I had to come to the comments to write how amazing Dr. Mustache is to actually get me to UNDERSTAND the why's behind this. This video was beyond helpful.
OMG....I have never heard anyone explain the biophysical basis for ST depression and elevation so clearly and simply! Some of us learn better by learning the mechanism of things, but that not how things are taught generally in medical education, where instead it’s often “this is what you beed to know. Dont worry about why, unless you become an electrophysiologist.” Thank you!
This is exactly what happens to me personally during my Vasospasms. I have numerous EKGs that show this exact process even when I have slight pain. Thank you for this explanation.
Your lecture is SOOOO GREAT! I know what ST elevation and ST depression look like in an ECG but I did not know what that really means but now I know. Thank you.
I spent 3 years in my medical school journey trying to understand this proplem and you explained it in 16 minute and i really fully understood it thanks a lot and god bless you
@@lukasx543 I'm sure they did but couldn't find anything/anyone that explained it well enough. it was the same for me so I get what they're saying.... I've looked at so many things but no one explained it as well as these docs did.
After taking two anatomy courses and multiple exercise physiology courses you've just cleared up all confusion I've had about this topic in 15 minutes. Thank you so much.
@@DrMattDrMike sir please help, i am 20 years old,i have anxiety issue and did 5 ecg last year and came back normal but today i did ecg and during the test i was anxious and heart was beating fast and when the test was done the report said Borderline condition in 1.early repolarization and 2.sT T abnormalities..i dont know what it is and is it false report....please sir
When I tell you my mind is blown right now. I was never taught it this way and assumed it was just elevated because of something happening during repolarization. Until today when I decided to understand what is happening in the heart and ecg during elevation and depression. Thank you!!!!!!!
Hm, very logical and straightforward explanation. The only thing that is now missing for me, how this 'baseline shift' restores after repolarisation. If we have damaged cells in early depolarisation before the next QRS cycle, we should see some changes on the T-P segment
I just have been sent this video in the 5th week of my CVS block and man this was such a helpful and eye opening lecutre. Thank you so much for putting this much effort into making these videos so great. Your way of explaning and creative use of the board is outstanding! Keep doing what you do, you deserve 100 times the amount of subscribers you have! Thank you once again and I wish you all the success in the future.
And my med school only have one lecture on ECG with NO teaching about cardiac pathology. We have to learn everything ourselves. Online resources like this is a god savior.
Doing clinical exercise physiology and revising some basic concepts for indications of terminating exercise testing. This is such a good simple explanation thank you!!
So is it spontaneous depolarization in absence of SAN impulse in NSTEMI? or do we still need SAN impulse before depolarization but it just happens faster and repolarizes faster?
No dr Mike you do not understand I have been looking for this explanation for the past 3 days day and night and it has been driving me crazy. Like thank you so freaking much my Australian professor
Thank you thank you! This was beyond helpful it helped bridge the gap between what it means when I see it and what is actually occuring to make it that way. Can't say thanks enough
Thanks for the explanation! This is a very good video to explain this concept and I liked it all until 13:22 which was very anticlimactic for me to be honest. The "it doesn't care about this part" is just a huge gap that's not less confusing than the fact that the Ischemic part is actually uplifting the Baseline... (i.e. why doesn't it "the electric events and readings" care about these cells right now and yet they cared about them in depolarization?!)
the concept is very well explained . But I got a doubt about the early take-off from the isoelectric line, will you able to explain this a bit more please. because I never noticed this on an ECG.thank you.
Thank you. I’m a nurse. Not cardiac- HH wound ostomy care. Cardiology beyond basics is French to me. Thanks for the clear explaination of all I forgot since nursing school! I was dx today w ST depressions symptomatic but nothing but ST depressions 1.5mm on stressEKG during nuclear med test. Other findings normal. If family hx of widow maker (my dad) mom CHF, brother stents at 35. I’m 58 cardiologist gave me the choice to take meds and watch… wait and see if it resolved or angiogram- came to the hospital yesterday morning w chest pain and troponin was .97. An hour later .96 then last one .58 CT at that time showed mild pericarditis and effusion- got steroids IV then prednisone 30mg tabs daily- at stress test fluid and inflammation was already not apparent echo and nuclear stress WNL Except the ST depressions- I’m opting for the angiogram and feel good w that after watching your video on it. Thank you. I don’t need to be a ticking time bomb and wait and watch on meds that have side effects (already ill w/ Crohn’s). I’d rather find out what’s causing it and move on. Hopefully w no meds no blockage but I don’t see if there is no blockage how it won’t lead to one eventually w ischemia already.
