Rate and Rhythm | Supraventricular Tachycardia (SVT) and Wolff-Parkinson-White (WPW) Syndrome

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  • เผยแพร่เมื่อ 9 ธ.ค. 2019
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    Ninja Nerds,
    Join us for our Electrocardiogram (ECG) playlist. During this lecture we will continue on rate and rhythm and discuss supraventricular tachycardia (SVT) and Wolff-Parkinson-White (WPW) syndrome. Download the template below to follow along and learn how to calculate rate, interpret rhythm, and observe for any abnormalities within this real 12-lead ECG strip.
    ECG strip: Jason Winter @ ECG Educator
    DOWNLOAD the Supraventricular Tachycardia (SVT) and Wolff-Parkinson-White (WPW) Syndrome templates to learn while you watch!
    Just click on this link for our Facebook (and please like our page to stay updated with new content) where it will be made available ---- pg/NinjaNerd...
    Support us by purchasing apparel and donating to our GoFundMe or Patreon! 😄
    --Become a Patron of ours and receive the final, high resolution photo of the lecture!
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ความคิดเห็น • 115

  • @ayseyurtsever2558
    @ayseyurtsever2558 4 ปีที่แล้ว +27

    It was always hard to understand ECG for me. But with you, it’s even fun and easy to understand. Thank you for the great explanation!

  • @EnviedAbz
    @EnviedAbz 4 ปีที่แล้ว +11

    Incredible explanations on your videos! I binge watched all of your ECG videos today because I'm studying for my finals and they're helping so much! Massive thanks and keep it up.
    PS. Just subscribed

  • @architasaha8917
    @architasaha8917 4 ปีที่แล้ว +2

    I am very much astonished with your skill and depth of knowledge. Thank you for your brilliant concept and teaching skil.

  • @nickawilliams5175
    @nickawilliams5175 3 ปีที่แล้ว +7

    Thank you for the breakdown on WPW which is what I have. It was very easy to understand and I like that fact that you've included what to NOT give a person.

    • @janisripple754
      @janisripple754 2 ปีที่แล้ว

      Agree I have A WPW Variant- No ABCOr D

  • @user-de7jt6ts1w
    @user-de7jt6ts1w 4 หลายเดือนก่อน

    A true ECG god. What a superb teacher, I could watch and learn all day!

  • @yasfakhraeian1907
    @yasfakhraeian1907 4 ปีที่แล้ว

    you are the best teacher I have ever had, thank you

  • @gcflupis
    @gcflupis 4 ปีที่แล้ว +1

    Such easy to understand way of explaining!!! 🙏🏻🙏🏻🙏🏻 thanks a lot !!!

  • @sapolek
    @sapolek 4 ปีที่แล้ว +1

    Thank you so much for your enormous work, it is really huge, what you are doing there

  • @addyb9374
    @addyb9374 4 ปีที่แล้ว +3

    Thank you for explaining so well!

  • @MrChad1205
    @MrChad1205 4 ปีที่แล้ว +2

    Thank y’all some much! I learned some much from y’all, thank you!

  • @macman6421
    @macman6421 4 ปีที่แล้ว +7

    It would of been good to show and ECG for pre exited atrial fibrillation. I had this and my ECG looked crazy. I had the ablation for WPW done 4 weeks ago and it seems to have been a success.

  • @saidasaid9565
    @saidasaid9565 2 ปีที่แล้ว +1

    Thank you so much, your explanation is amazing!

  • @ayushgodhani7648
    @ayushgodhani7648 4 ปีที่แล้ว +35

    Thank u so much sir!! But if possible can u make video for ecg of mi, lbbb, rbbb, and details of wpws

  • @farahdeborah
    @farahdeborah 4 ปีที่แล้ว +1

    Thanks for all your wonderful video's you helped me so much. I made a little donation, I call it money well spent!

  • @CommonMedicalNeeds
    @CommonMedicalNeeds 4 ปีที่แล้ว

    too good and made it so easy to digest , thanks sir

  • @isabelladelacruz553
    @isabelladelacruz553 ปีที่แล้ว +1

    Thank you for discussing the medication portion and how it's important just to get rid of it all together with a radio frequency ablation. I have just found out I have wolff-parkinson-white syndrome, and I need to make a decision on what my course of action will be.

  • @drnss21
    @drnss21 4 ปีที่แล้ว

    Excellent. You made it so clear

  • @asadzaer9144
    @asadzaer9144 4 ปีที่แล้ว +1

    Your lectures are excellent. Please more videos and if possible give more examples for each condition on on ECG strip.

