To clear up any confusion with the upward deflection of T wave. So the repolarization vector we said is moving upward and rightward basically the exact opposite direction of the mean QRS vector. If you remember the mean QRS vector was positively charged because it was a depolarization wave and we said that when positive charges approach the positive electrode of lead II it causes an upward deflection. Well in the same way the repolarization vector is moving upward and right ward towards the negative electrode of lead II. The repolarization vector is a negative vector and it’s approaching the negative electrode of lead II so if that’s the case negative charge approaching negative electrode causes an upward deflection just like the positive charge moving towards positive electrode do. That is how you get the upward facing T-wave. Hope that helps Ninja’s!!
Thank you so much for the clarification ! I'm just concerned about the propagation of action potential from the AV node down to the His- Purkinje fibers . Actually I have 3 questions ! First : Does the depolarization wave start symmetrically & simultaneously on both the anterior ventricular wall & the posterior ventricular wall ? Second : Does the repolarization wave follow the same course of the depolarization wave in the ventricles ? Third : If the QRS complex of the ventricular depolarization overlaps the atrial repolarization wave ; why the atrial repolarization wave does NOT show in the EKG in case of 3rd degree heart block ?
The first 10 min blew my mind. I had to take a break. Most of us have never had a teacher as knowledgable as Zach. He is truly brilliant with an amazing mind. Thanks for sharing your brain with us!
I’ve spent so much time trying to understand EKGs. Read many books, took many classes, spent a lot of money...and still didn’t understand until this man CLEARLY & EASILY explained it FOR FREE. I can’t express my gratitude. You are a saint.
Exactly, I wished our teachers put in more efforts to bring out the concepts in a concise and more relatable way. Besides saving some time, us studdents would love education more :) Love you Ninja Nerd:-*
I have an exam on Tuesday and was so worried because you didn't have a video on this .....but you uploaded this just in time. NOT ALL HEROES WEAR CAPES .
I am a first year intern in emergency medicine. I some how got by in medical school just by memorizing EKG tips and tricks. As an intern now I know I needed a deeper understanding and you just blew every previous attempt of learning this out of the water. The first 30 minutes showed me that on a cellular level I never knew what was going on from a physics standpoint. Thank you so much, I could cry right now
yes that's very true, I do know a natural herbs doctor his name is dr moses herbal treatment on TH-cam channel who can get you cure from meniere's disease or any other diseases permanently, as a Christian you also know that natural herbs comes from GOD I can give you his contact info if interested ok. 💯💯💯💯💯💯💯💯💯
I am in actual tears b/c I just sat for 6 hours in a nursing lecture and learned more from this guy on the internet for free than from my professor with a PhD in cardiac nursing
I'm not a doctor or med student, I just had an EKG today as a "routine" of being inducted into Medicare and officially being classified "old". I am a nerd who knows electronics and wanted to know more about how the graph was created and what it was depicting. I certainly learned all about how the pulses are detected and why there are so many wires, thank you for the well done explanation of why you hook someone up just so. It now makes me think about why the machine had so much noise that they had to run it 4 or 5 times and it apparently indicated that I was having a heart attack - well, I have my non-professional opinion about a bunch of long leads running around you, inside a typical commercial building complex, that are trying to detect pretty faint signals. The apology for the length of the video was unnecessary, it covered a heckuva lot!
I have made it through several cardio classes and NEVER has this been explained so clearly. You have a gift man! Its not that you tell us things we don't already know, but that you can string together these facts and explain the why behind it all.
Mind-blowing how great teachers like this guy make really intimidating concepts a walk in the park. It’s really the prowess of a teacher that makes the difference, isn’t it? You can be as dumb as a rock, but if the teacher is this good, it won’t mean shit. Just imagine a world where every university professor is like this. We’d be invading Mars much sooner than Elon ever imagined. Lol. Thank you so much, professor. 👏🏻🙌🏻
I'm only 14 minutes into this video and I'm like WOW!! Very clear, concise and speaks my learning language!! God bless you my dear...I am so grateful for your gift of teaching :)
I spent around 4 hours trying to understand ECG, I was looking into my book, various videos, internet pages... But I didnt understand a thing until I watched your video. Thank you very much good sir!
I have been a nurse for 6 years and this is the most comprehensive and understandable explanation of an EKG that I have ever heard! I love that he breaks it down so well! Great job!
You deserve all the good things in the world man, thank you for all the effort you always put in your explanations and how amazingly and naturally it all comes out
I'm an ECG instrument engineer,... and it's great to get the biology aspect from NINJA NERD to augment my understanding. .- - GREAT video as always,... Time just melts away. .
Seriously? Two semesters of stressing EKGs and you just cleared it up for me in 20 min like ta-dah....light bulb. Bless you. Bless your videos. You are a wonderful human!!!
I work as a RN on a CV IMU. Been trying to understand the Leads and precordial leads and what they really mean in relation to the flow of the impulse. Never made sense for me and I attended a 3-day EKG course at my organization. Zach breaks down and explains the foundation of EKGs. Having been an instructor in the Navy, I am absolutely in awe of his teaching ability. Wish I had watched his videos sooner. Plan on going over the videos again and mastering EKGs before I take my CV certification. Zach, thank you. You are a blessing.
