ECG Interpretation Tutorial - ChalkTalk 08 - Basic Level
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- เผยแพร่เมื่อ 7 ส.ค. 2024
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This Basic level "ChalkTalk" shows you step-by-step how to analyze an abnormal rhythm strip. You will learn how to measure ECG intervals and how to understand changes in the p-wave axis in interpreting a change in the atrial rhythm. There's an extensive discussion regarding the physiology of this particular arrhythmia and atrial arrhythmias in general. Now you can learn how to diagnose arrhythmias that don't look like the textbook.
Dr. Nicholas Tullo, a heart rhythm specialist, presents this "ChalkTalk" for the ECG Academy. This instructional video features a change in the rhythm and is designed for people who already know the basics but want to get used to reading more complicated tracings.
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Thanks for your comment. Most of the time, junctional rhythms are associated with a p-wave that is either just after the QRS or with no visible p-wave (because it is occurring simultaneously with the QRS). Rarely, you can see an inverted p-wave just before but usually they are fused... no real PR segment. Given the appearance of this strip, a "low atrial" or "ectopic atrial" rhythm would be more correct. The older term that we don't use much is a "coronary sinus rhythm." Hope that helps! NT
Excellent
Thankyou, doctor, for clarifying the details of compounding rhythms and axes from a perspective new to me. I particularly appreciate how your work is rooted in establishing baselines, making comparisons, reasoning similarities and differences to a picture that is a timeline. Thinking of today's internet and the way mathematics are taught to be equations as original conditions, the visual graphics displayed by a computer are, once derived, the end of the things you can learn from a picture. The encoding and decoding, and memory committed to right angles and polynomial time, are not continuous. Neither is a pixel here, an irrational number there reversible once "squared". Arithmetic is not only "a-rhythmatic, its operations imply a curve where only sums of points are definitive. Wirelessness lacks the memory of matter, which encodes structure that scales "rotation" implicitly. You can use a hole punch in one piece of paper, fold it to a symmetry, and its a conic perspective of a wave propagating through space. I'm a blue collar electrician, not a heart surgeon, yet understand my field more generally from the details of yours.
Question: with a timeline and local conditions embedded in the system of the mechanics harmonics, and matter on the paper as a constant, is there any reason not to think of 58 as "zero through sixty" percent, and using tri-symmetry about an equilateral triangle to contain irrational quantities to the same position labelled "xyz, remainder 1"", and use it as a kind of broken clock thats exactly right twice a day? I'm thinking of it as a kind of workaround for BEDMAS, and alternatives to decimals.
Thank you for all these videos.
Clap Clap .... A standing ovation.
Terrific explanation, thanks!
Thank you for these videos!
Great stuff sir!
wow thank you very much great videos.
It couldn't be any better!! Thank u:)))
Thanks ECGDoc, great explanation and just the right level of detail :)
Thanks, Daniel! I'm glad you enjoyed it!
thanks
thank you :D
GOOD TEACHING
wowwow. dr. this is more confusing, isn't both junctional and atrial ectopy, misfiring/mulfuntioning of SA node?? can you make a video to differentiate between junctional rhythm vs atrial ectopy...
to me your explanation of atrial ectopy also define juntional rhythm
I love you. ❤️❤️
if the location of the QRS complex in each lead is known and how to find the overall location of the QRS complex?
Love from kolkata , india
Can yu assist to interpret my ECG?
than*^^*
You are very good. I am a general surgeon.
Can yu assist me to read my ecg ??