I teach people that RBBB and LBBB are like car turn signals... Up = R, Down = L in lead V1. Also of note, you won't see a V6 unless they are getting an EKG as most telemetry units only use 5-lead telemetry boxes.
Super awesome vid as usual. One point to make is, patients who you will be scratching your head with regarding SVT w Ab vs VT are usually patients who are on telemetry, and who have had a short run of a wide complex tachycardia, and basically you are being asked, was that just SVT + the patients underlying bundle branch block, or was it a NSVT...."DOES THIS PATIENT NEED A DEFIBRILLATOR DOC???" Telemetry usually records limb leads , not precordial leads:( so you don't have the luxury of having all the precordial leads to apply the brugada criteria and help you make the differentiation. Regardless, one must at least first master how to differentiate wide complex tachys on 12 lead ECGs before they can try and evaluate wide complex tachycardia with limited leads. So again this is very useful.
Love this nugget of info and thanks for posting it here! Super helpful to know how this would actually come up in real life haha. Hope you keep dropping wisdom here in the comments for everyone and thanks :D
doc what can happen if i used adenosine for diagnostic purposes in this situation in other words if i administered adenosine to a wide complex tach is it fatal ? my thought is to use adenosine to DDX VT from SVT with aberrancy
How can one know the onset of the QRS complex to apply the brugada sign? Or in the case of determining postivie or negative concordance? ( without the p wave to know the onset of QRS, dont know whether it is positve or negative wave )
Ive been to the hospital 6 times with a heart rate around 130 to 160. Starts suddenly and stops just the same. After an ablation (failed to cure it). Still dont have a diagnosis. Is it VT or SVT?! Can anybody help??
Brilliant . I feel like I can never fully express my thank. I hope you can create more topics on electrolyte abnormalities.❤
Mind blown… the mystery has been solved. Thank you so much!
This is by far my favorite presentation of VT. Thank you!
I teach people that RBBB and LBBB are like car turn signals... Up = R, Down = L in lead V1. Also of note, you won't see a V6 unless they are getting an EKG as most telemetry units only use 5-lead telemetry boxes.
Super awesome vid as usual. One point to make is, patients who you will be scratching your head with regarding SVT w Ab vs VT are usually patients who are on telemetry, and who have had a short run of a wide complex tachycardia, and basically you are being asked, was that just SVT + the patients underlying bundle branch block, or was it a NSVT...."DOES THIS PATIENT NEED A DEFIBRILLATOR DOC???"
Telemetry usually records limb leads , not precordial leads:( so you don't have the luxury of having all the precordial leads to apply the brugada criteria and help you make the differentiation.
Regardless, one must at least first master how to differentiate wide complex tachys on 12 lead ECGs before they can try and evaluate wide complex tachycardia with limited leads. So again this is very useful.
Love this nugget of info and thanks for posting it here! Super helpful to know how this would actually come up in real life haha. Hope you keep dropping wisdom here in the comments for everyone and thanks :D
Any wide complex tachy treat as VT unless proven otherwise probably by EP study or full ecg at a later stage.
Thanks!
Thank you so much for the great initiative explaining a few videos and material together. The video is really helpful
super helpful thank you!
Amazing Explanation!!!
Keep it Up!!!
amazing!! Thank you for boiling down the approach and making it feel simple
Fantastic presentation!
thank you , it's helpful and informative
thank you so much. you made it so clear
I enjoy watching your video. It is very informative, cardiac monitor tech.
Thank you…. Can you also make videos on neuro and cardio examination…..
Thank you for this excellent explanation.
Also, LITFL is an absolutely fantastic resource on cardiology for non-cardiologists.
Great video!!! Thank you!!
Can you do a video on Afib with Abberancy ?
amazing, as a medical student it helped me a lot. thank you so much
Thank you !
Great!
Awesomeness 😍
Love from Afghanistan
Very nice, Keep it up please..
Can you clarify when you say “shock” the unstable patient if you are referring to synchronized cardioversion or defibrillation?
What website you are using to practice examples please tell.
In this video it was Life in the Fast Lane
thank you continue
doc what can happen if i used adenosine for diagnostic purposes in this situation in other words if i administered adenosine to a wide complex tach is it fatal ? my thought is to use adenosine to DDX VT from SVT with aberrancy
How can you tell “upgoing” vs “down going”?
really nice video
Wow❤
How can one know the onset of the QRS complex to apply the brugada sign? Or in the case of determining postivie or negative concordance? ( without the p wave to know the onset of QRS, dont know whether it is positve or negative wave )
Thankuuu❤🎉
awesome
👏👏
Ive been to the hospital 6 times with a heart rate around 130 to 160. Starts suddenly and stops just the same. After an ablation (failed to cure it). Still dont have a diagnosis. Is it VT or SVT?! Can anybody help??
Very likely SVT
SVT
@@brightflex4130 thanks Dr brightflex. But youR diagnoses is still unconfirmed.
Your videos will not allow me to save to watch later.