Thank you dear Zach. After watching this video and reading some of the comments, I am about to weep. These tears are thankfulness, to God and to you. Thank you, friend. May God bless you. Please continue the good work God started in you. Lots of love.
I can't believe it! We just saw that last week in college and as always i do, i searched that topic on youtube to find one of your great lectures and became upset because there wasn't one yet but just tonight, I got a notification from your channel just about EKG basics! I can't tell you how happy I am rn! You're my biggest assistant at medical school and i always reccommend your channel to my friends in college. I don't usually comment on videos but I really thank you with all my heart. You make life easier for me and for many other students. Please continue uploading such videos. Lectures are more fun and memorable with you than ever!
I was going to write a comment to thank him for what he does but after reading your comment, I felt like it conveys all the gratitude i have for all the helps he provides.
Im in Training to become a paramedic in Germany and this video helped so much!!!! it blew my mind how you are able to teach in such a fluent and very visual way! I wish you all the best and thank you so much!
I just want you to know that I watched this entire thing and when I showed up to class the next day I blew my professor and classmates minds when I was able to explain where the depolarization occurs with each wave. He never even taught us why there are negative and positive deflections. Our textbooks barely even goes into this much detail unfortunately. Without you, I would've never known. Thank you from me and ever other medical provider that will be able to advance and help those in need from the knowledge you're providing us for free! (Donations will be headed your way shortly.)
MythicBlade fo real tho they call me the queen of cardiology and all I did was watch this video 😂😂😂 (to be fair, I did share it with them but they never watched it)
I'm on cardiac ICU right now in residency and just wanted a refresher. You explain this better than any cardiologist or cardiology fellow I've ever encountered.
I'm a Chinese student who studying in Australia, i was so stressed that when our professor teaches us about ECG, because he spoke so fast and lots of slang so I coundn't understand most of what he said until i watch Ninjia's lecture, it is so clearly and simply to understand, I really appreciate it!!!!!!
I decided to look at the videos before taking my notes. I'm glad I did! Now when I go back to take the notes it is going to be so much more effective in my comprehension. Thank you so much Zach!! I'm preparing for my Ecg class at work for my first new grad nurse position in telemetry. Your lecture will make it much easier as I study through the 250 page book !!
Basically my notes, hope I did well xD When negative moves to positive, there is a positive deflection (QRS complex) When positive moves to negative, there is a negative deflection (Inverted QRS) The flatline that comes immediately after the P wave is when the electrical current hits the AV node AKA PR Interval which holds the impulse for 0.1sec. The dip after the flatline, right before the QRS complex is a negative deflection (Q wave). The bundle branches depolarize from left to right. Essentially because of the anatomy of the heart, the conductivity is moving top to bottom or negative to positive AKA positive deflection, then from bottom left (positive) to right and up or positive to negative AKA negative deflection. When it reached the apex, it ended at a positive point. Now it's moving from a positive point (Apex) back to the right side and up a little which is a negative point, hence the positive to negative. This negative deflection is the Q wave or septal depolarization. The purkinje fibers are depolarized which then causes the myocardium to contract, making the ventricles contract or a big positive deflection AKA R wave. The R wave is depolarization at the APEX of the heart. Lead 2 is located at the left foot. The net conduction points south east, if our body was a compass. The LV generates more conduction because it's thicker than the RV. Therefore, the net conduction leans a little left instead of the middle. As stimulation is moved outward at the R wave, the current must go up, and when we go from down to up thats a positive to negative AKA negative deflection. This negative deflection is the S wave which is the plummet after the R wave on an EKG. The S wave is the depolarization at the BASE of the heart. ST segment is the time at which the ventricles are still depolarized(no extra movement=isoelectric), it hasn’t repolarized yet. The negative charge is now moving back up and away from the positive Apex, it causes a positive deflection AKA the T wave. 12-Lead-EKG gives a 3D view of the heart on a 2D plane. 3-Leads are bipolar limb leads: Lead I Lead II Lead III - (Have negative and positive electrode for each) | Looks at the heart in a frontal plane | Coronal view or front and back view 3-Augmented Unipolar Limb (AUL): Leads AVF(Foot) AVR AVL - Lead I is a neg node on the right shoulder and a pos node on the left shoulder, that imaginary line that connects the 2 is Lead I - Looking from the left/lateral heart. Lead II another neg node on the right shoulder and a pos node on the left leg. The imaginary line is from the right shoulder to the left leg AKA Lead II. - Looking from inferior to superior. Lead III another pos node on the left leg and a neg node on the left shoulder. - Looking from right/lat heart/inferior. Einthoven’s Law: Lead I + Lead III = Lead II The AUL has one node per part of the body. What the AUL does is switch the charges on the nodes to see what’s happening on one side of the heart and computes it on the EKG. AVR shows what’s happening on the right side -> creates a positive charge on the right node/arm while the left arm and left leg are negative. AVF shows what's happening from the inferior view -> creates a positive charge on the left leg node while the left arm and the left arm are negative. AVL shows what’s happening on the left/lateral side -> creates a positive charge on the left node/arm while the right arm and left leg are negative. 6- Precordial Chest Leads: Lead I Lead II Lead III Lead IV Lead V Lead VI - Transverse or horizontal section Right 4th intercostal space V1 Left 4th intercostal space V2 Left 5th Intercostal space mid clavicular V4 V3 goes between V2 and V4 Left armpit (anterior axillary line) 5th intercostal V5 Left middle armpit (mid axillary line) 5th intercostal V6 Precordial Chest Leads don’t need negative charge leads with the positive ones, just positive leads (unipolar) V1/V2 picks up interventricular septum conduction/posterior V3/V4 picks up anterior ventricular wall conduction V5/V6 picks up left lateral part of the heart conduction V7/V8/V9 for posterior
interval in the sense of actual delay in conduction no recording in the paper just a straight line - it makes sense in his order and your's also makes a point like in the books
Hello there. I am a 23x SCA Survivor (5 Shocks by EMS & 18 Shocks from AICD). Understanding the basic function of this electrical activity and how the present graphically really does help me feel more informed about my idiopathic cardiac issue…thanks!
