How to read your heart monitor trace
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- เผยแพร่เมื่อ 29 มิ.ย. 2024
- Heart monitor traces can look daunting at first but reading them is fairly straightforward. In this video, I talk you through how to read a heart monitoring trace and work out what the different rhythms are. Heart monitors are often done to look for abnormal heart rhythm disturbances. A common heart rhythm disturbance is AF or AFib. In this example i show you what a heart monitor trace in a patient with AFib looks like
One of the most Intelligent and Articulate explanations of understanding and Interpreting Heart Health Terminology. Cheers from Michael. Australia.
Great videos! Stumbled across this as a TH-cam recommendation because I am experience VE and was trying to do some self learning on how to read the Kardia outputs! This was the most easy to understand video compared to all the other videos I've seen to far. Keep up the amazing work! Thanks!
You couldn’t have explained it better. Thank you so much! I have a Kardia monitor and the odd flutters, skipped beats and others when I am not in full afib show exactly what you described. It makes me feel better having even a little more understanding of it all.
So thorough and clear. Thank you Dr. Gupta for sharing all your knowledge in a way we can all understand.
Congrats on the 200k. 500k is coming...Thank you for generosity of time and knowledge.
so lovely thank you sang!
I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
Thanks - a very helpful and informative video. Im inspired to go back over some of my odder Kardia readings. Happy New Year to you and Bluebell - look after yourself and dont burn out in the midst of this awful pandemic. We cant afford to lose you!
Thank you for your clear and informative videos Dr Gupta. Your generosity in sharing your knowledge in a clear and simple way is very much appreciated.
Very useful information no one has ever explained it in such detail. When I see my results I’ll know what the results mean. Thank Dr Gupta!
Happy New Year! So glad I found you here. A brain CT scan showed vascular calcifications. My doctor didn’t even address this with me. I saw it when I read my results. Head pressure, no pain, and sudden small bruise on my eyelid when I woke up with no injury. Heart palpitations. Going to try magnesium supplements. Thank you again for your posts. So nice to listen you you😊
Happy New Year doc. Thanks for all the videos you produce. They're really interesting and I appreciate the time you take making them.
thanks Jim:-)I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
Happy New Year, Dr. Gupta! Another excellent video to start the year off!
Excellent information as always. Following a stroke at the end of 2019 I started with episodes of AF in Jan 2020, they always start at night just as I am falling asleep and the first time it happened I thought the end had come! After several further episodes and visits to A&E still not told what was going on but not to worry. Finally Paramedics in the May got a strip recording which they gave me a copy of and explained that I had AF. Found Sanjay's web site and it has helped me a lot to get to grips with what is happening and also what questions to ask. This explanation of an ECG trace has also helped understand the traces from my Holter monitor so I can explain easier to GP and hospital. Wish some of the consultants I have seen over the last year would spend the time to explain what is going on!
Dr Gupta, we are very grateful for these videos, Thank you
Yes , i liked the way you explain. Crystal clear . 💝
Fantastic video, very well explained, knowledge empowers . Thank you Dr G.
Thank you for such great information!, I've had one heart monitor a few times put it on for 4 days twice good to know how to read it ! Much love 💘
Thank you! Very useful! I just finished my 2wk monitor for palpitations which based on your videos sound like ectopic beats. Eases my mind! Thank you!
Happy New Year. I found this video really interesting and informative. I have SVT so have had a few ECGs which I can now understand much more clearly. I also found your explanation about how ectopics work and what they feel like interesting. I now know that heavy heart beat is the extra blood. Thank you 🙏
I’ve had an episode of VT recently. Going through this video helped me understand my rhythm charts better.
Probably one of the Best Doctor on the planet i admire so much.. Thank u so much for all the lessons... Hope i live longer to read and watch all your future posts despite suffering from this Arryhthmia...
Awww how kind! I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
Amazing demonstration 👏🏼
I have watched your all videos, full of information and knowledge with perfect communication. They are treasure. Thank you so much. Dr. Sanjay Gupta.
You are incredibly informed and so pleasant to follow. Thank you for your layman terminology that you deliver to us, your avid followers♥️
how lovely - thank you for making my day Teresa - I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
@@YorkCardiology k the
Still watching, still impressed, still learning! Thank you again, Doctor Gupta! I tried to compare my printout with yours but the forms were too diff. The spikes were not equal in one section. Diagnosis: Sinus Tachycardia and New Onset AFIB. Very interesting though.
