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Thank you for all the information! I've had a dual chamber for 5 weeks now. It has taken care of the bradycardia but now i have the fast rates. Have had Afib at 229 and my brady was in the 30s-50s. Feeling better but still not quite right. This video has answered so many of my questions. Thank you for helping people like me with this type of situation. Stay safe and take care!

Excellent explanation. Thank you

Thank you sir!

amazing video, very well explained, any person can understand. I am going to have the ablation tomorrow, I hope everything goes on the right way

Dear Pro. JOSHUA COOPER, I really really appreciate your unbelievable video. It's so professional and vivid. I think it's definitely helpful for Chinese electrophysiologists. However, they can't use the UA-cam. I would like to know if I can copy the video and share it with Chinese trainees on Chinese websites. Anyway, thank you very much again. I need to review this vedio over and over like a reentrant VT.

very helpful for someone is new to this field ,thanks Doc.

What type of exercising if any would cause the leads to break? Push-ups? Pull-ups? High Overhead stretch as in Bikram Yoga? Slalom Water skiing - getting up - arms pulled forward to skiing a course (one handed turns)? Thank You for your responses!

Thank you!! Your videos are very informative and helpful!!! For me, it is always a struggle to understand what actually happens and why it looks like that on an ECG, and you make everything clear. Please continue to upload more videos! It would be amazing if you could upload a video about SVT and explain the different definitions, for example: what is the difference between atrial tachycardia and focal atrial tachycardia? Or is SVT the same as atrial tachycardia? And of course the ECG patterns of each SVT. THANK YOU!

Finally! Thank you for a simple, easy to understand explanation on PVC's

Very gratefull for the simple and delicate explanation of the hard understood and basic topic of the EP.

Very interesting. My question is whether there are any differences between treatment/tips for males and females? Women have a different torso to men, which may mean that different muscle groups in the chest need different maintenance.

That was super clear . Perfect . Thankyou .

I was born with WPW. It only was known to me around age 48 as I started menopause. Now, at age 80, I haven't had any irregular fast rhythms for several years. I wonder if the accessory pathway shrunk, like everything else as we age. Also, my resting heart rate is lower than when I was younger, but I make it a point to workout every day. I am a coach at a local gym.

Thank you! PVCs actually caused me multiple vtachs.

My PVCs make it feel like I have a fish flopping around in my chest. It'll last for anywhere from a few days to a few months.

Thank you Dr. Cooper!!! It was brilliant 🤩

terrific

very good

I have had PVCs for 50 years but as of late they are getting worse. I have Parkinson's and when ever I get stressed out which is often lately I get them bad. I'm having them right now as I type. It's driving me crazy and my cardiologist says don't worry too much about them Well I am because they are getting uncomfortable. I have never smoked and never drank much alcohol. Any suggestions ?

What a wonderful presentation. So informative and explained in a simple understandable way. Thank you

That was an outstanding presentation! Simple, concise and patient friendly, thank you so much!❤️

It definitely helps. My mother might have to get one. Thanks for the great info

Hi Dr. Joshua Cooper, I would love to meet you at one of these HRS meetings. Were you in Boston this year? I am a postdoc in Cardiac EP & CMR Imaging at Stanford University. I hope to match into a cardiology fellowship later this year.

Just had a catheter ablation done a Little over a month ago for WPW My pathway turned out to be in the center. Very informative video

I'm a 57yr old male, I had PSVT with WPW and AFIB. I couldn't get it on an EKG for 40 years. I've worn so many monitors, I think I used every single type many times. Then about 5 years ago I wore an extended time (30 days) model with a cell connection to a computer system somewhere. The very last day I had it on it started to fall off. I was very frustrated and removed the pads from my chest. Wouldn't you know I then had an episode of SVT, lightheaded and not feeling well I scrambled to put the pads back into place. I was lucky to get a graph of my WPW and had an ablation a few weeks later. 40 years of vasalva maneuvers, carotid massages and cold showers to control the episodes was over. I was so happy, so thankful to my cardiology team. I'm left with AFib now and treat it pharmacologically qith some success, I still get AFib issues but we adjust medication to set it right again. I've been cardioverted 2 times over the last 5 years.