I am a nurse with a poor college education. And I really feel happy because I am learning stuff that I should know but no one was capable of teaching me in a simple way. Thank you
I think im in love with this man. I have my med school admissions exam in a few days and this was so unclear to me in the book and now i had a huge lightbulb moment. Thank you!
Absolutely amazing. I enjoyed this lecture so much and found myself involved and answering your questions excitedly, like I was watching Dora the Explorer or something! Well done. Eases the worry of this paramedic student going into cardiology in 2 days!
God bless you bro, after years of hearing this stuff I fiiiiiiiiiiiiinally have someone speak "english" that can make it so simple. Read books and many teachers tried but I guess I need crayons and pictures and someone to make it simple to follow in a step by step formate. Thank you.
Im no doctor. Neither bio student. came here on this channel just out of curiosity. now I can read ECG.. tell the problem. At least I know when to go to the doctor and what to ask? Awsome teaching
You might be the best teacher I've ever had, for 53 minutes I thought to myself " why they don't.... you know... just explain it this way....." this was A MA ZING.
Even a non-scientific person can understand the concept of Heart and ECG. I am preparing for the entrance exam and your videos are really helpful. Thank you very much.
I have an exam in 10 hours on CV physiology and was struggling to understand ECG/vector analysis from my professor's lectures. I know, I shouldn't have procrastinated but I am so glad I found this!!! Everything just clicked. I'm pretty sure you just saved my grade. I know whose videos I'll be watching for our next block :) Thank you so much!!!
A great teacher. How many years do I wonder about ECG and in 1 hour it is explained clearly and simply. Not making me an expert but definitely all falls into place. Well done
yes that's very true, I do know a natural herbs doctor his name is dr moses herbal treatment on TH-cam channel who can get you cure from meniere's disease or any other diseases permanently, as a Christian you also know that natural herbs comes from GOD I can give you his contact info if interested ok. 💯💯💯💯💯💯💯💯💯
Thanks so much for a wonderful lecture! Amazing. Just on the PR interval. The way I understand it is that the PR interval is the distance from the beginning of the P wave to the start of the QRS complex and that the PR Segment is the part between the end of the P wave to the start of the QRS complex. Thanks again. Your lectures are so easy to understand.
You make everything just click! I love to watch your videos while I’m working out & afterwards I feel so empowered! Im over here on the treadmill looking like a crazy person going”ohhhh I get it” “ that makes sense”” “ahhhhhhh” thankyou for taking the time to explain and draw everything like you do !
I'm sitting in 4th ECG lecture with 2 hour consecutive class each time, but this 1 one hour help me alot, I'm sleeping in the classroom cuz i know there a video available on EKG of sir Zach, love from Pakistan
Zach, you are an amazing teacher. I’m a pharmacist with two best friends that are PA’s so I have a special place in my heart for PA’s. But, watching your videos, you should’ve gone to medical school. Wow, thanks so much for all your great information,explaining everything easily. I. wish you were one of my instructors when I was learning Biochemistry or Anatomy & Physiology. Thank you so much for helping us all.
This guy has the potential to be a great teacher.Way back in med school, my teachers tried their best but we were never able to understand this ECG thingy..we were always go used to mugup things & byheart stuff with respect to ECG & I had to figure out ways to remember the most.. but all of a sudden, the gentleman who is standing tall & bright shining with knowledge & teaching skill, gave me the knowledge that I always desired for…THANKY VERY MUCH FROM THE APEX OF MY HEART…I will share this video with all my classmates ..
yes that's very true, I do know a natural herbs doctor his name is dr moses herbal treatment on TH-cam channel who can get you cure from meniere's disease or any other diseases permanently, as a Christian you also know that natural herbs comes from GOD I can give you his contact info if interested ok. 💯💯💯💯💯💯
After two years at the university, in which i ve studied the ekg, this is the first time when i trully understand all of these things! Firstly i ve think that i m gonna throw this video maybe in 5-10 minutes but i ve watched every seconds, and also take notes. During this video i was feeling like i took a pill from "limitless", every thing was soo clear and easy to process. Thank you verry verry much, mate!
Such a clear and concise lecture. Good stuff for those like me (at some point) who read and read and only got more and more confused. Looking forward to more lectures especially on clinical application.