![เขามัทรี - เอ็กซ์ ศุภกฤต - จอนนี่มิวสิค [ Official MV ]](http://i.ytimg.com/vi/AS9ufKuQIVs/mqdefault.jpg)
God bless this mustached man helping me understand how to do my essay.
😂😂😂
Amen! Lol
I had to come to the comments to write how amazing Dr. Mustache is to actually get me to UNDERSTAND the why's behind this. This video was beyond helpful.
🤣🤣🤣🤣 you make me laugh by moustache
Moustachioed - lovely word !
OMG....I have never heard anyone explain the biophysical basis for ST depression and elevation so clearly and simply! Some of us learn better by learning the mechanism of things, but that not how things are taught generally in medical education, where instead it’s often “this is what you beed to know. Dont worry about why, unless you become an electrophysiologist.” Thank you!
This is exactly what happens to me personally during my Vasospasms. I have numerous EKGs that show this exact process even when I have slight pain. Thank you for this explanation.
Your lecture is SOOOO GREAT! I know what ST elevation and ST depression look like in an ECG but I did not know what that really means but now I know. Thank you.
I spent 3 years in my medical school journey trying to understand this proplem and you explained it in 16 minute and i really fully understood it thanks a lot and god bless you
I guess you didn't Google it once in 3 years.
@@lukasx543 I'm sure they did but couldn't find anything/anyone that explained it well enough. it was the same for me so I get what they're saying.... I've looked at so many things but no one explained it as well as these docs did.
this may be the single best video I have ever watched
Thank you 🙏
one of the best explanation for st elevation and depression in a very simple way .
Dr.....you have answered a question I have had asked everyone about for 9 months. Thank you!
Insomniatic Monitor Tech
After taking two anatomy courses and multiple exercise physiology courses you've just cleared up all confusion I've had about this topic in 15 minutes. Thank you so much.
Changed my perspective while looking at STEMI and NSTEMI .
Thank you for the explanation .
I'm having a serious case of mustache envy at the moment. I feel the sudden need to overcompensate. Good video by the way. Very informative.
This was so good. All teachers should have this ability to teach, communicate and make difficult subjects easy for others to understand. Keep it up!
Thank you so much! I've been so confused about this for weeks and just shared the link with my medical cohort!
Thanks Ryan! 😊 🙏
@@DrMattDrMike sir please help, i am 20 years old,i have anxiety issue and did 5 ecg last year and came back normal but today i did ecg and during the test i was anxious and heart was beating fast and when the test was done the report said Borderline condition in 1.early repolarization and 2.sT T abnormalities..i dont know what it is and is it false report....please sir
When I tell you my mind is blown right now. I was never taught it this way and assumed it was just elevated because of something happening during repolarization. Until today when I decided to understand what is happening in the heart and ecg during elevation and depression. Thank you!!!!!!!
Amazing!! So glad that you guys do these videos. Couldn't find this info, presented in a comprehensible way anywhere else.
Your explaining very well!!! sir ..hats off sir👑...🙏🙏💐really a great great teacher...I had ever seen....🔥
Hm, very logical and straightforward explanation. The only thing that is now missing for me, how this 'baseline shift' restores after repolarisation. If we have damaged cells in early depolarisation before the next QRS cycle, we should see some changes on the T-P segment
Agree. Please explain. Sir.
Refractory phase
I just have been sent this video in the 5th week of my CVS block and man this was such a helpful and eye opening lecutre. Thank you so much for putting this much effort into making these videos so great. Your way of explaning and creative use of the board is outstanding! Keep doing what you do, you deserve 100 times the amount of subscribers you have! Thank you once again and I wish you all the success in the future.
