The people who identified these phenomenons were true genius and love in science. The person who integrates these info into this systemic way of teaching is also a treasure of humanbeings. Thank you Dr Cooper. I've learnt so much from you !
I'm amazed at the dedication to every slide here. My brain is burning here doc. You've cracked the code so we can understand. Don't ever stop uploading please 🙏
Thanks so much! 🙏 Yes indeed, lots of time was spent selecting examples, displaying egms in a consistent way, annotating and illustrating the examples, deciding on sequence/grouping, and then narrating it all! Glad the effort paid off! 😁
As a first year EP fellow, your videos are extremely helpful. Dr. Cooper, you are a true master teacher and educator. It is the ability to simplify complex concepts along with the willingness to spend time and effort creating solid diagrams and presentations. Also, you know exactly what concepts are tricky and require more explaining, and which ones are straightforward and easy to understand. Many people/attendings lose that sense and once they understand something they can not relate to others who are learning these concepts for the first time. On a similar note, in EP 101, EVERY time you commented during someone else's talk, it was at the exact time and point when I start getting confused and next thing is Dr. Cooper chiming in to make things clear and put us back on track. Thank you so much for everything you do for us, EP fellows.
Thank you so much, Dr. Cooper! Your videos are invaluable for a beginner EP fellow, particularly in this world of overwhelming resources. The effort you put into making your videos is truly appreciated and not taken for granted
Thank You So Much Dr Cooper for this wonderful resource in diagnosing SVT in EP lab, greetings from Pakistan.i started my EP fellowship few months ago and found this lecture very very helpful 👍
Thank you very much Dr. Cooper for this fantastic video. As an incoming EP fellow I can say that your videos are nothing short of lifesavers. I cannot imagine a gentle introduction to EP without your videos!
Thank you so much Dr. Cooper - I haven’t watched it so far (just discovered the upload) - but I can barely imagine how much work you‘ve put into creating this and how much of your valuable time you sacrificed to educate us with your expert knowledge - for free. You amaze and inspire me. Thank you so so much!! Hope you get lots of good karma in return. 🤲
Thank you so much for taking the time to make these videos Dr. Cooper. They are an invaluable resource for anyone involved in EP, in any role. A more competent and educated staff that truly understands what is going on leads to better patient outcomes, and more excitement for EP. Amazing work sir.
Greetings Dr. Cooper! I'm a newly graduated EP tech student now employee and I must say I am so very incredibly thankful for your videos! You are very talented in explaining concepts and pacing maneuvers simply and matter-of-factly. Your videos have been excellent review and they provide solid clarification on EP concepts that I have struggled with in the past. Please never stop making these videos as they have been more useful to me than most textbooks I have purchased! :D Many blessings
Thank you so much Dr.Cooper,I am new to EP and this is exactly what I was looking for to help me understand how SVT is diagnosed in the EP lab.Thank you for taking your time to make this useful video.
Thank you so very much Dr. Cooper, during my interview, you did mention this and finally, you have it out. We have been so eagerly waiting for this, all your video lectures are immensely helpful. may god give you more health and strength so that you can continue to teach us.
Thank you very much Dr. Cooper from Germany, this is really Gold for the Beginners (like me), for the first time to get this Feeling of really Understanding. Again thank YOU for your time and effort.
Thank you Dr. Joshua Cooper for this fantastic presentation. As a young EP fellow, I find this resource extremely helpful. I sincerely appreciate the immense effort you've dedicated to this.
This is a much awaited video. I've always wondered when you would make this video. This is GOLD esp for EP fellows. Very well put together. Thank you, Dr. Cooper.
Amazing teaching and wonderful video, Dr Cooper! So many concepts in just 3 hrs and explained so well. I loved the calipers you placed on EGMs. God Bless You Sir
Finally made it through in my holidays, what a pleasure, thank you so much. I will spread the video and look very nuch forward to everything you will post in the future!
This is absolutelly brilliant. The work here to make this synthesis is unparalleled. It´s obvious that every slide is deeply tought of. Thank you coach, Ima call you coach because my brain is exausted after this three hours of intense workout. Keep uploading videos please!
Absolutely brilliant presentation! I wanted to review some EP basics and this helped a lot. Thank you so much, Dr. Cooper! Looking forward to seeing more of your videos!