God bless all workers on this channel, I really don’t know what is the mysterious reason why I understood every detail here while less than 20% during lectures.
Again a massive thanks for quite "simplistic" approach to such a very complex topic. Being IT professional and not a medical student or professional, it was very helpful to understand the mechanics of ECG and how wide and exhausting the "view" is, by using just some electrodes and all the work done on the ECG machine side to express in a form of wave that can be quickly and effectively analysed by a professional. Huge kudos for Zach and the team!
Wow. Sir you just blast it. Initially I was so confused even in my college, but you simply rocked it. Excellent, fabulous explanation. No words to say......🥳🥳👏👏👏👍👍👍
I skipped the EKG lecture of my teacher so I had no idea of it and I didn't read the course I directly came here and watched the video and it wasn't just easy to understand but also enjoyable! It Didn't feel like almost one hour! I heard my friends saying EKG is hard , well I guess the guy is brilliant then.
absolutely mind blowing, how you managed to make everything so easily understandable i love that you did not skimp out on the explanations, it was truly an enjoyable learning experience not all heroes wear capes (some wear ninja nerd shirts)
I work in a EP/Cath lab. I've been a cardiac RN for 18 years and I've taken SO many Ecg classes. You just gave the best instruction of this material I've ever seen!!
To clear up any confusion with the upward deflection of T wave. So the repolarization vector we said is moving upward and rightward basically the exact opposite direction of the mean QRS vector. If you remember the mean QRS vector was positively charged because it was a depolarization wave and we said that when positive charges approach the positive electrode of lead II it causes an upward deflection. Well in the same way the repolarization vector is moving upward and right ward towards the negative electrode of lead II. The repolarization vector is a negative vector and it’s approaching the negative electrode of lead II so if that’s the case negative charge approaching negative electrode causes an upward deflection just like the positive charge moving towards positive electrode do. That is how you get the upward facing T-wave. Hope that helps Ninja’s!!
Thanksss!! Was so confused
that makes more sense now. thanks!
man , your videos are so great , wish you make more medical lessons , it really helps
Thank you so much for the clarification !
I'm just concerned about the propagation of action potential from the AV node down to the His- Purkinje fibers .
Actually I have 3 questions !
First : Does the depolarization wave start symmetrically & simultaneously on both the anterior ventricular wall & the posterior ventricular wall ?
Second : Does the repolarization wave follow the same course of the depolarization wave in the ventricles ?
Third : If the QRS complex of the ventricular depolarization overlaps the atrial repolarization wave ; why the atrial repolarization wave does NOT show in the EKG in case of 3rd degree heart block ?
Why you don't explain all medical topics
The first 10 min blew my mind. I had to take a break. Most of us have never had a teacher as knowledgable as Zach. He is truly brilliant with an amazing mind. Thanks for sharing your brain with us!
Malay Mukhi so what buddy
Malay Mukhi man the diagram was invented by the inventor of EKG :)), not by. Dr Najeeb
SO TRUE! Amazing content :D
Well I understood
Actually !....very nicely elaborated explaination
I’ve spent so much time trying to understand EKGs. Read many books, took many classes, spent a lot of money...and still didn’t understand until this man CLEARLY & EASILY explained it FOR FREE.
I can’t express my gratitude. You are a saint.
Exactly, I wished our teachers put in more efforts to bring out the concepts in a concise and more relatable way. Besides saving some time, us studdents would love education more :) Love you Ninja Nerd:-*
@@ishitasangwan5478 I can relate 100%
same here
Me too! So So grateful to the ninja Nerd team!
Same here. It was such a relief I felt when I finally understood it. Thank you so much ninja nerd!!!
I have an exam on Tuesday and was so worried because you didn't have a video on this .....but you uploaded this just in time. NOT ALL HEROES WEAR CAPES .
My exam on 15 Dec and it's help me a lot of understand EKG THANKS
vid-- Swedish identity? You tried, and use-- EKG monitors-- as DOD.
I love how you repeat each stage again, it gives us a chance to catch up each time if we didn't quite understand it or memorize it the first time.
I am a first year intern in emergency medicine. I some how got by in medical school just by memorizing EKG tips and tricks. As an intern now I know I needed a deeper understanding and you just blew every previous attempt of learning this out of the water. The first 30 minutes showed me that on a cellular level I never knew what was going on from a physics standpoint. Thank you so much, I could cry right now
yes that's very true, I do know a natural herbs doctor his name is dr moses herbal treatment on TH-cam channel who can get you cure from meniere's disease or any other diseases permanently, as a Christian you also know that natural herbs comes from GOD I can give you his contact info if interested ok. 💯💯💯💯💯💯💯💯💯
@@amorafaith101 She's showing her gradtitude to Ninja Nerd, and you're just here Marketing for DR MOSES.
