Excellent presentation , really helping me in my recertification for internal medicine who has forgotten about all these syndromes, you make it so interesting and not boring, thanks a lot
trying to understand more about sudden cardiac death and difference between a cardiac arrest and a heart attack, I just lost my dad last week suddenly a complete shock no signs or symptoms still waiting for coroners report but I feel sudden cardiac death will be the main cause 😢 very interesting and well explained video thank you .
Thank you for the video! Can you recapture cardiac channelipathies in specific? Since I am deeply interested in cardiology and electrophysiology, that video must be a lot means to me. Always appreciate your work!
Thank you dr strong for this excellent lecture Two questions: 1. You wrote that brugada syndrome was only diagnosed with type I morphology with VF, syncope etc. does that mean that type II has no prognostic significant as he does not cause the syndrome ? 2. What is your view on the so called "type III" brugada - a type I or II pattern with no or minimal ST elevation ? do they need further workup ? I have found that incomplete RBBB is frequently called "brugada" by new ECG interpreters.
wicked video! straight to the point, and probably the most clear and understandable video I've seen. with the condition you covered, arvd, has the epsilon wave been noted to be 'hit or miss' on the tracing? has it been known to show up some times and disappear the next? and finally, how long do these cardiomyopathies take to develop, a matter of weeks months or years? thank you
Thanks so much for watching, and for the great suggestion! I am planning on covering strokes at some point, but unfortunately I can't predict how soon that might be - too many competing requests and it's a big topic (i.e. will require more than 1 video to cover well).
Yes as far as early repolarization to the person who posted this video do you consider that one of the causes of sudden death because somebody else posted a video and said it is
From the article "Malignant Early Repolarization" (www.ncbi.nlm.nih.gov/pubmed/29273208) "Early repolarization is defined as ≥1 mm (0.1 mV) elevation of the J point (QRS-ST junction) in 2 or more contiguous leads (anterior, inferior, or lateral leads). Although it is traditionally considered a benign finding, studies over the last 10 years have shown that early repolarization in leads other than V1 through V3 is associated with an increased risk of sudden cardiac death. In fact, early repolarization is identified in 30% to 60% of patients with idiopathic VF... ...More specifically, the combination of several of the following 4 features has been associated with an up to threefold increased risk of sudden cardiac death, henceforth leading to the nomenclature of “malignant early repolarization”: 1.horizontal/descending ST segment: J point is elevated, but the ST segment that follows it descends rather than rapidly ascends. The ST segment, per se, may not be elevated in those cases,... 2.inferior lead involvement 3.J-point elevation ≥2 mm 4.notched rather than slurred J point Conversely, early repolarization with a J point
Am I able to get in contact with you somehow please? My ecg strip's look very much like v1 brugada but I have pericarditis that I have been fighting for the past 10 years or so, I'm not sure what to do anymore....please reply back !!!
My bf has Brugada syndrome...he won’t get the surgery ( I forget the name but it sends electrical signals to the heart during sleep if the heart beat becomes irregular) he won’t get it because he often uses the plane and he said it will be a hassle because of triggering the metal detector. Anyway... how can I help him 😭 He was diagnosed at 35 and is now 43
well, this tought me that there is a high possibility that i might have heart problems without even showing on the ecg. perfect, i might die any moment lel.
McLovin the Walrus the hospital missed my prolonged qt syndrome 4 times not hooking the electrodes to my legs anytime at a hospital but when i went to my methadone doctors nurse and had her do an ecg/ekg she hooked the electrodes to my legs an low and behold i was right all along with my insistence my heart did not function properly and the hospital who labelled me a crazy junkie with unwarrented anxiety and a hypercondriac and sent me home after experiencing heart attack and stroke symptoms were proved wrong and nearly couldve cost me my life
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Excellent presentation , really helping me in my recertification for internal medicine who has forgotten about all these syndromes, you make it so interesting and not boring, thanks a lot
Crisp and to-the-point, an extremely well made lecture :) thanks a lot
Siddhi Sonawane true
Excellent presentation!
It will help me a lot in my professional life.
Thanks ❤
Dr Brugada himself taught my class about channelopathies😄 Loved this video btw! Needed more information to prepare for my cardiology final
That's very cool!
This is such a difficult topic to grasp. Thank you for the video!
Thank you so much. Very precise snd helpful
Thank you ☺... Much needed info on brugada
Extremely well and clearly explained . Thank you so much
Thank you, great job in all your videos.
Excellent lecture. Thank you!
Thank you very much Dr Strong
2:36 12:05 That's Relative Bradycardia, that happens at night in your REM sleep, your heart rate drops too low and you die.
It is realted to HCM.
Thank you so much for the excellent presentation. Will you make more ECG videos in the future?
100.000 well done man...thanks for all your videos from Ireland
trying to understand more about sudden cardiac death and difference between a cardiac arrest and a heart attack, I just lost my dad last week suddenly a complete shock no signs or symptoms still waiting for coroners report but I feel sudden cardiac death will be the main cause 😢
very interesting and well explained video thank you .