Greetings from India Dr Cooper. I enjoy listening to your videos , you make it so simple to understand complex looking electrograms. Wish the best for your health and please continue teaching us. In Indian Language. We would call you Guru ! 🙏
Hi Dr. Joshua Cooper, Thank you for the fantastic "SVT Diagnosis in the EP Lab" lecture presentation! I really look forward to seeing a presentation on diagnostic maneuvers for James Fibers (Atrio-nodal & Atrio-fascicular bypass tracts) and Mahaim Fibers (Atrio-fascicular, nodo-fascicular, nodo-ventricular, and fascicular-ventricular bypass tracts). I'm especially eager to learn about the initiation and termination techniques for these arrhythmias, as well as the various diagnostic maneuvers.
Thank you so much for your time and effort making this presentation. I watched all of it and although doing EP some time now, many things got clearer! It would be great to see a part 2 with tricky cases like JT, maybe atypical flutter and how to distinguish them :) THANKS AGAIN, 10 Thumbs up
Thank you Dr Cooper for these inspiring lectures. Which route the activation reached the His bundle with stimulus delivered in the distal CS at 26:45, is it through slow pathway in the CS > AVN > His, or lateral pathway > ventricle > bundle branch > His? Could you also tell the time from stim to His in this?
Thank you doctor, I really appreciate your contents. You've made a super complex stories of SVT to be easy to understand. I'm looking forward to your next content. Would you please take some content about pharmacology affect to arrhythmias?
Thank you so much, I have mentor that newer told me anything of this. Amazing, simple and wonderful explanation of things that make us all think they are complicated, but they are not for sure. Thanks 1000 times! Can your next presentation be about Mahaim?
I have been listening intently to your lecture every second, and it has been fantastic.I am extremely eager to attend your upcoming lectures, such as the one on the differential diagnosis of wide QRS tachycardia. When do you plan to schedule the next session? I would be more than willing to offer my help.
Thank you so much Dr.Cooper, Very informative lecutre as previous lecutres I was waiting for long time for new lecutre. I wish if you can explain for us clinical virtual cases of 3D map, as 3 D map of TV for AVNRT ablation and AF for PVI, how we can move the cathater.
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
Could you please clarify which part of the video you are referring to? At the 1:45 point, it is a text slide, not showing electrograms. Which timestamp did you mean?
Ah, i think you're referring to the case example at 1:37:45. In this case, earliest atrial activation is *neither* in the center of the heart near the AV node, *nor* over leftward in the left atrium near the distal CS catheter. Instead, earliest atrial activation is way over in the lateral *right* atrium, nearer to the HRA catheter and further from the septum/AV node. And so this is not central activation, but rather it is "right-sided eccentric," meaning originating at the lateral right atrium. I realize I am using the term "eccentric" differently from what people usually say when they are referring to the earliest signal being over at the lateral left atrium (AKA left-sided eccentric). But both lateral right atrium and lateral left atrium early activation can be seen as "eccentric", meaning not concentric where the septum is earliest. You are correct that the coronary sinus catheter alone has a concentric pattern, but when you think of both atria in their entirety, we also have to take into account the possibility of non concentric activation way over on the right, where the only recording catheter we often have is the high-right atrial catheter.
@@Homer19521 Success for SVT ablation is defined as no recurrent SVT episodes after ablation. Success rates vary by type of SVT, but generally are over 95% with a single procedure.
I’m currently going through tests for possible SVT. I’m getting hooked up to a holter monitor this week. Will I need an episode of SVT for it to pick it up? I really don’t want to go through another one
Yes, in order to verify the diagnosis of svt, a heart monitor has to catch the tachycardia while it is happening. Nowadays, there are different types of heart monitors which are much easier for the patient than in the past. One of the simplest is a single sticky patch that sticks to the top of the left chest. No wires, no battery recharging, no daily maintenance, waterproof so no restrictions on bathing or showering, and it saves everything for a full two weeks. There are ways of catching fast heart rhythms that happen less often than that, including smart watches that can record the heart's rhythm, and the Kardia Mobile app device which someone can keep forever and take a recording while symptoms are happening.
The people who identified these phenomenons were true genius and love in science. The person who integrates these info into this systemic way of teaching is also a treasure of humanbeings. Thank you Dr Cooper. I've learnt so much from you !
I'm amazed at the dedication to every slide here. My brain is burning here doc. You've cracked the code so we can understand.