I'm still in shock at how clear this man just made ECGs
Ethan Whitt
I hope you had a nice day, hope you have a nice evening
same
me too @@
Anyone know his genetic lineage ? No way this guy came from typical asshats
Oh yes I finally understood ECG in my third year of nursing school thanks to him WOW
Left ventricle is THICCC..😂
Seriously , when I begin to make a sum , I will surely donate to this guy❤️
Me too
Ya the THICC got me bad 😂😂😂
Sameee
I laughed out loud at once🤣
He truly deserves it
I am in actual tears b/c I just sat for 6 hours in a nursing lecture and learned more from this guy on the internet for free than from my professor with a PhD in cardiac nursing
I'm not a doctor or med student, I just had an EKG today as a "routine" of being inducted into Medicare and officially being classified "old". I am a nerd who knows electronics and wanted to know more about how the graph was created and what it was depicting. I certainly learned all about how the pulses are detected and why there are so many wires, thank you for the well done explanation of why you hook someone up just so. It now makes me think about why the machine had so much noise that they had to run it 4 or 5 times and it apparently indicated that I was having a heart attack - well, I have my non-professional opinion about a bunch of long leads running around you, inside a typical commercial building complex, that are trying to detect pretty faint signals. The apology for the length of the video was unnecessary, it covered a heckuva lot!
I have made it through several cardio classes and NEVER has this been explained so clearly. You have a gift man! Its not that you tell us things we don't already know, but that you can string together these facts and explain the why behind it all.
I have never been so grateful for someone in my life as I am for you. Thank you, for your explanations and the passion you show
True...
Mind-blowing how great teachers like this guy make really intimidating concepts a walk in the park. It’s really the prowess of a teacher that makes the difference, isn’t it? You can be as dumb as a rock, but if the teacher is this good, it won’t mean shit. Just imagine a world where every university professor is like this. We’d be invading Mars much sooner than Elon ever imagined. Lol. Thank you so much, professor. 👏🏻🙌🏻
I'm only 14 minutes into this video and I'm like WOW!! Very clear, concise and speaks my learning language!! God bless you my dear...I am so grateful for your gift of teaching :)
I spent around 4 hours trying to understand ECG, I was looking into my book, various videos, internet pages... But I didnt understand a thing until I watched your video. Thank you very much good sir!
I have been a nurse for 6 years and this is the most comprehensive and understandable explanation of an EKG that I have ever heard! I love that he breaks it down so well! Great job!
"Isn't it SO cool?" Yes! it is very cool, now that you have cleared up what my medical school professor couldn't! Thank you!!!!!
Point🤣👏🏻
🥚 zactly
You deserve all the good things in the world man, thank you for all the effort you always put in your explanations and how amazingly and naturally it all comes out
I'm an ECG instrument engineer,... and it's great to get the biology aspect from NINJA NERD to augment my understanding.
.- - GREAT video as always,... Time just melts away.
.
Seriously? Two semesters of stressing EKGs and you just cleared it up for me in 20 min like ta-dah....light bulb. Bless you. Bless your videos. You are a wonderful human!!!
Ta-da 😄😄😄
Zach the magician 😂
I knoooow right???😀😀😀
Just wanted to say that because of this video, it helped me get a 90% on my cardiac module in paramedic school! Thank you!!
This was such a good lesson, I have a lot of trouble staying focused for an hour straight in class, here it was a pleasure. Thank you professor!
I work as a RN on a CV IMU. Been trying to understand the Leads and precordial leads and what they really mean in relation to the flow of the impulse. Never made sense for me and I attended a 3-day EKG course at my organization. Zach breaks down and explains the foundation of EKGs. Having been an instructor in the Navy, I am absolutely in awe of his teaching ability. Wish I had watched his videos sooner. Plan on going over the videos again and mastering EKGs before I take my CV certification. Zach, thank you. You are a blessing.
Thank you dear Zach. After watching this video and reading some of the comments, I am about to weep. These tears are thankfulness, to God and to you. Thank you, friend. May God bless you. Please continue the good work God started in you. Lots of love.
I swear i watched my doctor’s 2 hour lecture and didn’t understand a word. Now i get the whole thing you’re amazing thank you
I knew I wasnt going to understand my course's lecture either so I went here XD
same here!
honestly by this stage, I should probably get my medical degree from ninja nerd not my college
Same here
Truly said
Haha omg so true
100% Agree.
Same here🙋🏻♀️
I can't believe it! We just saw that last week in college and as always i do, i searched that topic on youtube to find one of your great lectures and became upset because there wasn't one yet but just tonight, I got a notification from your channel just about EKG basics! I can't tell you how happy I am rn! You're my biggest assistant at medical school and i always reccommend your channel to my friends in college. I don't usually comment on videos but I really thank you with all my heart. You make life easier for me and for many other students. Please continue uploading such videos. Lectures are more fun and memorable with you than ever!
Exact
Also me. Ninja nerd is ❤
Same! Cardio mod test is Tuesday and to my surprise I noticed this tonight! I LOVE this channel!!
+1
I was going to write a comment to thank him for what he does but after reading your comment, I felt like it conveys all the gratitude i have for all the helps he provides.
I was confused all through Paramedic school and you just made the light bulb come on explaining this. You're Awesome!!!
Im in Training to become a paramedic in Germany and this video helped so much!!!! it blew my mind how you are able to teach in such a fluent and very visual way! I wish you all the best and thank you so much!
