Rapid, structured ECG interpretation: A visual guide FOR REVISION!!
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- เผยแพร่เมื่อ 22 พ.ค. 2024
- This is designed as a really fast, rapid movement through electrocardiogram #ecg interpretation - Mainly for revision purposes. If you are new to ECG interpretation - I suggest first watching my episode on ECG Interpretation ( • #ecg interpretation : ... )and Arrhythmias ( • Arrhythmias: A Visual ... ).
In this episode, we take you step-by-step through a well-organized method for interpreting the 12-lead ECG. Throughout the video, we will identify specific abnormalities related to the rate, rhythm, axis, p-waves, PR interval, QRS complex, ST segment, T-waves, and QT interval.
We aim to provide you with a quick and efficient reference, making this review perfect for exam revision. The content moves at a pace that allows us to cover a wide range of diagnoses, ensuring you have a comprehensive understanding of ECG interpretation.
With the help of 30 animated presentations, we aim to make the learning process engaging and enjoyable. By the end of this video, you'll be equipped with valuable insights that will sharpen your ECG interpretation skills and enhance your diagnostic capabilities.
Don't forget to like, subscribe, and share this video with your fellow medical enthusiasts. So, let's dive in and master the art of ECG interpretation together!
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timestamps
00:00 Introduction
00:15 Patient demographics and ECG setting
00:41 Rate : how to calculate the heart rate on an ECG/EKG
01:15 Rhythm : how to determine the rhythm on an ECG/EKG
01:38 Sinus Rhythm: how to confirm Sinus rhythm on an ECG/EKG
02:02 Bradycardia: How to confirm the underlying diagnosis (Sinus bradycardia, junctional escape, sinus arrest and atrioventricular block) on an ECG/EKG
03:09 Tachycardia: The classification of Tachycardias (Narrow and broad complexes)
03:36 Narrow Complex Tachycardia: How to confirm the underlying diagnosis (Sinus tachycardia, Atrial flutter, AVNRT, AVRT and Atrial fibrillation) on an ECG/EKG
04:45 Broad Complex Tachycardia: How to confirm the underlying diagnosis (VT, polymorphic VT and VF) on an ECG/EKG
06:15 Axis (Normal, Right axis deviation, Left axis deviation & Extreme Axis)
07:30 P waves ( P pulmonale and P mitrale)
08:21 PR interval assessment on an EKG
08:45 The Atrioventricular heart blocks (first degree, second degree: mobitz 1 & mobitz 2, Third degree block)
09:51 The Pre-excitation syndromes (Wolff-Parkinson-White)
10:24 QRS Complex assessment on an ECG/EKG
11:02 Left Ventricular Hypertrophy on an ECG/EKG
11:35 Right and Left bundle branch blocks on an ECG/EKG
12:43 ST segment (ST elevation MI with pathological Q waves & Pericarditis) assessment on an ECG
14:08 T wave (T wave inversion, Wellens syndrome & Hyperkalaemia) assessment on an ECG
15:37 QT interval (QTC prolongation) assessment on an ECG
#ECGmadeeasy #ekg #ECG #medicaleducation #learnmedicine #myocardialinfarction #atrialfibrillation #cardiacassessment
References
1) Bonow, RO., Mann, DL., Zipes, DP., & Libby, P. (2011). Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th edition. Elsevier Science.
2) Issa, Z., Miller, J. M., & Zipes, D. P. (2018). Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald's Heart Disease (3rd ed.). ISBN 9780323523561 (hardback), ISBN 9780323568821 (eBook).
3) litfl.com/
4) Surawicz Borys Timothy K. Knilans and Te-Chuan Chou. 2008. Chou's Electrocardiography in Clinical Practice : Adult and Pediatric. 6th ed. Philadelphia PA: Saunders/Elsevier. Retrieved August 14 2023
Disclaimer
The contents of 'The Learn Medicine Show', such as text, graphics, images, and other material contained in the webinars and online lectures, are for education and information only. The content is not intended to be a substitute for professional medical advice, diagnosis, image interpretation or treatment.
Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have seen in the learn medicine sho tutorials.
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Please watch: "Transient Ischaemic Attack (tia) made simple: how to diagnose, manage and prevent stroke "
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Wish I had this when I was a medical student! Well done! Thanks!
Wow thank you so much ! 🙏 i am so very grateful
Best video on EKG. Everyone can understand 🙏🙏
Incredibly simplified, beautifully presented.
Excellent piece.
I will be on the look out for your videos.
Awesome - so pleased you found this useful🫶🙏
Very nice. Thank you and God bless!
Your video is easy to follow and understand! Thank you doctor for this video.
You are welcome!🙏
Really enjoy these vids. Thanks for all the effort you put into them.
So pleased you like them. This means alot to me. Also - thanks for voting on the next show 🙏
This really made ECG so much more understandable for me!! Thanks for your effort and time kind sir
Excellent ! i'm so pleased you found this useful. 🙏❤
Thank you so much..excellent video..pls post more.
You are welcome 😀. There is so much more to come. Thank you for watching and reaching out. Reading comments like yours really makes my day! 🙏
Thank you bigtime!!!
No problem - glad you found this useful! 🙏
you're amazing.. Thank you
Wow, thank you! I'm so pleased you found this helpful!😃🙏
best ECG vid imo 💖
Awesome - so pleased that you found this useful 🔥🫶
Really thanks❤
You're welcome! ❤️
Rapid ECG Revision: 30 Patterns You Should Know should be the title of this video
I think this is a great idea! let's put it to the test. I can do a mini-comparison study on the titles to see which one gets the most interest. Thank you for watching and giving this feedback 🙏❤
Why would an ecg vary from year to year, or month to month, with some having a normal pr interval at less than 200, taken in say, 2019, but previously in 2018, a longer than normal one, ie abnormal at 212? Or one taken recently, again abnormal at 212, and one taken only 4 months ago, normal at 189. Could sedatives or certain medications used at the time cause these anomalies?
Yes - some medications can prolong the movement of electrical activity through the heart, which can affect time intervals. Another factor is age & disease-related changes in the conduction pathways.
👏🏾 👏🏾 👏🏾 👏🏾 👏🏾 👏🏾 👏🏾
Thank you for watching ❤️🙏
HR (bpm) - 76
Pr interval - 117ms
P Duration- 109ms
Qrs Duaration - 85ms
T Duration - 197ms
QT/Qtc ms - 372/420
P/QRS/T Axis deg - 70.8/77.7/53.6
R(V5) / S(V1) mv - 0.93/1.16
R(V5) + S(V1) mv - 2.09
is this normal please reply ?
Hey
I just watched your X Ray app for iphone
Can you make the same app for Android?
Hey 😊. I’m sorry its not available for android at the moment. My longer term plan is to make a web app so it becomes available on all platforms. As soon as i get this work done i’ll make an annoucement 🙏👍