VT vs. SVT With Aberrancy Explained - High Yield & Made Easy!

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  • เผยแพร่เมื่อ 21 ต.ค. 2024
  • Diagnosis and evaluation of wide complex tachycardias can be daunting at first, but after watching this video I guarantee you will feel more confident in figuring out how to diagnose and manage your patients! I talk all about SVT with aberrancy vs ventricular tachycardia (VT) and all other sorts of tachyarrhythmias. How to use different criteria to diagnose VT vs SVT with aberrancy including Brugada's criteria and multiple other clues that it is VT. What to look out for and general rules to follow when managing patients with wide complex tachyarrhythmias. Let me know what you think!
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ความคิดเห็น • 39

  • @crystalnaylor3979
    @crystalnaylor3979 2 ปีที่แล้ว +5

    Mind blown… the mystery has been solved. Thank you so much!

  • @ericsoles150
    @ericsoles150 2 หลายเดือนก่อน +1

    This is by far my favorite presentation of VT. Thank you!

  • @AkulaShark4748
    @AkulaShark4748 ปีที่แล้ว +1

    Thank you so much for the great initiative explaining a few videos and material together. The video is really helpful

  • @Sickdude420
    @Sickdude420 2 ปีที่แล้ว +5

    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.

    • @ConanLiuMD
      @ConanLiuMD  2 ปีที่แล้ว +2

      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

    • @aur4466
      @aur4466 9 หลายเดือนก่อน

      Any wide complex tachy treat as VT unless proven otherwise probably by EP study or full ecg at a later stage.

  • @sarahcan8311
    @sarahcan8311 4 หลายเดือนก่อน

    amazing!! Thank you for boiling down the approach and making it feel simple

  • @amanasthana338
    @amanasthana338 9 หลายเดือนก่อน +1

    Amazing Explanation!!!
    Keep it Up!!!

  • @jankicheese
    @jankicheese 2 หลายเดือนก่อน +2

    super helpful thank you!

  • @keihndeth
    @keihndeth 2 ปีที่แล้ว +10

    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.

  • @moriahnichols8178
    @moriahnichols8178 ปีที่แล้ว +1

    Fantastic presentation!

  • @christlinmishal2741
    @christlinmishal2741 11 หลายเดือนก่อน +1

    thank you so much. you made it so clear

  • @RohanKayani
    @RohanKayani ปีที่แล้ว +2

    Wonderful explanation. The best video on TH-cam on this topic. Thank you for the excellent lecture. Best of luck!

  • @yazanazzam6113
    @yazanazzam6113 ปีที่แล้ว +1

    thank you , it's helpful and informative

  • @applebee4129
    @applebee4129 ปีที่แล้ว +2

    Thank you…. Can you also make videos on neuro and cardio examination…..

  • @JohnnyWishbone85
    @JohnnyWishbone85 2 ปีที่แล้ว +5

    Thank you for this excellent explanation.
    Also, LITFL is an absolutely fantastic resource on cardiology for non-cardiologists.

  • @robertoconnell8153
    @robertoconnell8153 ปีที่แล้ว +1

    Great video!!! Thank you!!

  • @saliha6767
    @saliha6767 7 หลายเดือนก่อน +1

    Thanks!

  • @a-ron9769
    @a-ron9769 ปีที่แล้ว +2

    Can you do a video on Afib with Abberancy ?

  • @shahidiqbal3707
    @shahidiqbal3707 หลายเดือนก่อน

    Awesomeness 😍

  • @heidistump5354
    @heidistump5354 หลายเดือนก่อน

    Thank you !

  • @qaishamarsha8186
    @qaishamarsha8186 ปีที่แล้ว

    amazing, as a medical student it helped me a lot. thank you so much

  • @Maryjcorder
    @Maryjcorder 8 หลายเดือนก่อน

    Can you clarify when you say “shock” the unstable patient if you are referring to synchronized cardioversion or defibrillation?

  • @geobus3307
    @geobus3307 11 หลายเดือนก่อน +1

    Great!

  • @selimelsayed6842
    @selimelsayed6842 2 ปีที่แล้ว +1

    thank you continue

  • @janetony6326
    @janetony6326 4 หลายเดือนก่อน

    really nice video

  • @drmasoodamin1084
    @drmasoodamin1084 4 หลายเดือนก่อน

    Love from Afghanistan
    Very nice, Keep it up please..

  • @zuhairyassin505
    @zuhairyassin505 2 หลายเดือนก่อน

    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

  • @dollythakur570
    @dollythakur570 6 หลายเดือนก่อน +1

    What website you are using to practice examples please tell.

    • @ConanLiuMD
      @ConanLiuMD  6 หลายเดือนก่อน +1

      In this video it was Life in the Fast Lane

  • @christopherkureliu8757
    @christopherkureliu8757 2 ปีที่แล้ว +1

    awesome

  • @kaze123ckr
    @kaze123ckr ปีที่แล้ว

    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 )

  • @danesthesia09
    @danesthesia09 2 ปีที่แล้ว +1

    How can you tell “upgoing” vs “down going”?

  • @drfareeha1839
    @drfareeha1839 4 หลายเดือนก่อน

    Thankuuu❤🎉

  • @dailydoseofmedicinee
    @dailydoseofmedicinee 2 ปีที่แล้ว +1

    👏👏

  • @j.b.8379
    @j.b.8379 9 หลายเดือนก่อน

    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??

    • @yamlauman583
      @yamlauman583 6 หลายเดือนก่อน

      Very likely SVT

    • @brightflex4130
      @brightflex4130 4 หลายเดือนก่อน

      SVT

    • @j.b.8379
      @j.b.8379 4 หลายเดือนก่อน

      @@brightflex4130 thanks Dr brightflex. But youR diagnoses is still unconfirmed.