"You guys gonna hate me by the end of this "
Us : WE LOVE YOU , you just made our life easier , if only all our teachers are like you
I just want you to know that I watched this entire thing and when I showed up to class the next day I blew my professor and classmates minds when I was able to explain where the depolarization occurs with each wave. He never even taught us why there are negative and positive deflections. Our textbooks barely even goes into this much detail unfortunately. Without you, I would've never known. Thank you from me and ever other medical provider that will be able to advance and help those in need from the knowledge you're providing us for free! (Donations will be headed your way shortly.)
lol bitch u sly
MythicBlade fo real tho they call me the queen of cardiology and all I did was watch this video 😂😂😂 (to be fair, I did share it with them but they never watched it)
I'm on cardiac ICU right now in residency and just wanted a refresher. You explain this better than any cardiologist or cardiology fellow I've ever encountered.
I'm a Chinese student who studying in Australia, i was so stressed that when our professor teaches us about ECG, because he spoke so fast and lots of slang so I coundn't understand most of what he said until i watch Ninjia's lecture, it is so clearly and simply to understand, I really appreciate it!!!!!!
Epic asian?
@@LuqmanChannelOfficial yup honey.
I decided to look at the videos before taking my notes. I'm glad I did! Now when I go back to take the notes it is going to be so much more effective in my comprehension. Thank you so much Zach!! I'm preparing for my Ecg class at work for my first new grad nurse position in telemetry. Your lecture will make it much easier as I study through the 250 page book !!
I honestly want to see teachers watching this guy for a bit
Absolutely sir 🙏 👏
Some teachers do watch this guy j/s
my lecturer brought me here😊
Our teacher don't teach us in class and told us to watch this channel
They’d say, if he can do it anyone can or some other bullshit. This is VERY unique and should be studied so others can follow
Basically my notes, hope I did well xD
When negative moves to positive, there is a positive deflection (QRS complex)
When positive moves to negative, there is a negative deflection (Inverted QRS)
The flatline that comes immediately after the P wave is when the electrical current hits the AV node AKA PR Interval which holds the impulse for 0.1sec.
The dip after the flatline, right before the QRS complex is a negative deflection (Q wave).
The bundle branches depolarize from left to right. Essentially because of the anatomy of the heart, the conductivity is moving top to bottom or negative to positive AKA positive deflection, then from bottom left (positive) to right and up or positive to negative AKA negative deflection. When it reached the apex, it ended at a positive point. Now it's moving from a positive point (Apex) back to the right side and up a little which is a negative point, hence the positive to negative. This negative deflection is the Q wave or septal depolarization.
The purkinje fibers are depolarized which then causes the myocardium to contract, making the ventricles contract or a big positive deflection AKA R wave. The R wave is depolarization at the APEX of the heart.
Lead 2 is located at the left foot. The net conduction points south east, if our body was a compass. The LV generates more conduction because it's thicker than the RV. Therefore, the net conduction leans a little left instead of the middle.
As stimulation is moved outward at the R wave, the current must go up, and when we go from down to up thats a positive to negative AKA negative deflection. This negative deflection is the S wave which is the plummet after the R wave on an EKG. The S wave is the depolarization at the BASE of the heart.
ST segment is the time at which the ventricles are still depolarized(no extra movement=isoelectric), it hasn’t repolarized yet.
The negative charge is now moving back up and away from the positive Apex, it causes a positive deflection AKA the T wave.
12-Lead-EKG gives a 3D view of the heart on a 2D plane.
3-Leads are bipolar limb leads: Lead I Lead II Lead III -
(Have negative and positive electrode for each) | Looks at the heart in a frontal plane
| Coronal view or front and back view
3-Augmented Unipolar Limb (AUL): Leads AVF(Foot) AVR AVL -
Lead I is a neg node on the right shoulder and a pos node on the left shoulder, that imaginary line that connects the 2 is Lead I - Looking from the left/lateral heart.
Lead II another neg node on the right shoulder and a pos node on the left leg. The imaginary line is from the right shoulder to the left leg AKA Lead II. - Looking from inferior to superior.
Lead III another pos node on the left leg and a neg node on the left shoulder. - Looking from right/lat heart/inferior.
Einthoven’s Law: Lead I + Lead III = Lead II
The AUL has one node per part of the body.
What the AUL does is switch the charges on the nodes to see what’s happening on one side of the heart and computes it on the EKG.
AVR shows what’s happening on the right side -> creates a positive charge on the right node/arm while the left arm and left leg are negative.
AVF shows what's happening from the inferior view -> creates a positive charge on the left leg node while the left arm and the left arm are negative.
AVL shows what’s happening on the left/lateral side -> creates a positive charge on the left node/arm while the right arm and left leg are negative.
6- Precordial Chest Leads: Lead I Lead II Lead III Lead IV Lead V Lead VI - Transverse or horizontal section
Right 4th intercostal space V1
Left 4th intercostal space V2
Left 5th Intercostal space mid clavicular V4
V3 goes between V2 and V4
Left armpit (anterior axillary line) 5th intercostal V5
Left middle armpit (mid axillary line) 5th intercostal V6
Precordial Chest Leads don’t need negative charge leads with the positive ones, just positive leads (unipolar)
V1/V2 picks up interventricular septum conduction/posterior
V3/V4 picks up anterior ventricular wall conduction
V5/V6 picks up left lateral part of the heart conduction
V7/V8/V9 for posterior
boi, you make my life easier, virtual hug from malaysia
God bless you again virtual hug from india 🙏🏽
7 8 9 is it under the same chest leads ..
