpm. I told them that previously (2020) had to be on diltiazem, metropolol and digoxin until cardiac ablation could be performed months later (during Covid restrictions). I am wearing a holter monitor now for 2 weeks and my own cardiologist will follow up.
Dear Dr you are contributing to the significant illness for the patients upto the mark. I hv one patient and want to get an appointment from you, so pl guide me, I shall be obliged...
Thankyou so much I have just been diagnosed age 63 ...but have been somewhat anxious my entire life ... The Expert cardiologist I saw in NZ said I may have been born like this but only picked up as it's worsened and I have now these symptoms physically. My first collapse was six days after the second COVID shot ...the Professor I saw said there has been much more of these problems since a bout of Covid last year. Please do you have an opinion on this phenomenon . I didnt have physical problems like this before 🙏
Thanks for such a great and detailed video. My wife diagnosed with PSVT on 19th October and then doctor given Antiarrhythmic in IV. They did not apply any kind of vagal maneuvers or Valsalva maneuvers. If next time it happens can i do these all maneuvers at home and if it do not control then visit to hospital? if this Catheter ablation safe? how much risk of life have in this operation. Can you suggest best hospital or doctor in india
AA. Dr sb, your videos on every topic is wonderful in all respects. We are regular listeners of your videos and this great job for humanity. 2. Can you please tell your area of specialisation and where you practice now a days. Your complete address for consultation. 3. Kindly make a video on Hyperthyroidism with multi nodular goiter . Regards. Dr Muhammad Zareef Ph D
Mithi Das, different mechanisms of this polyuria have been proposed. They include increased release of Atrial Natriuretic peptide from heart and inhibition of ADH release. Urine output in SVT patient can increase upto 10 times the normal.
If adenosine is contraindication in asthma patient, we go for calcium channel blocker, if still no improvement we go with beta blockers. But beta blockers are also contraindicated in asthma ?????
Many pts present with short episodes of palpitations on and off. (Palpitations for 2 to 5 minutes and then they feel ok for 10-15 days or sometimes months. These are most difficult arrhythmias type to diagnose
DON'T FORGET TO CLICK THE SUBSCRIBE BUTTON ❤
FOLLOW ME ON :)
Instagram: instagram.com/docwaqasfazal/
Facebook: facebook.com/Drwaqasfazal
Time Stamps: (CLICKABLE)
0:00 Intro
0:14 What is Supraventricular Tachycardia(SVT)?
3:20 Clinical Symptoms
4:20 Important Point
4:51 Auscultation Finding
5:25 ECG
7:28 How to see Hidden ''P'' waves?
8:08 Treatment
11:34 Vagal Maneuvers (Valsalva Maneuver)
12:08 Modified Valsalva Maneuver
13:23 Diving Reflex
13:45 Carotid Sinus Massage
14:45 Adenosine
17:50 Flow Diagram
18:57 Summary
The best explanation for SVT i have ever come across. Thank you.
Fantastic explanation by a true teacher Dr. Fazal Sir...
Salam saheb...
I understood it because I am SVT patient who underwent DC electrocardioversion in the year 2007.
Prior to that I underwent CMV in the year 1994.
I am now 66 yrs of age.
I have watched this vedio after had attended a patient with SVT.u were clear and made it easy to understand.thank you for helping us to learn more and more.
God has given you an excellent brain and you are working for the benefits of folks.An ajray Azeem .God bless you.
MashaAllah sir your style of teaching is so good. Allah bless you 💝
You are helping people beyond your expectations, thank you doctor
For 5 years, i was misdiagnosed with anxiety and panic disorder. I kept telling the doctors something was wrong with my heart. They didnt believe me. Since it was left untreated, in having more episodes and much longer episodes. Finally a new cardiologist diagnosed SVT.
I went through the same case. Did they prescribe you any medication? how do you cope with the svt episodes?
@@ronnasurmon1656 they first prescribed Dialtezem. It brought my blood pressure through the roof so I had a bad reaction to it. Then they switched me to metoprolol and the same thing happened, super high blood pressure and I felt totally out of it on that Med too. They took me off of the meds and they are talking about doing an ablation. However I have been doing tons of research and so far I have taken all caffeine out of my diet, including chocolate or anything with caffeine. If you research foods that trigger SVT it is very helpful so you know how to rearrange your diet and things you can add in to help prevent attacks. There are also different maneuvers you can do to try to stop the attack, one is putting very cold water or preferably ice on your face for at least 15 seconds and taking it off and then putting it back on for another 15 seconds. Start searching here on TH-cam for Maneuvers to stop SVT. I just got off of the metoprolol yesterday after three days in a row going to the emergency room for symptoms and side effects
eforda çıkan 250 nabız nedir
What is your condition now.and mention medicine names or you your recovery procedure
@@sirmachi7061 tried dialtezem, then metropolol tartrate. Both were horrible for me. I had to stop taking them. Side effects of both medications were horrible for me. Now I'm just winging it. If I have super fast heart rate, I put a bunch of ice with water in a baggie and out it on my face, from forehead to upper lip. I leave it on 15 seconds crate it off 15 seconds, and repeat. It usually calms the heart. My resting pulse as soon as I get up is over 100, I just pray and try to stay calm until it comes down. Medical system in Illinois is a big joke!