Thank you very useful.. Having some knowledge from my Early days in Nurse training, 1977-1981.. this has given me an good update.. thank you Doctor.. although now a retired Staff Nurse at 64 I still have a great interest in Cardiology. Been to York Hospital in 1984..
Awww how kind! I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
Happy New Year to you. your videos are a marvellous learning tool for me. Thank you
Delighted to hear it Clair:-) I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
So grateful for the information you share, RPN 😀👍🏼❤️🙏
Thank u so much Dr Gupta.
U are teaching only the general population but professional health worker are benefiting from ur teaching.
May the almight God bless u.
...Thank you, and Happy BETTER New Year!
I had been feeling lots of palpatations, more than I usually feel... I got my 14 day ZioXT monitor report back 2 weeks ago,... It recorded some VT and SVT but nothing Sustained. (And zero A-Fib events) So... Doctor said all good, check back in a year.
I wish I could ignore them when they happen.
This video was very thorough and reassuring! At least I will not worry as much.
Thanks!
You are awesome doc
The only doctor who understands patients about high blood pressure. Excellent explanation. Thank you sir
Thank you for your support-Delphine it would mean a tonne if you’d consider subscribing to the channel.
Also I try and do some regular broadcasts via WhatsApp on +44795131008
Thanks for this. I’m wearing a 30 day heart monitor now. I also have an Apple Watch that records ECGs. Your explanations are so helpful. Last time I wore a monitor the doctor said I pressed the button when my heart was normal, so this time I haven’t been pressing the button when I have symptoms. But your explanation shows my error.
Thank you to Bluebell for taking care of you. Happy New Year.
Bluebell says woof woof:-) ! I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes Andrea
Sanjay
HEY SANJAY. Your the BEST. Thanks so much for the vid. Love. DANIEL. Las Vegas Nevada. 🇺🇸
I find all your videos extremely interesting and full of understandable information please keep up topic many and varied topics
Thanks doctor, you are God for patients, who are frightened and unhappy for feeling Afib.
Thank you for this info and my doc was reading my ECG which I’ve just had and said I have AF. Well the ECG was a mess so he’s ordered another one. There were a lot of scribbles up and down that didn’t look like it came from me and my doc said there were things on it that didn’t look normal that he’d never seen before I think the ECG operator screwed up. We will se on the next ECG. Thanks for this very informative video. Hope your father is better, all the best. Jon.
Priceless information. Thanks doc!
My pleasure!Thank you for your support- it would mean a tonne if you’d consider subscribing to the channel.
Also I try and do some regular broadcasts via WhatsApp on +44795131008
Happy new year hope your well stay blessed so good to hear from you
Awww how kind! I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes Shehnaz
Sanjay
Happy New Year Sanjay. Thank you for explaining that. I feel I understand so much more now.
Glad it was helpful! I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
I just want to say thank you for all of your videos that you have done over the years! You make whatever you are talking about so much easier to understand than a lot of medics. I was a nurse for 27 years and always interested in this area and done many ECGs in my time !! It is so important that the patient knows what's going on in their body and you have made it so much easier for them, if they are lucky enough to find you!!
Yes - I also want to recognize dr. Gupta for his tremendous contribution to the countless people out in the internet-land. Also thanks to youtube for posting those videos and making them available to the broader public. I happened to be patient who at age 72 experienced my first cardiac event diagnosed as Atrial Flutter. And I found dr. Gupta videos very useful, especially that none of those type of explanations came from the cardiologist and electrophysiologist I've seen. They both (I feel) were pushing ablation on me, without explanation why in my particular case, just after one event, such a drastic procedure is recommended. Based on videos of dr. Gupta and seeing the charts of my heart monitoring and echocardiogram described as "Unremarkable" I decided not to proceed with ablation.
@@annawarner1078 Insurance companies pay more for ablation than pharma pays them for pushing meds...
@@AlexM-jd2ro I agree with you - it is nearly 6 month after I had atrial flutter. No other cardiac events. I'm doing just fine. Yet those two scumbags with the medical titles in front of their names, one cardiologist, the other one electrophysiologist, wanted to sent me for ablation. The only explanation is that is how they are making money. Ripping off Medicare on one hand by prescribing unneeded procedures and endangering lives of the patient on the other. All in the name of the mighty dollar.
@@annawarner1078 exactly 💯
No doctor is doing any operations on my heart and I'm not taking their medications either !