  • @Borlingr
    @Borlingr 4 ปีที่แล้ว +1

    Thank you for explaining!

  • @megamouth01
    @megamouth01 3 ปีที่แล้ว

    Excellent lectures. Thanks so much

  • @monalisamidya1033
    @monalisamidya1033 3 ปีที่แล้ว

    What a explanation¡🙏🏻 Thank you so much 😀😀

  • @angelathigpen1557
    @angelathigpen1557 3 ปีที่แล้ว

    Great lecture

  • @krishsathish3076
    @krishsathish3076 4 ปีที่แล้ว +4

    i love the work u guys do. U guys have helped me a lot throughout the years. just a quick favor. Could you talk more about skeletal and integuementary. Skeletal, specifically the physiology of like functions as well as ossification

    • @Zetsuke4
      @Zetsuke4 4 ปีที่แล้ว

      Krish Sathish Yes

  • @Skipper767
    @Skipper767 4 ปีที่แล้ว

    Highly appreciated

  • @denised3956
    @denised3956 3 ปีที่แล้ว

    Thank you! SO helpful

  • @tinakung01
    @tinakung01 3 ปีที่แล้ว

    Thank you so much for EKG.
    If you make the big mark point cursor that the big wonderful guy 💜💜💜

  • @Zetsuke4
    @Zetsuke4 4 ปีที่แล้ว

    Awesome!

  • @gabifalcao4975
    @gabifalcao4975 4 ปีที่แล้ว

    Thank you!Very very very good

  • @zas881
    @zas881 3 ปีที่แล้ว

    Thank you ❤️❤️❤️❤️ جزاك الله خير

  • @kaviyamurali5894
    @kaviyamurali5894 3 ปีที่แล้ว

    Awesome..Thank you so much sir!!!!!

  • @carolkong6140
    @carolkong6140 ปีที่แล้ว

    Thank you!

  • @2013Queen
    @2013Queen ปีที่แล้ว

    Love this

  • @YessBStrong
    @YessBStrong 3 ปีที่แล้ว

    Si helpful. Thank you

  • @r.i.a6485
    @r.i.a6485 2 ปีที่แล้ว

    Thank you so much ❤️❤️

  • @venkatesanrenuka3957
    @venkatesanrenuka3957 3 ปีที่แล้ว

    Thank you 😊

  • @sruthisaravanan1342
    @sruthisaravanan1342 3 ปีที่แล้ว

    Thank you 🥰

  • @gayathriliyanage6748
    @gayathriliyanage6748 ปีที่แล้ว

    Excellent
    Thank you dr

  • @rayana.ibrahim1344
    @rayana.ibrahim1344 4 ปีที่แล้ว

    bravo ❤️

  • @ayushlal6198
    @ayushlal6198 4 ปีที่แล้ว

    Thanks soo much

  • @sofieelamine880
    @sofieelamine880 2 ปีที่แล้ว

    thank you!!!

  • @salaheddinekniweer502
    @salaheddinekniweer502 3 ปีที่แล้ว

    Thanks

  • @user-to3me4nw2b
    @user-to3me4nw2b 3 ปีที่แล้ว

    Thank u

  • @mohammedalbassam560
    @mohammedalbassam560 4 ปีที่แล้ว

    Thx

  • @giltuito1545
    @giltuito1545 4 ปีที่แล้ว +3

    thank you Sir, for the great videos. just one question to all of you: shouldnt adenosine decrease HR anyway, whether it is SVT or sinus tachycardia?

    • @nygeek6471
      @nygeek6471 3 ปีที่แล้ว

      The point is to look for what rhythm comes when you slow the heart rate down.

  • @isakmulla2423
    @isakmulla2423 2 ปีที่แล้ว

    Thank you!!! Sir can u explain more about cardioversion plzz

  • @sofar6339
    @sofar6339 3 ปีที่แล้ว

    now on I will give you a like even before watching the video

  • @aslbekyuldoshev5264
    @aslbekyuldoshev5264 3 ปีที่แล้ว

    Awesome

  • @purushottamparajuli842
    @purushottamparajuli842 2 ปีที่แล้ว

    Great👍👍

  • @uvthewonder
    @uvthewonder 3 ปีที่แล้ว

    Pls make videos on Hyper, Hypo kalemia, hyper , hypo calcemia, Lbbb, Rbbb, Lvh, Rvh

  • @rajeshshivaramaiah4581
    @rajeshshivaramaiah4581 8 หลายเดือนก่อน

    Hi , what would be the auscultation findings in wpw syndrome. Also what would be the symptoms.