EP dr ordered an MRI of my heart, to see if there's any scarring that could be causing my issues. Not sure what husband will be, if there is scarring.
Took all caffeine out of diet and found sugar also triggers my heart rate to go fast. So trying to not eat candy, donuts. Etc. Change of diet seemed to calm it down a but, too. Less salt.
Effective ... even a high school student can follow and understand. Makes complex medical phenomenon easy to make sense of and comprehend. You have the art nd skill to teach the discipline of cardiology par-excellance
One of the most thorough profs 🙏🏼 Thank you Sir
Thanks for this information. The MULLER MANEUVER, which is trying to INHALE rather than PUSH against a blocked airway (the Valsalva maneuver), works far better for me. Over 40 years and many SVT episodes, I used to always try the Valsalva maneuver and it often didn't work - I had to go to the ER several times and get Adenosine. But several years ago I discovered the Muller maneuver and it works every time (sometimes I have to do it more than once). It's a weird feeling to lower your intrathoracic pressure, but it's worth the discomfort. Hope this helps someone!
I'm trying to avoid medicine. Inhaling or holding my breath makes me feel dizzy where I nearly pass out. Do you just inhale deep and breathe, or for you hold your breath?
Great video and explanation. About the very best I have seen, and so helpful for AF/SVT sufferers like myself who want to learn more. BTW, if you're new to the subject, these things won't kill you. It's many weeks of this, unabated, that begins to cause heart failure. In the meantime, you will have presented to an ER or to a cardiologist and been treated appropriately. One tip: if your SVT doesn't correct inside of 24 hours, get yourself to the ER. Do not delay after 24 hours.
bende eforda çıktı 250 nabız oldu 2 ila 3 dakika sürdü düştü tekrar öksürme ıkınma su ile bu hangisi taşikardi
Very good illustrations n way to pass information easily to viewers. Full of information & management of the cases. Thnx n jazak Allah Dr sb
Sir you r one of the best teachers I v ever come across my regards and deep respect 🙏 for you, thank you.
Thank you very much for the best explanation of svt. Amazing doctor God bless you always.
the best thing that all your videos are very updated to the recent guidelines ,, thank you very much sir
love your videos
Best of the best. Every patient got cure, that helping this knowledge will bless from god.
I have an assignment in my emergency department, this video saved me in front of madam ! More duas to you✨
Very well explained Dr. I am from Himachal and I was suffering from SVT for 10 years , every time I went to hospital Dr gave me gastric injection, sometimes said it's a panic attack etc etc gave me too many strips of medicines. Fortunately,
Finally in Kerala one gentleman cardiologist Dr K.Suresh from SK hospital, trivendram found that it is SVT and now I only take one tab. God bless Dr K.Suresh cardiologist 🙏🏻
Whts the name of that tablet sir
Plz tell the tablet name
You are an amazing teaching. Thank you God bless you
This was very helpful.....thank you Dr
Best possible teaching.
Thankyou dr waqas. Your videos are really great. May Allah give you ajar for this.ameen.
Please keep making vidoes like these
So kind of you Israh. Ameen. Keep supporting 😊
Watching ur video afer giving 6 mg and 12 mg adenosine to a patient.
Before adenosine.
Rate was 220 , regular, p wave absent and after adenosine..rate became 100.. mission successful
Thanks sir.. your explanation method is very easy ...
Your videos are best i learn alotfrom your vedio thanks sir
Exclent advice sir
Clear my doubts
This topics was tough by the way! Thank you for help ❤
Very nice Presentation
You are super superrr superrr great doctor , and we're so grateful for you❤!!!!
Very helpful lecture , keep shining 🌟🌟🌟🌟 Dr. 🎉🎉🎉🎉🎉🎉
Thank you so much Dr Fazal. Your the best !
explanation, presentation and synthesis are great. Very useful. Thanks
Thank you. 😊 Keep supporting
Sir...thank you....u explain complicated topics so easily.......❤
Thank you Aarif Bhatt. 😊
بارك الله فيك
Outstanding ❤ explanation
Allah bless you . Great thanks for you and full clear explanation.❤
Thank you very much Radhwan Abdulla for all your comments. I read all of them. So Nice of you 😊
@@MedNerdDrWaqasFazal please if you visit uk please visit us in Wales . Really we are proud of you .
Excellent lecture
Very informative. Just a couple of things. When you mention sedation it would be helpful if you explain whether you use propofol or merely fentanyl and midazolam, which would definitely be a Knogo in my case. Secondly., it would be helpful as well as compassionate to mention how the patient will feel and react to adenosine. Thank you
thankyou sir best explanation
but one thing I would like to mention , that multifocal atrial tachycardia is irregular supraventricular rhythm
Excellent lecture Sir
Thanks sir for orientation about svt and af.