@@SUGAR_XYLER I've seen electrophysiologist today for a follow-up visit. Again he was pushing on me ablation claiming that I would not have any atrial flutters after procedure is done. That is despite that my atrial flutter on 6/30/2021 was traced to botched dental procedure and despite that I did not have ANY cardiac events after 6/30/21. I think it is simply a malpractice. He was presenting to me ablation as nothing special, as an outpatient procedure, but then he told me that I should be able to walk in two or three days. Is that really outpatient procedure? . I told him that I do not plan to cut my body for no reason. MY follow-up wit the cardiologist is scheduled for three months from now.
Dr Gupta , very excellent explanation, as a telemetry nurse this was very helpful for me .
Very interesting and practical information.. Thanks, Dr. York❤️
So very interesting!! Thank You for posting! Love your videos!
Glad you like them! Thank you for your support- it would mean a tonne if you’d consider subscribing to the channel.
You're a good teacher.
I have a layman’s hypothesis that those who are most annoyed by PVCs as adults, are those who throughout their life have had ‘above average rhythmic’ beats, so that they (we) never had really any skipped beats, and thus are much more anxious when they start occurring. Just 5 per day can ruin someone’s life, and had you been desensitized throughout life, it perhaps would not bother you one bit. I could be speaking nonsense though :)
Holy cow I think you’re onto something
I have felt the PVCs my whole life. They have always drove me crazy.
I do think there are a subset that fit what you said, but there are also many of us that have been feeling them our whole lives and are tired of them, or feel them more as we get older.
Thank you,very useful. Am wearing a 24hrs Holter presently so by your teaching I will understand what the cardiologist tells me after.
Thanks 🙏🏼 I was drs take the time to explain like you do thank you ❤
THANK YOU Dr Gupta! so IMPRESSIVE!!! I'm not to ALL of this with long covid tachycardia (and possibly some other cardiac issues.)
Thank u doc, very well explained. Its v useful It makes me want to check my 24 hours heart beat patch test again to double check.
Thanks Didi:-) Always good to hear from you and read your comments:-)
This is totally brilliant.
YOU, Sir, ARE AMAZING!
Great lesson Doc! Thank you very much!
Awww how kind! I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
Thankyou so much doctor. God bless you.
Another brilliant video..that you again...love the shirt ..I breed both theee speceis respect dr.
You are incredibly comforting I wish you were my dr. Sir.
Thank you so much for this. I'm wearing a patch monitor now.
Sometimes it feels like I'm breathing in brisk air when I'm inhaling and I have pain under my lower pectoral. I went to have a chest x-ray and EKG done at the ER and they found something interesting; they said that my heart rhythm was normal but was a little off compared to one I had about a year or so ago. Also, the X-ray showed a swelling in-between my heart and my lung. I went to the ER recently because I had tachycardia with a heart rate if about 120-140 BPM but they sent me home because they did a few tests, including blood work, and found nothing wrong that they could see. However, I've been experiencing pain where the chest x-ray showed swelling and I have been having issues with cognitive Impairement and focusing which has only seemed to get worse. Personally, I don't trust the hospital since they're notorious for screwing things up and I just wanted to get your professional opinion on the matter.
Thank you, thank you very much dr. Gupta
Great explanation!🙏
Happy New Year Doc !