Didn't know Fuse from apex had an education Channel
Been struggling with this for so long.... Love this ❤❤❤
Wow now In understood why is it St elevation and depression! Thank you so much for this highly- educational video! 👏👏👏❤️❤️❤️
I was quite upset as none of the books provide an explanation for this phenomenon. Thank you for your wonderful presentation.
YES. So many resources only tell you what the ECG indicates but not WHY or the pathophysiology behind.
And my med school only have one lecture on ECG with NO teaching about cardiac pathology. We have to learn everything ourselves. Online resources like this is a god savior.
@@rebeccawan3088 Yup, same here in India
I know right! Lol!
Thank you for your great presentation. I think every cardiology fellows should watch your video.
I’m worried that I’m becoming addicted to your videos. Brilliant explanation. Thank you.
You are amazing ... You solved My 1 yr doubt in just 16 minutes ...❤
Wow. So simple! A question I’ve had for years finally answered. Thank you!
Spent half an hour om this video and now I understand it. Thanks so much!
Best 16mins I have spent in a long time... finally makes so much sense!!
My professors need to watch your channels to learn how to teach. You explain so well. I love you so much!😘😘😘
One of the best explanations for ST changes following ischemia! Thank you so much!
Very helpful. I'm a beginner in ECG reading and interpretation but I must confess that I have learnt a lot from this video. Thank you sir
I ALWAYS wanted to know this but never found anyone explaining it. tysm!!!
I have been trying to understand this concept across 2 degrees and have just now made sense of it thanks to this video. Thank you so much!
I can’t comprehend how this channel is soo underrated!
Oh my days, where have you been all my life thank you so much for your video I’m already understanding how myocardial infraction works.
Great explanation Dr. Mike! Have been looking everywhere as to why subendocardial ischemia leads to initial elevation of the isoelectric point..
I'm a medical student and I was struggling to understand this, thank you so much!
Wow, I finally understand it! This is a really wonderful explanation. Thank you so much.
AH! I love learning something like this that just fits in with everything else I've learned and just fills the gap as to why it is. Great clip!!!
Oh how i wish you were my nursing instructor. You explained that so well! Thank you so much 💓
Thanks you Dr . You is the ONLY person gave me this clear understanding in ecg and subtle understanding of axis deviation. Thanks one love
thank you so much this finally started to make sense after weeks of trying to get my head around it thank you again
You explained this concept so well. Thank you!
This is just mind blowing how u explained it. Just the best 👑
BRILLIANT EXPLANATION, thank you!!
Even though it takes effort to understand cardio, I like listening to you, and that makes it easier! Thank you 💗
Doing clinical exercise physiology and revising some basic concepts for indications of terminating exercise testing. This is such a good simple explanation thank you!!
So THAT'S how it works! Great lecture!
So is it spontaneous depolarization in absence of SAN impulse in NSTEMI? or do we still need SAN impulse before depolarization but it just happens faster and repolarizes faster?
Dr. Mike, what a wonderful presentation. Thank you sooooo much!!! Please, can you do a video on how to read an EKG and 12-lead EKG printouts?
This is awesome!!!!.Never understood this concept before....Thanks a load Dr. Mike
WOW best explenation ever, not found in most books. THANKS now I can continue learning the resto of cardiology :)))))))
Not bad dude. No bad at all. As an old medic 12 leads were not a thing in the field and I never learned them.
This has cleared things up a ton thanks
God bless this energetic man.
You too!
No dr Mike you do not understand I have been looking for this explanation for the past 3 days day and night and it has been driving me crazy.
Like thank you so freaking much my Australian professor
Such an elegant moustachy understanding of a very efficiently explained concept so confusinggly everywhere else
One of the best lacture
This one video explanation was enough for me to subscribe!
you are god sir...thank u for clearing concept n making it easy
Thank you for this proper explanation!