  • @WONDIFRAWADMASU-cr8wl
    @WONDIFRAWADMASU-cr8wl ปีที่แล้ว

    it is very interesting and always very complicating for me

  • @patriciabong20
    @patriciabong20 2 ปีที่แล้ว

    thankyouuu

  • @tarek6359
    @tarek6359 3 ปีที่แล้ว

    So the last one was Antidromic WPW (because of the wide complex)? But it can also be a narrow complex WPW ?? (orthodromic)

  • @tinamariemcwilliams4692
    @tinamariemcwilliams4692 2 ปีที่แล้ว

    Thank you! So say Someone has Rbbb should the dr give them digoxin

  • @rahbar2002
    @rahbar2002 3 ปีที่แล้ว

    legend, you should be the president of medicine intergalactic

  • @monalisamidya1033
    @monalisamidya1033 3 ปีที่แล้ว

    Can you please make a video on LBBB &RBBB...related diseases...😇

  • @himanshumudgal8671
    @himanshumudgal8671 3 ปีที่แล้ว

    We can see delta wave in lead 1 also at the top of qrs?

  • @erikruizmd
    @erikruizmd 2 ปีที่แล้ว

    what prgrom do you all think he uses for the illustrations ?

  • @lietrelledennizsistona7135
    @lietrelledennizsistona7135 3 ปีที่แล้ว +1

    Hi, Good Day. I have a question and hoping to get an answer. How many boxes apart is considered as a short P-R interval? And how many boxes apart is considered normal? Thank you in advance.

    • @2013Queen
      @2013Queen ปีที่แล้ว

      Normal is 0.12-0.20 or 3-5

  • @Whit23ney
    @Whit23ney 3 ปีที่แล้ว

    Do vague maneuvers help this? I’ve tried them when my HR got to 241 during my stress test and it did NOTHING. Still waiting to see my cardiologist for further testing but I’m lost. My report had an inverted t wave and ST depression and was noted as possible anterior ischemia. I’m a marathon runner and went to the doctor because I get chest pain when I run now. 🤷‍♀️

    • @2013Queen
      @2013Queen ปีที่แล้ว

      If you’re already experiencing ischemia and a past anterior MI, most likely the pain could be ischemia. Lack of blood flow is pain.

  • @MatanLinevitz
    @MatanLinevitz 3 ปีที่แล้ว

    תודהההההה

  • @ahc1957
    @ahc1957 4 ปีที่แล้ว +11

    My son has WPW. I just had minor surgery with local anesthetic. I had three episodes of my heart rate suddenly going from 47 to 147 approx. my angels, the nurses were very frightened. No doctors in sight. The head nurse was the commanding officer. She was on the phone each time with the doctor explaining what to do. They gave me an injection and things started going back to normal. It almost made it to normal but then went up again, two more times. I felt terrible. Eventually a doctor came by, hours later when everything was over. He was not concerned and I wanted to know what happened. They have no answers. But they do tell me with all certainty that it was not WPW. I’m not convinced. The ECG was taken hours after when the episodes over. I really wish I could understand this. Is WPW really genetic or hereditary? How can I find out more or should I bother?

    • @sewamazing4498
      @sewamazing4498 ปีที่แล้ว

      It can be genetic but its not very common

  • @seva00793
    @seva00793 3 ปีที่แล้ว

    nice

  • @morakabimotsei1470
    @morakabimotsei1470 3 ปีที่แล้ว

    can we just administer adenosine without actually doing the manueuver ??

  • @ktj115
    @ktj115 ปีที่แล้ว

    IMO Best starting video series for establishing a SYSTEM mentally as we view and assess an ECG reading.

  • @user-cv2vf1eb3i
    @user-cv2vf1eb3i หลายเดือนก่อน

    how can you tell in the first ECG that's it's a T wave and not a P wave?

  • @alexandruionut8553
    @alexandruionut8553 4 ปีที่แล้ว

    I have PAT due to some hormones since I was 16 and now im 22(usually 160bpm and diastolyc HT),it.s so stresfull because the anxiety starts it i dont know how to get rid of that or how to control my emotions(im extreeemely instable emotionaly). Any recomandations?

    • @malinasuciu4378
      @malinasuciu4378 3 ปีที่แล้ว

      Counting from 1 to 10, deeply taking breath in and out or imagining everyone is naked? :)
      There s no given method, maybe it s only about giving yourself credit, trust your gut, allow yourself being vulnerable and imperfect, cause that makes us perfect :) You can, I do, believe in you!