Don't ever stop uploading please 🙏
Thanks so much! 🙏 Yes indeed, lots of time was spent selecting examples, displaying egms in a consistent way, annotating and illustrating the examples, deciding on sequence/grouping, and then narrating it all! Glad the effort paid off! 😁
Wake up boys. Doc has just dropped a new 3 hour video
AND GIRLS :D
This is a priceless resource for an incoming EP fellow, just like myself. I sincerely appreciate the immense effort you've dedicated to this.
I hope it makes sense, and I hope it helps!! 👍
Same here. Starting as an EP fellow now, cannot thank you enough
As a first year EP fellow, your videos are extremely helpful. Dr. Cooper, you are a true master teacher and educator. It is the ability to simplify complex concepts along with the willingness to spend time and effort creating solid diagrams and presentations. Also, you know exactly what concepts are tricky and require more explaining, and which ones are straightforward and easy to understand. Many people/attendings lose that sense and once they understand something they can not relate to others who are learning these concepts for the first time. On a similar note, in EP 101, EVERY time you commented during someone else's talk, it was at the exact time and point when I start getting confused and next thing is Dr. Cooper chiming in to make things clear and put us back on track. Thank you so much for everything you do for us, EP fellows.
This is probably the single best resource for those eyeing EP.
Thank you.
Thank you so much!!
@@dr.joshuacooper-arrhythmia9917 I consider my PPT skills on point. But you sir.... take a bow.
Thank you so much, Dr. Cooper! Your videos are invaluable for a beginner EP fellow, particularly in this world of overwhelming resources. The effort you put into making your videos is truly appreciated and not taken for granted
Thank You So Much Dr Cooper for this wonderful resource in diagnosing SVT in EP lab, greetings from Pakistan.i started my EP fellowship few months ago and found this lecture very very helpful 👍
Thank you Doctor you have no idea how excited me and my friends are when you upload these gems . Please keep em coming Doc you're a HERO
This is too good to be true! Amazing lecture! “If you don’t learn with Dr Cooper… you don’t wanna learn!”
Greetings from Costa Rica!
Best. Comment. Ever! ❤️
Thank you very much Dr. Cooper for this fantastic video. As an incoming EP fellow I can say that your videos are nothing short of lifesavers. I cannot imagine a gentle introduction to EP without your videos!
Thank you so much Dr. Cooper for your incredible effort in teaching, greetings from Turkey. You are very much loved here.
Thank you so much Dr. Cooper - I haven’t watched it so far (just discovered the upload) - but I can barely imagine how much work you‘ve put into creating this and how much of your valuable time you sacrificed to educate us with your expert knowledge - for free. You amaze and inspire me. Thank you so so much!! Hope you get lots of good karma in return. 🤲
Dear prof
seriously your videos are game changer ,
i was that close to quit EP all through,
really you brought the passion back, thanks so much
You made my week!! Thanks for such kind words!! 🙏
What an amazing lecture. Thank you so much for taking the time to also reference the relevant papers. Invaluable!
Thank you so much for taking the time to make these videos Dr. Cooper. They are an invaluable resource for anyone involved in EP, in any role. A more competent and educated staff that truly understands what is going on leads to better patient outcomes, and more excitement for EP. Amazing work sir.
Greetings Dr. Cooper! I'm a newly graduated EP tech student now employee and I must say I am so very incredibly thankful for your videos! You are very talented in explaining concepts and pacing maneuvers simply and matter-of-factly. Your videos have been excellent review and they provide solid clarification on EP concepts that I have struggled with in the past. Please never stop making these videos as they have been more useful to me than most textbooks I have purchased! :D Many blessings
Thanks a lot dr. Joshua Cooper for your effort and systematic review of the SVT diagnosis. Really do appreciate. Waiting for more videos.
Amazing presentation! You are a true sensei in arrhythmology !
My brains hurts and is full of amazing information! I’m going to send this to the EP staff. Thank you for so much detail- Excellent!
We just had atypical AVNRT with a patient today 👏
Thank you so much Dr.Cooper,I am new to EP and this is exactly what I was looking for to help me understand how SVT is diagnosed in the EP lab.Thank you for taking your time to make this useful video.
And that's why i made it! So glad you found it useful!!