This was such a good way to explain shock
Thank you for such a great video. I've been searching for this very explanation down to the cellular level of STEMI and NSTEMI
You are literally so alive thank you so so much
Another great video... thank you 🙏
Your videos make things easier to understand
Need more teachers like you 👍👍👍
Thank you thank you! This was beyond helpful it helped bridge the gap between what it means when I see it and what is actually occuring to make it that way. Can't say thanks enough
So well explained while going thru my arrhythmia course. Thanks a lot!
you save my license test, how lucky i am can come across this video. thanks way more a lot
this vis is amazing, oh my god, best explanation ever, thank u so so so much
Thank you I was looking for this concept
I finally understand this! Thank you.
I saw two videos of him without mustache now I am watching this, this is so hilarious if you are not used to see him with mustache.
This is great! Revising for ACEM primaries and your videos are perfect - thank you.
You are AMAZING. so many things coming together for me with your videos. Thank you Thank you Thank you
Thankyou very much sir, may god bless you for this
I opened this, heard Dr.Mike, and yelled "you imposter!" (inspired by the mustache)
now here I am giggling instead of studying
No. I think he is really smart and a muscular man.
Amazing!please make more videos like this,basic is explained so nicely!
i had no idea! I was looking for this video for a while and I m glad that I found it! thank you so much
Thanks for the explanation!
This is a very good video to explain this concept and I liked it all until 13:22 which was very anticlimactic for me to be honest. The "it doesn't care about this part" is just a huge gap that's not less confusing than the fact that the Ischemic part is actually uplifting the Baseline... (i.e. why doesn't it "the electric events and readings" care about these cells right now and yet they cared about them in depolarization?!)
did you find a better explanation?
@@AhmedOsamaZayed Nope... I hope you were luckier than me and did find something during these 4 months... lol!
@@AhmedOsamaZayed Nope... I hope you were luckier than me and did find something during these 4 months... lol!
This is a fantastic video. Great job Doc
🤯 You're a fantastic teacher. Thank you!!!
Tank u so much! Great video, great teacher. Was a pleasure to listen to ur passionate explanation!
thank you docs!!! you explained it the way that I understand stuff.
Yes SIR! Thank you so much!
Thank you doctor God bless you
this was AMAZING - better than my medical school. WOW!
This man is the best in medical teaching in youtube!
What an amazing explanation ! Thank u
Explained beautifully thank you so much sir
That was an awesome example, thanks very much.
i was feeling pretty down about this but you explained it sooo well. thank you so much!
I have been looking everywhere for this explanation. Thank you so much for this video Dr. Mike. It cleared things up for me.
Thank you for this Doctor!🤗
Thank you for this wonderful explanation
the concept is very well explained . But I got a doubt about the early take-off from the isoelectric line, will you able to explain this a bit more please. because I never noticed this on an ECG.thank you.
Yup, I am waiting for his explanation. And it would be nice if he draw, at least 3 cycles of ekg.
Thank you for such an amazing explanation ❤️❤️
Awesome! Thank you very much
Thank you. I’m a nurse. Not cardiac- HH wound ostomy care. Cardiology beyond basics is French to me. Thanks for the clear explaination of all I forgot since nursing school! I was dx today w ST depressions symptomatic but nothing but ST depressions 1.5mm on stressEKG during nuclear med test. Other findings normal. If family hx of widow maker (my dad) mom CHF, brother stents at 35. I’m 58 cardiologist gave me the choice to take meds and watch… wait and see if it resolved or angiogram- came to the hospital yesterday morning w chest pain and troponin was .97. An hour later .96 then last one .58
CT at that time showed mild pericarditis and effusion- got steroids IV then prednisone 30mg tabs daily- at stress test fluid and inflammation was already not apparent echo and nuclear stress WNL Except the ST depressions- I’m opting for the angiogram and feel good w that after watching your video on it. Thank you. I don’t need to be a ticking time bomb and wait and watch on meds that have side effects (already ill w/ Crohn’s). I’d rather find out what’s causing it and move on. Hopefully w no meds no blockage but I don’t see if there is no blockage how it won’t lead to one eventually w ischemia already.
you guys are great. glad I accidently found out this channel, which help me understand many concepts
thank you! so clear and easily explained!
Excellent explanation. Thank you.
Thank you sir for teaching me this concept😊