I hope 🤞 u ll reply bro ..
You’re a legend! More blessings to you 👊🏿
In 10:03 it’s actually the PR segment, not interval. Segments are just the straight lines, while the PR interval includes also the P wave.
interval in the sense of actual delay in conduction no recording in the paper just a straight line - it makes sense in his order and your's also makes a point like in the books
@@orchardforgarden happy to know my gh people are learning 🎓.
Hello there. I am a 23x SCA Survivor (5 Shocks by EMS & 18 Shocks from AICD). Understanding the basic function of this electrical activity and how the present graphically really does help me feel more informed about my idiopathic cardiac issue…thanks!
Here I am again, rewatching this ECG lecture after this man helped me become a doctor. Thank you so much. You've touched lives.
OMG I NEEDED THIS SO MUCH ! I'm getting a pen and paper and will start, WHAT A LIFE SAVIOR !
I am a nurse with a poor college education. And I really feel happy because I am learning stuff that I should know but no one was capable of teaching me in a simple way. Thank you
I think im in love with this man. I have my med school admissions exam in a few days and this was so unclear to me in the book and now i had a huge lightbulb moment. Thank you!
Absolutely amazing. I enjoyed this lecture so much and found myself involved and answering your questions excitedly, like I was watching Dora the Explorer or something! Well done. Eases the worry of this paramedic student going into cardiology in 2 days!
God bless you bro, after years of hearing this stuff I fiiiiiiiiiiiiinally have someone speak "english" that can make it so simple. Read books and many teachers tried but I guess I need crayons and pictures and someone to make it simple to follow in a step by step formate. Thank you.
I've never watched an educational video for a whole 1 hour , but this one really really worth it , Thanks
Oh my gosh. I finally get it. Best explanation Of this process I’ve ever seen. Thanks!!
Man i really dont know how to thank you. 6 years of medical school to be taught about ecg from you. Thank you man ! I will support you for sure!
Im no doctor. Neither bio student. came here on this channel just out of curiosity. now I can read ECG.. tell the problem. At least I know when to go to the doctor and what to ask? Awsome teaching
Nerd made me look like i never went to medical school...... what an underrated super intellectual hero.
You might be the best teacher I've ever had, for 53 minutes I thought to myself " why they don't.... you know... just explain it this way....." this was A MA ZING.
miles better than the lectures I've had at university - barely had a clue til watching this
Even a non-scientific person can understand the concept of Heart and ECG. I am preparing for the entrance exam and your videos are really helpful. Thank you very much.
Are you in school or collage ?
Thank you
I am from India
Best ecg basics explanation so far
No words .. step by step .. explained ..made it very very easy and CLEAR
Thanks again
After 6 years of my RN profession, i am clear today. Such a awesome way of teaching. Thank you very much.
I love you Ninja Nerd Science!! Keep posting more videos you're the hero of my life.
I have an exam in 10 hours on CV physiology and was struggling to understand ECG/vector analysis from my professor's lectures. I know, I shouldn't have procrastinated but I am so glad I found this!!! Everything just clicked. I'm pretty sure you just saved my grade. I know whose videos I'll be watching for our next block :) Thank you so much!!!
ECG IS MY MEDICAL SCHOOL NIGHTMARE , I AM NOW FACING IT BECAUSE I TRUST THIS MAN MORE THAN I TRUST MYSELF . THANK YOU SO MUUUUCH .
A great teacher. How many years do I wonder about ECG and in 1 hour it is explained clearly and simply. Not making me an expert but definitely all falls into place. Well done
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Just wanted to add my gratitude for the incredibly clear and thorough explanations in this video. You are an excellent teacher.
EKG basics?? This is the perfect video for me! This is so good I am so happy!
perfect time .
always recommended your channel to my friends.
How can i like this masterpiece a 1000 times ? this is THICCCC !!!
Thanks so much for a wonderful lecture! Amazing. Just on the PR interval. The way I understand it is that the PR interval is the distance from the beginning of the P wave to the start of the QRS complex and that the PR Segment is the part between the end of the P wave to the start of the QRS complex. Thanks again. Your lectures are so easy to understand.
I can't believe this is for free,lots of love from india🇮🇳🇮🇳, actually i understood it very clearly ...thank you sooo much🙏
3 hours at the University and NOTHING ,then you come and in just 1 hour I feel like BAM !!! AWESOME WORK 🙌 KEEP IT UP 👍
This video should be played in every medical college in the world
This is the best explanation I could have ever imagined to get!
You make everything just click! I love to watch your videos while I’m working out & afterwards I feel so empowered!
Im over here on the treadmill looking like a crazy person going”ohhhh I get it” “ that makes sense”” “ahhhhhhh” thankyou for taking the time to explain and draw everything like you do !
This Doc is a genius, Its one thing to learn something and its another to spit it out in a refined manner like this. He is a natural born Lecturer!
