VT vs. SVT With Aberrancy Explained - High Yield & Made Easy!

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  • Опубліковано 15 тра 2022
  • Diagnosis and evaluation of wide complex tachycardias can be daunting at first, but after watching this video I guarantee you will feel more confident in figuring out how to diagnose and manage your patients! I talk all about SVT with aberrancy vs ventricular tachycardia (VT) and all other sorts of tachyarrhythmias. How to use different criteria to diagnose VT vs SVT with aberrancy including Brugada's criteria and multiple other clues that it is VT. What to look out for and general rules to follow when managing patients with wide complex tachyarrhythmias. Let me know what you think!
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КОМЕНТАРІ • 34

  • @sarahcan8311
    @sarahcan8311 19 днів тому

    amazing!! Thank you for boiling down the approach and making it feel simple

  • @crystalnaylor3979
    @crystalnaylor3979 Рік тому +4

    Mind blown… the mystery has been solved. Thank you so much!

  • @keihndeth
    @keihndeth Рік тому +8

    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.

  • @AkulaShark4748
    @AkulaShark4748 8 місяців тому +1

    Thank you so much for the great initiative explaining a few videos and material together. The video is really helpful

  • @amanasthana338
    @amanasthana338 5 місяців тому +1

    Amazing Explanation!!!
    Keep it Up!!!

  • @moriahnichols8178
    @moriahnichols8178 Рік тому +1

    Fantastic presentation!

  • @christlinmishal2741
    @christlinmishal2741 8 місяців тому +1

    thank you so much. you made it so clear

  • @robertoconnell8153
    @robertoconnell8153 Рік тому +1

    Great video!!! Thank you!!

  • @Sickdude420
    @Sickdude420 2 роки тому +4

    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.

    • @ConanLiuMD
      @ConanLiuMD  2 роки тому +2

      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

    • @aur4466
      @aur4466 5 місяців тому

      Any wide complex tachy treat as VT unless proven otherwise probably by EP study or full ecg at a later stage.

  • @yazanazzam6113
    @yazanazzam6113 10 місяців тому +1

    thank you , it's helpful and informative

  • @drmasoodamin1084
    @drmasoodamin1084 Місяць тому

    Love from Afghanistan
    Very nice, Keep it up please..

  • @selimelsayed6842
    @selimelsayed6842 Рік тому +1

    thank you continue

  • @saliha6767
    @saliha6767 3 місяці тому +1

    Thanks!

  • @RohanKayani
    @RohanKayani Рік тому +2

    Wonderful explanation. The best video on UA-cam on this topic. Thank you for the excellent lecture. Best of luck!

  • @applebee4129
    @applebee4129 Рік тому +2

    Thank you…. Can you also make videos on neuro and cardio examination…..

  • @geobus3307
    @geobus3307 7 місяців тому +1

    Great!

  • @janetony6326
    @janetony6326 Місяць тому

    really nice video

  • @christopherkureliu8757
    @christopherkureliu8757 Рік тому +1

    awesome

  • @dailydoseofmedicinee
    @dailydoseofmedicinee 2 роки тому +1

    👏👏

  • @drfareeha1839
    @drfareeha1839 Місяць тому

    Thankuuu❤🎉

  • @a-ron9769
    @a-ron9769 Рік тому +2

    Can you do a video on Afib with Abberancy ?

  • @kaze123ckr
    @kaze123ckr Рік тому

    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 )

  • @Maryjcorder
    @Maryjcorder 4 місяці тому

    Can you clarify when you say “shock” the unstable patient if you are referring to synchronized cardioversion or defibrillation?

  • @dollythakur570
    @dollythakur570 3 місяці тому +1

    What website you are using to practice examples please tell.

    • @ConanLiuMD
      @ConanLiuMD  2 місяці тому +1

      In this video it was Life in the Fast Lane

  • @danesthesia09
    @danesthesia09 Рік тому +1

    How can you tell “upgoing” vs “down going”?

  • @JohnnyWishbone85
    @JohnnyWishbone85 2 роки тому +4

    Thank you for this excellent explanation.
    Also, LITFL is an absolutely fantastic resource on cardiology for non-cardiologists.

  • @qaishamarsha8186
    @qaishamarsha8186 Рік тому

    amazing, as a medical student it helped me a lot. thank you so much

  • @j.b.8379
    @j.b.8379 5 місяців тому

    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??

    • @yamlauman583
      @yamlauman583 2 місяці тому

      Very likely SVT

    • @brightflex4130
      @brightflex4130 Місяць тому

      SVT

    • @j.b.8379
      @j.b.8379 Місяць тому

      @@brightflex4130 thanks Dr brightflex. But youR diagnoses is still unconfirmed.