Very interestin and well explained. Thank You very much!
DR. thank you very much for this video
Great lecture. Thank you!
I was one of those patients that did not respond to any measures that they tried to bring down my heart rate. In February this year, nothing would bring the heart rate from 237 bpm. I told them that previously (2020) had to be on diltiazem, metropolol and digoxin until cardiac ablation could be performed months later (during Covid restrictions). I am wearing a holter monitor now for 2 weeks and my own cardiologist will follow up.
You are absolutely great
Aslam o alaikum sir.
Thank you so much for these videos
Walaikmasalam. You're welcome. Keep supporting 😊
Thanks for such awesome lecture
Dear Dr you are contributing to the significant illness for the patients upto the mark. I hv one patient and want to get an appointment from you, so pl guide me, I shall be obliged...
Sir
You are very good teacher
Excellent sir
wow what an explaination sir
Thanks😘... Your voice and the way of explaining is very beautiful🎊
Thank you very much shubham for your kind words. 😊
Sir please make vedio on stepwise management of all type of arrythmia
Easily explained such a difficult topic thank you sir
Thank you very much Rajesh deore. 😊
Sir great explanation.
Thank you so much dilse
Thankyou so much I have just been diagnosed age 63 ...but have been somewhat anxious my entire life ... The Expert cardiologist I saw in NZ said I may have been born like this but only picked up as it's worsened and I have now these symptoms physically. My first collapse was six days after the second COVID shot ...the Professor I saw said there has been much more of these problems since a bout of Covid last year. Please do you have an opinion on this phenomenon .
I didnt have physical problems like this before 🙏
Good sequence ...but it would be more charming if u showed different ECGs in differential u described like ECG of sinus tachy ,sinus arrythmia ...
Great as usual 👏
Excellent Doctor!
most excellent!
Great video sir
Thank you sir. Really helpful
This was Great. Thank you.
Thanks for such a great and detailed video. My wife diagnosed with PSVT on 19th October and then doctor given Antiarrhythmic in IV. They did not apply any kind of vagal maneuvers or Valsalva maneuvers. If next time it happens can i do these all maneuvers at home and if it do not control then visit to hospital?
if this Catheter ablation safe? how much risk of life have in this operation. Can you suggest best hospital or doctor in india
Crystal clear explanation thank you so much sir
Thank you Rumjhum Datta. Keep supporting 😊
Sir.
Please make full video on ECG leads
Pure gold 🥂
Thank you so much💙 Clearly understand 💙
Best vedio i have seen
So kind of you Abhay Kairati. 😊
Sir please make a vedio of hypo hyper thyroidism
Great video!
Thank you for wonderful videos plz make video for ckd and full ecg reading
Sure Dr. Samreen I will upload these videos. Keep supporting 😊
Excellent video thank you
great video
Sir Can You Make a video on ECG basics and how to read It.
AA. Dr sb, your videos on every topic is wonderful in all respects. We are regular listeners of your videos and this great job for humanity. 2. Can you please tell your area of specialisation and where you practice now a days. Your complete address for consultation.
3. Kindly make a video on Hyperthyroidism with multi nodular goiter . Regards. Dr Muhammad Zareef Ph D
Excellent discussion.What is the cause of urinary urgency polyurea?
Mithi Das, different mechanisms of this polyuria have been proposed. They include increased release of Atrial Natriuretic peptide from heart and inhibition of ADH release. Urine output in SVT patient can increase upto 10 times the normal.
AVNRT-- the current just flow from AV NODE TO VENTRICLE AGAIN AND AGAIN?
Very good
Thank you sir. Needed this badly
Stay tuned for more videos 😊
Which part of the atria ? AV NODE you mean?
Sir please make the video of cardiac myopathy with full explanation
Need a lecture on non invasive ventilators
Sure Yeshan I will upload video on the above mentioned topic. 😊
For chronic prophylaxis after controlling PSVT , should be give Metolar with dilzem together ??? If yes for how long ??
sir make a video on all fluid therapy
Wow..👍
If adenosine is contraindication in asthma patient, we go for calcium channel blocker, if still no improvement we go with beta blockers.
But beta blockers are also contraindicated in asthma ?????
Thank you very much Doctor
Sir thank you
your lectures are so great short concise thorough easy to understand
can you do one on basic reading ecg
Sir, pls upload VT explanation like this
Many pts present with short episodes of palpitations on and off. (Palpitations for 2 to 5 minutes and then they feel ok for 10-15 days or sometimes months. These are most difficult arrhythmias type to diagnose
Thanks brother.
Thank you very much sir.
Sir can we take cefixime 400mg for three months.one capsule daily.
Super
Is it okay to not treat this bacause it just appear when my diet is bad or i play basketball like exerting more2 effort to do defence and offence.
Thank you sir🎉
Sir can u make vid about VTs