You too:-) I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
Dr Sanjay Gupta first of all let me say I’m a huge fan and appreciate you greatly, somehow even though we have never met I feel like your informative videos allow me to at least sometimes feel a little safer with my experiences. Please do reply to this as it would mean the world to me. Quick life story, I’m 30 years old. Don’t smoke never taken drugs of any kind other than prescribed, I do not drink alcohol whatsoever. I only drink water no juice or fizzy drinks no coffee no tea literally water. I am over weight and working on this currently. I have suffered severe health anxiety since the age of 15 that I have tried all sorts for but by far the worst trigger for panic attacks is my what I believe to be ectopic beats. I feel a thud in my chest now and then. Now this started for the first time when I was 16 and had no idea what it was. I used to get this very very infrequently maybe 2 times a month or so. Just recently I’ve been having huge bouts I’m talking maybe 2 times a minute then nothing then 3 times a minute then nothing for the rest of the day. I do take gaviscon very regularly due to acid reflux disease I.e GERD. I one million percent notice these beats get much worse and much more frequent when my acid is bad or after eating. I have been to the emergency room around 4 times and each time I’ve had an ecg done but nothing happens whilst hooked up to the machine lol, blood tests every time which shows nothing but they just don’t seem to understand how terrified I am. I even asked if I could stay on the machine until it happened but they said no as other people also need to be seen which I totally understand. I have since actually actually bought myself a heart rate monitor that attaches to your finger. Luckily I managed to capture exactly what I’m feeling or should I say the exact moment that I feel what I’m describing as an ectopic beat so I will post the video with this reply. Lease ignore a lot of the video as I was having a bad panic attack. If you skip to the 2.45 mark this is 3 seconds before the actual incident I’m describing occurs at 2.48. This can happen around 30 to 50 times a day and I’m honestly believing my heart is going to give up. Please do reply Dr I’m more than happy to pay for a response I feel you hold the key to me feeling normal again yet I cannot contact you any other way other than your secretary who of course has told me how busy you are and it’s very easy to see why with how amazing of a person you really do seem to be. This is slowly destroying my quality of life and I feel like at any moment my life is going to end because of these Beats. I will add one more thing. If I get up and try and go for a brisk walk whilst having a panic attack because of the beats it does seem to help and for a short while they actually disappear them as soon as I try to relax they start again. Please help me. I’ve just realised I cannot post my video as a reply. Ok the heart monitor my heart looks to have a good rhythm then all of s sudden a very very short flat line for a split second then what looks to be a larger beat then back to normal. This however is happening a lot and makes me feel like my heart is basically going to say no thanks I’ve had enough times up.
Thanks you for valuable information sir, Your vedioes are so helpful.
So nice of you Babu Rao - Thank you for your support- it would mean a tonne if you’d consider subscribing to the channel.
Wishing you a happy new year too Doc
You too! I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
Thank you so much for this.
Dr. You are great ,Thanks a lots
Awww how kind! - it would mean a lot if you'd consider subscribing to the channel . Best wishes
Sanjay
Very educational, thanks
Thank you again everything explained clearly. It’s a shame we don’t know why the heart suddenly decides to go into AF. I have be puzzling this for years. Mine are coming more frequently now, age I suppose.
Happy new year sir 🙏🏼🍾
I've been watching a lot of your older videos this past week - thanks for all the uploads - you make it very easy to understand. I have had afib for a number of years - it is under control right now with Flecainide, thankfully. I was getting tachy 150/min for hours and brady 44. Afib would last approx 12-15 hours and then just quit. I would get these 2-3 times a month. If Flecainide stops working, will look at ablation. Saw where it could be connected to Vagus nerve - your opinion? Also have other symptoms related to that.
Very interesting. Enjoyed that. Cheers.
Awww how kind! I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
Thanks for explaining well 🙏
:-) thank u!
Happy new year to you too Dear DOCTOR 🙏
Happy new year Rajesh...Thank you for your support:-) It'd mean a tonne to me if you'd consider subscribing to the channel:-)
People are experiencing deconditioning too. Wonderful video, thank you!
Happy new year to you and your loved ones from the beautiful island of Mauritius!
awww thanks Talib. Id love to visit Mauritius someday; beautiful place. Happy new year to you and your loved ones.
I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
@@YorkCardiology Hello Doctor! So nice to hear from you. Thanks a lot for all your advice. It really means a lot to me and many others around the world. You are most welcome to visit Mauritius. You have a friend here :) and I have already subscribed to the channel. Take good care of yourself. Bye.
I'm so glad I found you, Dr. Gupta, because my Cardiologist may as well be on the moon and I have questions! I have a question today, not related to this video, and I will ask you on another forum. I am so impressed with your knowledge and your ability to convey it to us. God bless you! 💖
Thanks beautiful lovely Peggy. - i appreciate you so much!
Still? 8/2022?
Still? February 2024?
Thank you so very much! I wish all doctors were as clear and explained like you! It would put so many people more at ease. I am waiting on results from and ECHO tomorrow.
Awww how kind! I really appreciate your support Ben - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
what was ya results like
Could you make Healthy Heart video.
Mentioning ways to have a healthy heart 💝💝💝
Happy new Year to you and Blue bell
thank you - very helpful and informative
thanks Tamzin!
I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
very good always interesting thank you
Very useful detailed explanation indeed. Thank you. I've noticed that you had made a talk on Statins on primary prevention of heart disease. What is your opinion on using Statin for secondary prevention, and how low should the LDL go, if the LDL should go down at all? Thank you.