Thanks Dr. Joshua Cooper for such an amazing lecture presentation. I wish you could teach me more complex cases related to pace mapping and entrainment.

Wish you were my cardiologist. Mine just said "You've got PVCs, don't worry about it"! You gave a great explanation as to why it feels like my heart skips beats when it's actually an extra beat. Thank you so much.

I have a pacemaker 2 weeks ago, after 4 or 6 weeks,can I have my bracelet and necklace put on?

I am a doctor...yr presentation is awesome... explaining every thing... u are a good teacher

Thank you so much for explaining this! None of the ER doctors I've seen over the last year or even my doctor who did my SVT ablation didn't explain it to me this well! They all just told me it's normal and not dangerous. Its given me a ton of anxiety because I kept telling them its a skipped beat and not an early beat but finally I understand why it feels like a skipped beat. You also explained why I cough sometimes when it happens which I never even really thought about before.

If a pacemaker lead has become misplaced or detached is it possible to experience some kind arrhythmia from that?

I wish you were my doctor!

Oh my! I've learned so much more from you than from the device tech and cardiologist , but its hard to learn much from a 5 minute doctor appointment. I've only seen the cardiologist for 5 minutes in the 15 months I've had the pacemaker that was 5 months ago when he told me one of the leads was not working and that it broke a few months after getting it. He doesn't want to run any tests besides remote interrogations to see if the separated or why it's not working.

Why would a pacemaker not send a signal when the patient is having an arrhythmia? Why would it not show up on remote interrogation? The atrial lead is not working ,could that be why? I know the remote interrogation is always done during the middle of the night and I've never felt an arrhythmia when I lay down. I feel so confused. They don't tell me much of anything.

Very clear explanations ! Congrats !

Excellent lesson. Thank you sir

That was an excellent video. Thank you for the excellent graphic and information. Very understandable.

Great explanation!

PVC and anxiety come together not sure which one first for me, but I got all results from heart ct scan - heat monitors- echocardiogram . More time you wait for all appointments and the symptoms got more bad because of the anxiety ! You more worried and stressed, finally almost 2 months of waiting went the ER 2 times and went for Docter too many times I was so done 😩 so now I’m on new medication hope it help ! Feels for everyone who in this situations hang in there!

I am congenital bradycardia patient. I had complete heart block. Got pacemaker few months ago but since i got it. Life is not normal. I'm 40. Get tired and feel shortness of breath. Sometimes feel slight pain and pressure on left side and left arm. Is it normal after pacemaker?

LOVE LOVE LOVE your vids Doc!!!

Thank you for taking the time to put this video together and sharing it. My family wants a clearer explanation than what my doctors could give them. This is super clear. I just received a double ablation and a pacemaker/shocker combo 5 days ago. During the EP Study, I was thrown into VT twice. Thus the double ablation and shocker. 👍 For what it is worth, I haven’t felt a single PVC since the surgery. I think I was very lucky. Before surgery, I had full time bigeminy, and randomly it would line up 2 and at the worst times, 3 in a row for almost a minute. When those happened, I felt like I was on death’s door. 😢 Talk to your doctor if you’re feeling irregular heartbeats. It’s not worth taking a chance. I survived a, 100% occlusion main left artery, heart attack 7 years ago, so I’m super fortunate to be here today. I’m a little stubborn, and I refuse to lay down when things are going bad. 🤷‍♂️ I literally would not sit or lay down during my heart attack until I was in ICU. I then knew they had me. They lost me once, but was revived. Sorry this is so long, to be honest, it hurts my mind even talking about all this. I guess I’m finally letting it all out. Nice to meet you all! 🤣 And please take care. People love you and don’t want to lose you. 🥰

Just found out this is what I have going on. Thank you for this video!

Now I understand

Excellent material . Appreciate ur great effort . But I have a question.. at time of 1:45 slide AT vs AVRT why the trace u considered it eccentric however the earliest Atrial activity is at C9 10 and the last was at c12

It was perfect information.Thank you.

Great 👏

I am training as an EP specialist. This lesson is GOLD.

These videos are amazing, hope to see more of it 😊

Ths you for sharing, after watching all the video I do understand deeper about QRS and wide QRS tachycardia in an easy way.