I really needed this. We saw this lesson last week. I really wanna hug you 😭
Perfect timing! We will have our finals for next week, and we really needed this. Thaaank you!!!
I've never heard anyone say the word "thick" better in my life
I'm sitting in 4th ECG lecture with 2 hour consecutive class each time, but this 1 one hour help me alot, I'm sleeping in the classroom cuz i know there a video available on EKG of sir Zach, love from Pakistan
Zach, you are an amazing teacher. I’m a pharmacist with two best friends that are PA’s so I have a special place in my heart for PA’s. But, watching your videos, you should’ve gone to medical school. Wow, thanks so much for all your great information,explaining everything easily. I. wish you were one of my instructors when I was learning Biochemistry or Anatomy & Physiology. Thank you so much for helping us all.
These guys have quickly become the new standard of outside resource videos in med school
#leftventriclethicc
God Bless you man, I promise that as soon as I start making a decent amount of money I will donate to your channel, among others
Zach is AWESOME. Wish our teacher would see his videos
For real, I cannot believe how easy, simple and comprehensible you made this seem. Huge props
This guy has the potential to be a great teacher.Way back in med school, my teachers tried their best but we were never able to understand this ECG thingy..we were always go used to mugup things & byheart stuff with respect to ECG & I had to figure out ways to remember the most.. but all of a sudden, the gentleman who is standing tall & bright shining with knowledge & teaching skill, gave me the knowledge that I always desired for…THANKY VERY MUCH FROM THE APEX OF MY HEART…I will share this video with all my classmates ..
yes that's very true, I do know a natural herbs doctor his name is dr moses herbal treatment on TH-cam channel who can get you cure from meniere's disease or any other diseases permanently, as a Christian you also know that natural herbs comes from GOD I can give you his contact info if interested ok. 💯💯💯💯💯💯
THIS IS EXACTLY WHAT I NEEDED FOR JANUARY! Thank you so much!
PR interval begins on the beginning of the P wave, not on its end.
Absolutely! I should have said PR segment I apologize
@@NinjaNerdOfficial Thank u!
No it's end of p
@@NinjaNerdOfficial hats off fr ur acceptance
Thanks fr thesse beautiful videos
Thank you so much Zach! ♥️
You cleared stuff that med school could never teach me. So glad that I came across your channel.
After two years at the university, in which i ve studied the ekg, this is the first time when i trully understand all of these things! Firstly i ve think that i m gonna throw this video maybe in 5-10 minutes but i ve watched every seconds, and also take notes. During this video i was feeling like i took a pill from "limitless", every thing was soo clear and easy to process. Thank you verry verry much, mate!
I have found that your way of teaching is what I need. Thank you so much! I am an older lady that is wanting to become an EKG Tech..
Such a clear and concise lecture. Good stuff for those like me (at some point) who read and read and only got more and more confused. Looking forward to more lectures especially on clinical application.
Ohh God how could I not find such amazing teacher during my college. Thank you Ninja sir for clearing my doubts about this topic ✌️
God bless all workers on this channel, I really don’t know what is the mysterious reason why I understood every detail here while less than 20% during lectures.
Again a massive thanks for quite "simplistic" approach to such a very complex topic. Being IT professional and not a medical student or professional, it was very helpful to understand the mechanics of ECG and how wide and exhausting the "view" is, by using just some electrodes and all the work done on the ECG machine side to express in a form of wave that can be quickly and effectively analysed by a professional. Huge kudos for Zach and the team!
One of the best EKG presentations I have ever seen. Bravo Zulu.
Hes just a genius, hes just perfect in explaining it in detail.
Wow. Sir you just blast it. Initially I was so confused even in my college, but you simply rocked it. Excellent, fabulous explanation. No words to say......🥳🥳👏👏👏👍👍👍
I’m struggling on rotations with EKG’s- thank you!
I skipped the EKG lecture of my teacher so I had no idea of it and I didn't read the course I directly came here and watched the video and it wasn't just easy to understand but also enjoyable! It Didn't feel like almost one hour! I heard my friends saying EKG is hard , well I guess the guy is brilliant then.
absolutely mind blowing, how you managed to make everything so easily understandable
i love that you did not skimp out on the explanations, it was truly an enjoyable learning experience
not all heroes wear capes (some wear ninja nerd shirts)
who the hell is hitting the dislike button?? I just wana talk
I know.... mean and ungrateful
Right? This guy is awesome.
profs that are gonna lose their job to this guy
guys who watched dr najeeb and its so similar its suspicious...
@@meraligibranmohamoud9196 its almost like its the same topic...
Important recap:
16:34
17:14
21:21
23:57 (montage issues I suppose 😆) (Edit: this one was fixed 😬, gonna miss it, it was special 😂).
i love you
bruh xdddddd
I finished my med school, and no friggin' body ever explained anything like this to me.
Do u know dr Najeeb ?
Dr. Najeeb is good too. Let's not make this a competition.
I work in a EP/Cath lab. I've been a cardiac RN for 18 years and I've taken SO many Ecg classes. You just gave the best instruction of this material I've ever seen!!
Heaven is what awaits you. i swear ive been studying ecg for 3 weeks and i didnt understand anything but here youve perfectly cleared it up
Thanks!
Thanks so much!