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.
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.
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
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
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 )
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??
Can the onset of beam carrying information tech as instilled from outside aberrations stimulatory of ecg tracings and cardiac functions if ever done that way by a mere flash of specialized beam of portable counteractable by neuralink type brain stimulations of electricity infusion of the negative type because photonic beams first idea was that of positive though other beams such as the gamma type, laser type etc of tech specifics or science type mix, you know thinking in advance of future probable disasters of tech advancements to a higher levels because neuralinks aside from networks signals hitchhickers can come from space pixels of negative charge of its dark compressed of science things projections or another are the soundwave type of frequencies likened to electron pulse effect of SA and AV nodal tweak to rhythm disruptions likened to cells nucleus penetrated by either beam or bounce and pings and sounds of either nuclear content information fix intent of disruptive intent not of cells focus but of nodal affectatiom focus that could be counteracted again by area sensor scanned and sensor fusion of anti science things summons for defense purposed blocking heart node interferrance of an anticipation of future SCIENCE WARS.
Mind blown… the mystery has been solved. Thank you so much!
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.
This is by far my favorite presentation of VT. Thank you!
Thanks!
Thanks Dr Conan Liu, youre lecture is exact and comprehensive.
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.
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
Any wide complex tachy treat as VT unless proven otherwise probably by EP study or full ecg at a later stage.
Brilliant . I feel like I can never fully express my thank. I hope you can create more topics on electrolyte abnormalities.❤
Thank you so much for the great initiative explaining a few videos and material together. The video is really helpful
super helpful thank you!
Fantastic presentation!
Amazing Explanation!!!
Keep it Up!!!
amazing!! Thank you for boiling down the approach and making it feel simple
Can you do a video on Afib with Abberancy ?
thank you so much. you made it so clear
Thank you…. Can you also make videos on neuro and cardio examination…..
thank you , it's helpful and informative
I enjoy watching your video. It is very informative, cardiac monitor tech.
Great video!!! Thank you!!
Thank you for this excellent explanation.
Also, LITFL is an absolutely fantastic resource on cardiology for non-cardiologists.
What website you are using to practice examples please tell.
In this video it was Life in the Fast Lane
Great!
I had a run of this and my doctors don’t seem to agree. One doctor said vtach and one said svt with aberrancy. :( I wish I knew for sure
Can you clarify when you say “shock” the unstable patient if you are referring to synchronized cardioversion or defibrillation?
Thank you !
Awesomeness 😍
really nice video
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
amazing, as a medical student it helped me a lot. thank you so much
thank you continue
Love from Afghanistan
Very nice, Keep it up please..
How can you tell “upgoing” vs “down going”?
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 )
Thankuuu❤🎉
Wow❤
awesome
👏👏
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??
Very likely SVT
SVT
@@brightflex4130 thanks Dr brightflex. But youR diagnoses is still unconfirmed.
Order word correction, not s but a. Let it be
Order word correction, its not fot but for, its not ot but of. Let it be
Can the onset of beam carrying information tech as instilled from outside aberrations stimulatory of ecg tracings and cardiac functions if ever done that way by a mere flash of specialized beam of portable counteractable by neuralink type brain stimulations of electricity infusion of the negative type because photonic beams first idea was that of positive though other beams such as the gamma type, laser type etc of tech specifics or science type mix, you know thinking in advance of future probable disasters of tech advancements to a higher levels because neuralinks aside from networks signals hitchhickers can come from space pixels of negative charge of its dark compressed of science things projections or another are the soundwave type of frequencies likened to electron pulse effect of SA and AV nodal tweak to rhythm disruptions likened to cells nucleus penetrated by either beam or bounce and pings and sounds of either nuclear content information fix intent of disruptive intent not of cells focus but of nodal affectatiom focus that could be counteracted again by area sensor scanned and sensor fusion of anti science things summons for defense purposed blocking heart node interferrance of an anticipation of future SCIENCE WARS.
Your videos will not allow me to save to watch later.