Sorry for your loss 😔
My Mother died the same way in April
Excellent. Must watch
Nice work....تم التحميل
Excellent lectures, thank you
You are GOOD !! Please make more videos.
Thank you for the video! Can you recapture cardiac channelipathies in specific? Since I am deeply interested in cardiology and electrophysiology, that video must be a lot means to me. Always appreciate your work!
Thanks for the comment! What do you mean by "recapture"?
Thx for such interesting video
This was great, thanks!
Thanks Dr Strong
Thank you dr strong for this excellent lecture
Two questions:
1.
You wrote that brugada
syndrome was only diagnosed with type I morphology with VF, syncope etc. does
that mean that type II has no prognostic significant as he does not cause the
syndrome ?
2.
What is your view on the so
called "type III" brugada - a type I or II pattern with no or minimal
ST elevation ? do they need further workup ? I have found that incomplete RBBB
is frequently called "brugada" by new ECG interpreters.
Thank you
Kindly do a video on dynamic auscultation, please🙏
wicked video! straight to the point, and probably the most clear and understandable video I've seen. with the condition you covered, arvd, has the epsilon wave been noted to be 'hit or miss' on the tracing? has it been known to show up some times and disappear the next? and finally, how long do these cardiomyopathies take to develop, a matter of weeks months or years? thank you
Super :)
thanks
I've been diagnosed with cpvt and as a numpty would like to understand it better. I am in my 30s and it has nearly killed me twice
what’s a numpty?
very nice series on ECG sir...are there series of videos on strokes(CVA) sir
Thanks so much for watching, and for the great suggestion! I am planning on covering strokes at some point, but unfortunately I can't predict how soon that might be - too many competing requests and it's a big topic (i.e. will require more than 1 video to cover well).
exceelent teaching sysrem
Great
Yes as far as early repolarization to the person who posted this video do you consider that one of the causes of sudden death because somebody else posted a video and said it is
From the article "Malignant Early Repolarization" (www.ncbi.nlm.nih.gov/pubmed/29273208)
"Early repolarization is defined as ≥1 mm (0.1 mV) elevation of the J point (QRS-ST junction) in 2 or more contiguous leads (anterior, inferior, or lateral leads). Although it is traditionally considered a benign finding, studies over the last 10 years have shown that early repolarization in leads other than V1 through V3 is associated with an increased risk of sudden cardiac death. In fact, early repolarization is identified in 30% to 60% of patients with idiopathic VF...
...More specifically, the combination of several of the following 4 features has been associated with an up to threefold increased risk of sudden cardiac death, henceforth leading to the nomenclature of “malignant early repolarization”:
1.horizontal/descending ST segment: J point is elevated, but the ST segment that follows it descends rather than rapidly ascends. The ST segment, per se, may not be elevated in those cases,...
2.inferior lead involvement
3.J-point elevation ≥2 mm
4.notched rather than slurred J point
Conversely, early repolarization with a J point
good explaination
I cringed and had goosebumps on how you pronounced “Bangongot”😂😂😂
Yeah, that has been pointed out to me before. Absolutely no offense intended!
Thanks from saudi arabia ^
“If you have forgotten from undergrad,” savage
I'm really worried I'm at risk because I have early repolarization on my ECG I heard this can be really dangerous
I also have early repolarization in inferior leads :)
Are you still alive?
@@leddaudet2350 yes I'm still alive, I forgot I even wrote this comment lol
@@alicelucy1333 yes, me too. I was probably drunk or under the influence of some medications😂
Timestamp in this video?
Is the brugada syndrome is very dangerous?
Am I able to get in contact with you somehow please? My ecg strip's look very much like v1 brugada but I have pericarditis that I have been fighting for the past 10 years or so, I'm not sure what to do anymore....please reply back !!!
I'm very sorry but I am unable to provide specific, individualized medical advice.
My bf has Brugada syndrome...he won’t get the surgery ( I forget the name but it sends electrical signals to the heart during sleep if the heart beat becomes irregular) he won’t get it because he often uses the plane and he said it will be a hassle because of triggering the metal detector. Anyway... how can I help him 😭
He was diagnosed at 35 and is now 43
May I ask what his symptoms are? Thanks
تم التحميل
10:41
Bangungot hehe.. read as bah-ngoo-ngot not bang-gong-gut hehe.. 😅
Watching this after the episode with Christian Eriksen :/
that moment when i gotta take at my ecg myself coz i dont trust doctors...
well, this tought me that there is a high possibility that i might have heart problems without even showing on the ecg. perfect, i might die any moment lel.
that's what happens when your life relies on meat. I can't wait for artificial hearts with double redundancy.
McLovin the Walrus the hospital missed my prolonged qt syndrome 4 times not hooking the electrodes to my legs anytime at a hospital but when i went to my methadone doctors nurse and had her do an ecg/ekg she hooked the electrodes to my legs an low and behold i was right all along with my insistence my heart did not function properly and the hospital who labelled me a crazy junkie with unwarrented anxiety and a hypercondriac and sent me home after experiencing heart attack and stroke symptoms were proved wrong and nearly couldve cost me my life