I just want to thank you for your kind, informative and compassionate videos regarding POTS, I can’t explain how beneficial they’ve been to me.
I’m wondering if you would be interested in doing some research on Lyme Disease? I would love to hear your thoughts on the chronic active infection vs. easily treatable debate.
Thank you for all you do Dr. Gupta, you are a true healer.
P.S. I myself have been suffering for 3.5 years now after that fateful day in June of 2017,
when my life forever changed. I am constantly searching for answers and hope.
I hope things work out for you. Chronic illness is not easy 💕
I wish you went into more about the ve morphology the 2nd one. Cuz that’s what I got.
Thanks for video.
Can you also do a video on what causes high diastolic blood pressure, and also a video on what causes significant difference bp on both arms. Thanks.
I was taken to hospital by ambulance yesterday because I suddenly couldn't walk or stay awake. They found I had a heart rate of around 200. Emergency did a chemical cardioversion which didn't work followed by an electrical one which did work. In the recovery room I read my chart (and got in trouble with a nurse who said I wasn't allowed to read it - thankfully I had already taken photos of it, so I have a copy). Now I'm learning to understand it .Thanks,
Hope you're feeling better. I find it odd that we can't read our own notes.
Brilliant thanks so very much
Hellooo Droctor, Happy New Year:-)
Thanks Desi - happy new year to you too - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
@@YorkCardiology Thank you so much for your reply sir...I already subbed to you a long time ago. You're doing a great job here. I often watch your video and take advantage of what concerns me. Waiting for your another video..
I dropped 50 lbs. and it stopped for a while then it started back with a different beat. It also seems to happen more often is I have indulged in sugar ands carbs.
So informative love it I’ve had a pacemaker inserted due to reverting back to nsr my atria isn’t kicking in properly and hr dropping too low and I’ve found weird readings now with my kardia wonder if this is the pacemaker
Awesome and well articulated treatise on looking at the traces produced by the heart monitors.
Curious as to what the additional leads from the more comprehensive monitors provide in addition to those from single trace monitors.
Are there medical conditions where it might result in the spike indicators actually shifting in timing from one another, or is the additional information contained in the amplitudes and waveshapes of the different trace leads?
Thank you very much
I have a Kardia device that takes a single line EKG. Connects with an app through my cell phone and has a device that you put two fingers on. It has the lined chart with the squares as well. That enabled me to follow my afib in ways that could not be picked up by the holter moniters. My doctors love that I have that and have found a lot of value in it. Can print the results out or send directly to your doctor office. Some of the apple watches do the same thing now. Important for whatever you use that it actually has the squares on the readout. There are many heart monitoriing apps out there, but important that they have the little squares or it will not benefit actually reading it.
Thanks! Sounds useful.
Great doctor.
how kind thyer - I really appreciate your support - it would mean a tonne if you'd consider subscribing to the channel . Best wishes
Sanjay
@@YorkCardiology I thought I had and I get whatsapp as well.
Thank you 😊 💓
Thank you. It was a very informative video.
When or what was the moment when you decided to start doing all these videos, giving us advice, understanding, free consultations?
It's obvious that you just know what people would like to ask their doctors or what they are afraid of. I guess it is your experience, but there is also something else...
How kind Maja - Thanks for your support. It would mean a tonne if you'd consider subscribing to the channel:-)
Thank you, you gave some very good detail I was not already aware of.
I wonder if you could make the time to discuss bigeminy a bit further? I have been having long runs of bigeminy (normal atrial shape) which can continue for up to three hours. They seem always to start during eating a meal, and sometimes simply peter out but at other times lead into full paroxysmal AF which can last up to 14 hours. Due to the pandemic, I have not been able to ask my EP about these sessions, and thankfully they seem to have stopped happening so often now.
Happy new year to u too
Thank you so much. i am having a holtor monitor put on me on the 27th of Jan 2022 . i suffer from very high Bp 200/120 and seem to be resistent to Bp medications The last three days my left arm is aching and its weird because it has like a dead arm feeling and it goes cold and clamy . I also suffer from fast weight gain and edema, My question is, Does the holter monitor pick up on things when your arm is aching or clammy if it is related to the heart. Thank you if you read this And hope you have a wonderful and happy New Yr. Peace
Thanks quite useful
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that's how you act 🍀
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if you see the patient's
in Houston Texas or surround citys so I can take advantage the best YOU specialist to see me like a patient
Thank you for everything you do for the people