  • @animeokabekyouma4390
    @animeokabekyouma4390 2 ปีที่แล้ว

    Why is aVL qrs complex facing in negative direction

  • @user-vn3ss9ce5f
    @user-vn3ss9ce5f 2 ปีที่แล้ว

    When we calculate the rate , why we sometimes multiply by 6 and in other times by 10 ?

    • @runayred
      @runayred 2 ปีที่แล้ว

      If the page is 6 seconds strip you multiply by 10, if the page is 10 seconds strip you multiply by 6

  • @WatchoutNSG
    @WatchoutNSG 4 ปีที่แล้ว +9

    Thank you for this video, I am currently 22 and I was diagnosed with WPW 1 year ago and feel that it does not inhibit my daily life, the main reason why they tested my heartrate was because of me explaining how I have had moments where I felt my heartbeat raise and my vision blackout and the feeling on lightheadedness that lasts for 10-50 sec very rarely(2-4 times a year total), the reason that it was triggered was not due to me doing anything to overbearing, merely walking in a hot enviroment with no water for hours or working with my hands while standing after 4 or more hours also with no water.
    I am extremely hesitant to get the oblasion as I feel the diagnosis does not inhibit my life, but it potentially does more than I could be aware of since ive lived my entire life with this.
    Here are my questions:
    is this diagnosis able to be mis-interpreted?
    Is there any potential/rare consequence to getting the oblasion?
    is there any actual side effects that people have reported as a result of having WPW?
    Thank you for anyone to read this and Ninja for making the vid, ive done over a hundred hours of research and just can't bring myself to trust someone to do heat surgury to me and potentially inhibit my current normal/high functioning lifestyle.

    • @petarmalesev8349
      @petarmalesev8349 4 ปีที่แล้ว +4

      You have spent hundreds of hours researching, I have spent 12 years, so listen carefully. Your blackouts are not the consequence of WPW or other arrhythmia, but of the dysautonomia. Your Autonomous Nervous System gets problems from time to time and influences how your heart works but also the level of BP, so you get lightheaded etc. No ablation will cure you, the main cause will remain. If you want more info, go to Dysautonomia International.

    • @tapanthaker8005
      @tapanthaker8005 4 ปีที่แล้ว

      Wait till you get atrial fibrilation with wpw .. you will collapse so quickly you wont be able to write a comment like this .. get surgery

    • @melodrama1401
      @melodrama1401 4 ปีที่แล้ว

      Tapan Thaker what are you talking about?

    • @WatchoutNSG
      @WatchoutNSG 4 ปีที่แล้ว +1

      ​@@macman6421 ​ Thank you for taking the time to explain your experience with this condition, I have still not gotten the ablasion and have had epsiodes where my heart rate starts spiking and having abnormal rhythm, it happens when im already hot and tired and after lifting something heavy a few times, after doing so If I miss an inhale of air, my heart will start beating faster till a take a big breath to compensate for the one I missed and ill get slightly dizy and if the heat doesnt stop I may eventually lose vision (it all goes black) and I feel lightheaded, this hasint happened in like a year. So if you could, please tell me what your life is like after a few months after the surgery, if you work out or lift heavy things tell me, is it easier? Do you feel as if you have more energy and stamina? These are the questions I need to know before I feel I need to get the surgery done, thank you friend and im happy you did what you believed needed to be done for your health.

    • @janisripple754
      @janisripple754 2 ปีที่แล้ว

      @@petarmalesev8349 thanks for this information.

  • @randihowey3680
    @randihowey3680 3 ปีที่แล้ว

    For the PCP's out there (you know who you are), we do not preform vagal maneuvers!!! (yet) That is an ACP skill ONLY.
    Calculate the heart rate. If it's over 165 BPM, it's SVT. Call for ALS back up and wait for them if they're close or diesel therapy to closest hospital.

  • @lukasx543
    @lukasx543 ปีที่แล้ว

    Is not there a right axis deviation?

  • @marlenarteaga3617
    @marlenarteaga3617 2 ปีที่แล้ว

    SVT is the same as atrial tach right?

  • @doctor9410
    @doctor9410 2 ปีที่แล้ว

    why you are multiplying R wave with 10 in lead 2 i m confused?