Thank you so very much Dr. Cooper, during my interview, you did mention this and finally, you have it out. We have been so eagerly waiting for this, all your video lectures are immensely helpful. may god give you more health and strength so that you can continue to teach us.
Thank you so very much for your note! Thank God my health remains good (5 years cancer free!), and i have lots more educational stuff planned! 👍
Thank you very much Dr. Cooper from Germany, this is really Gold for the Beginners (like me), for the first time to get this Feeling of really Understanding. Again thank YOU for your time and effort.
Thank you Dr. Joshua Cooper for this fantastic presentation. As a young EP fellow, I find this resource extremely helpful. I sincerely appreciate the immense effort you've dedicated to this.
Thank you Dr Cooper! Your lectures are gold!
I have just begun to learn EPS in my clinic. Your videos helped me to understand the tecnique and mechanisms. Thank you so much
This is a much awaited video. I've always wondered when you would make this video. This is GOLD esp for EP fellows. Very well put together. Thank you, Dr. Cooper.
Sorry for the delay! I hope it's helpful!
Amazing teaching and wonderful video, Dr Cooper! So many concepts in just 3 hrs and explained so well. I loved the calipers you placed on EGMs. God Bless You Sir
Clear labels, large font, showing one concept at a time... Makes a difference! 🙏
EP Made Super Easy! Thank you for making EP even more interesting!
Finally made it through in my holidays, what a pleasure, thank you so much. I will spread the video and look very nuch forward to everything you will post in the future!
This is absolutelly brilliant. The work here to make this synthesis is unparalleled. It´s obvious that every slide is deeply tought of. Thank you coach, Ima call you coach because my brain is exausted after this three hours of intense workout.
Keep uploading videos please!
OMG, thank you so much for the feedback! You may be the only person to attempt to watch it all the way through in one sitting! 🤣
Absolutely brilliant presentation! I wanted to review some EP basics and this helped a lot. Thank you so much, Dr. Cooper! Looking forward to seeing more of your videos!
Greetings from India Dr Cooper. I enjoy listening to your videos , you make it so simple to understand complex looking electrograms. Wish the best for your health and please continue teaching us. In Indian Language. We would call you Guru ! 🙏
The international interest in this and other videos has been so wonderful!! Thank you for your message!!
Thanks Dr.Joshua Cooper it's so straightforward to SVT. Appreciate your time & kindness to create this content
Thanks so much for your kind note!! 🙏
amazing effort Dr. Joshua! i cant thank you enough
From a future EP fellow, this lecture is AMAZING. Thank you very much.
Glad you found it helpful!! 👍
Thank you Dr.Cooper , it was amazing , it mad a big difference for me as fellow , looking forward to next learning opportunity.
Thank you for this amazing talk. I learned so much. Brilliant lecture.
Hi Dr. Joshua Cooper, Thank you for the fantastic "SVT Diagnosis in the EP Lab" lecture presentation! I really look forward to seeing a presentation on diagnostic maneuvers for James Fibers (Atrio-nodal & Atrio-fascicular bypass tracts) and Mahaim Fibers (Atrio-fascicular, nodo-fascicular, nodo-ventricular, and fascicular-ventricular bypass tracts). I'm especially eager to learn about the initiation and termination techniques for these arrhythmias, as well as the various diagnostic maneuvers.
Thank you so much for your time and effort making this presentation. I watched all of it and although doing EP some time now, many things got clearer! It would be great to see a part 2 with tricky cases like JT, maybe atypical flutter and how to distinguish them :) THANKS AGAIN, 10 Thumbs up
Thank you so much for your amazing note! Good to hear this video can be helpful even for someone who's all thumbs! 🤣
Thank you Dr Cooper for your dedication and effort
Really helpful for EP fellows, thank you Dr Joshua
Thank you so much Dr Cooper, this is pure gold
very helpful for someone is new to this field ,thanks Doc.
Thank you Dr Cooper for these inspiring lectures.
Which route the activation reached the His bundle with stimulus delivered in the distal CS at 26:45, is it through slow pathway in the CS > AVN > His, or lateral pathway > ventricle > bundle branch > His? Could you also tell the time from stim to His in this?
Thank you very much for this thorough stunning lecture. It is the best one ❤
how amazing you are, simple comprehensive and effective
Thank you Dr Cooper. It's fantastic lecture
Thank you doctor, I really appreciate your contents. You've made a super complex stories of SVT to be easy to understand. I'm looking forward to your next content. Would you please take some content about pharmacology affect to arrhythmias?