  • @kurayC
    @kurayC 3 ปีที่แล้ว

    I have wpw . I was born with that (extra pathway) my problem is I have extrasystoles A.K.A Skipped heart Beat. Not everytime tho really weird my doctor Said WPW Not make a extrasystoles anda they dont wanna ablation to me I dont know why

  • @neginali5513
    @neginali5513 3 ปีที่แล้ว

    Was it WPW type B? Please answer

  • @Sriram-jl8ex
    @Sriram-jl8ex 4 ปีที่แล้ว +4

    Please increase your cursor size

  • @ASMR_AND_MORE_123
    @ASMR_AND_MORE_123 2 ปีที่แล้ว

    qrs doesn't seem to be wide to me

  • @noahmorris5494
    @noahmorris5494 3 หลายเดือนก่อน

    Cant atrial flutter be irregular?

  • @jjrockjon8610
    @jjrockjon8610 2 ปีที่แล้ว +7

    Who's here to get your WPW explained to you??? 🙋‍♀️

    • @AmiHuynh1
      @AmiHuynh1 5 หลายเดือนก่อน

      If you are here to learn about your WPW, make sure if you end up in the ER that you are NOT given Adenosine, it is contraindicated for WPW.

  • @Mariam-nv1fk
    @Mariam-nv1fk 4 ปีที่แล้ว

    i didn't get why there is two rates one is 190 and 150 .

  • @Kez_abi
    @Kez_abi 2 ปีที่แล้ว

    Not a med student some one with a dodgy heart trying to understand their conditions.
    Wolff Parkinson White
    Cardiomyopathy
    Sinus Tachycardia
    Ventricular Pre-excitation
    Atrial Fibrillation
    Supraventricular tachycardia

  • @moley2006
    @moley2006 ปีที่แล้ว

    Why is it multiplied by 10?

  • @b.l219
    @b.l219 3 ปีที่แล้ว

    ✔️👍🏻

  • @samuelpeterson7043
    @samuelpeterson7043 6 หลายเดือนก่อน

    "Mama JuJu dis is sinus" lmao

  • @katielewis1654
    @katielewis1654 4 ปีที่แล้ว +2

    As a WPW patient with two failed cardiac ablations under my belt, SVT and adenosine are no freaking joke!!!!! Adenosine gives you a severe case of impending doom sensation, you feel like you’re about to die!!!! Not fun at all

    • @user-yt4vu5zz9j
      @user-yt4vu5zz9j 11 หลายเดือนก่อน

      Я ваш коммент считаю лучшим под англоязычными роликами о наджелудочковых тахикардиях. Да, АТФ это маленькая смерть. Кроме аденозина колят ещё веропамил. Рча действительно не панацея, и помогает сомнительно и не всем. Весь мир в аритмиях и свт и авурт и wpw. И многих нарушениях ритма сердца. Почему-то мировая наука по сей день не может найти избавление от этой напасти. Мы сидим на конкор, фебриляции предасердия лечат более серьёзными препаратами. А обстановка в больницах на удивление очень похожа. Желаю Вам здоровья, хотя бы улучшения, и знайте, что вы не один такой человек.

  • @nazri8302
    @nazri8302 2 ปีที่แล้ว

    👍

  • @Haideriyum718
    @Haideriyum718 ปีที่แล้ว

    ❤❤❤❤❤❤❤❤❤❤

  • @khaoula7389
    @khaoula7389 3 ปีที่แล้ว

    thnx

  • @ucheohiri9678
    @ucheohiri9678 2 ปีที่แล้ว

    pointer tiny

  • @ma.gildamontilla346
    @ma.gildamontilla346 2 ปีที่แล้ว

    Please sell notes without subscription to us students looking for jobs

  • @rabiakulsum8891
    @rabiakulsum8891 4 ปีที่แล้ว

    Raghib Asfak 😉

  • @SAM-ln6on
    @SAM-ln6on 4 ปีที่แล้ว +1

    MAMA JUJU

  • @benzino3044
    @benzino3044 4 ปีที่แล้ว

    Someone help me im 26 i have this just found out cause my body went into cardiac arrest and now im so worried i need info please anyone anything will help me anything

    • @memersharma1551
      @memersharma1551 3 ปีที่แล้ว

      DIP diet that can increase nitric oxide level in the body to regenerate your damaged tissue and lead a healthy life its naturopathy

  • @user-pn9pc1jr5x
    @user-pn9pc1jr5x 3 ปีที่แล้ว +1

    Lamarcus Aldridge :(

  • @kasjopea95
    @kasjopea95 3 ปีที่แล้ว

  • @carolynhickson7960
    @carolynhickson7960 2 ปีที่แล้ว

    Thanks