Its absolutely fantastic！ I want to see more！ Thank you very much
Thank you Dr. Cooper!!! It was brilliant 🤩
Thank you so much, I have mentor that newer told me anything of this. Amazing, simple and wonderful explanation of things that make us all think they are complicated, but they are not for sure. Thanks 1000 times! Can your next presentation be about Mahaim?
Thank u so much for ur comprehensive lecture
I have been listening intently to your lecture every second, and it has been fantastic.I am extremely eager to attend your upcoming lectures, such as the one on the differential diagnosis of wide QRS tachycardia. When do you plan to schedule the next session? I would be more than willing to offer my help.
Thank you so much for these amazing Vedios Doctor, I have been waiting for this one from long tym … u r an amazing teacher, learned lot from you sir 😇
Sorry for the delay!😅
Best of the best! Thank you so much for your videos!
Thank you so much Dr.Cooper, Very informative lecutre as previous lecutres I was waiting for long time for new lecutre. I wish if you can explain for us clinical virtual cases of 3D map, as 3 D map of TV for AVNRT ablation and AF for PVI, how we can move the cathater.
Dr Copper Thank you! Let’s GO!
Amazing lecture
Thank you very much for putting effort to teach us🙂
Brilliant!! Thanks Dr. Cooper!
Fantastic job, thank you for your effort
I'm appreciate for your Videos Lesson . It's Amazing
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
Could you please clarify which part of the video you are referring to? At the 1:45 point, it is a text slide, not showing electrograms. Which timestamp did you mean?
Sorry at 1: 37 atrial activation slide
Ah, i think you're referring to the case example at 1:37:45. In this case, earliest atrial activation is *neither* in the center of the heart near the AV node, *nor* over leftward in the left atrium near the distal CS catheter. Instead, earliest atrial activation is way over in the lateral *right* atrium, nearer to the HRA catheter and further from the septum/AV node. And so this is not central activation, but rather it is "right-sided eccentric," meaning originating at the lateral right atrium. I realize I am using the term "eccentric" differently from what people usually say when they are referring to the earliest signal being over at the lateral left atrium (AKA left-sided eccentric). But both lateral right atrium and lateral left atrium early activation can be seen as "eccentric", meaning not concentric where the septum is earliest.
You are correct that the coronary sinus catheter alone has a concentric pattern, but when you think of both atria in their entirety, we also have to take into account the possibility of non concentric activation way over on the right, where the only recording catheter we often have is the high-right atrial catheter.
Wow, hes back🎉🎉🎉🙌🏼🙌🏼, thank you!
Yeah, I'm sorry it's been so long :(
MANY THANKS VERY INSTRUCTIVE TEACHING 👍🙏🏻
Thanx Dr. How do you define success & what is your success rate?
@@Homer19521 Success for SVT ablation is defined as no recurrent SVT episodes after ablation. Success rates vary by type of SVT, but generally are over 95% with a single procedure.
I’m currently going through tests for possible SVT. I’m getting hooked up to a holter monitor this week. Will I need an episode of SVT for it to pick it up? I really don’t want to go through another one
Yes, in order to verify the diagnosis of svt, a heart monitor has to catch the tachycardia while it is happening. Nowadays, there are different types of heart monitors which are much easier for the patient than in the past. One of the simplest is a single sticky patch that sticks to the top of the left chest. No wires, no battery recharging, no daily maintenance, waterproof so no restrictions on bathing or showering, and it saves everything for a full two weeks. There are ways of catching fast heart rhythms that happen less often than that, including smart watches that can record the heart's rhythm, and the Kardia Mobile app device which someone can keep forever and take a recording while symptoms are happening.
do you happen to have the .ppt files for these?
Yes, all my talks were made with PPT!
@@dr.joshuacooper-arrhythmia9917 yes, but can you share them :)
😍amazing job
We need a video about JT
Thank you very much😊😊 absolutey in love😊
Awww... Thanks! ❤
Brilliant!!!
Thank you!
very good
Great 👏
Woooohooooo!
At last!
so sorry for the delay!!😐
@@dr.joshuacooper-arrhythmia9917 Thank you so much for these amazing videos! Great material to prepare general fellows for EP fellowship!