I'm just a paramedic brushing up and reviewing. I'm not even taking notes on your lecture because your lecture IS my note. I'm putting it into my listening rotation. FANTASTIC information. Thank you!!!
@24:35 I'm only a paramedic student, but would those weird T wave notches that you're pointing out here really just be artifact? Doesn't the consistency in morphology suggest a repolorization issue?
These all things are good for UA-cam but when you are in emergency always give benefit of doubt to the patients. It’s better to overtreat rather than under treat, coz if you miss pericarditis it’s okay but if you miss stemi you may lose a life or if you get sued you’re career is gone.
Coronary angiography is not a risk free procedure. Serial ECGs and repeat enzymes are pretty benign and Dr Mattu seems to support doing them, but activating the cath lab for a patient that turns out to not have a STEMI could increase morbidity for TWO patients - your patient, and also the patient who didn't get pPCI in time because your patient was in the lab having a procedure they didn't need.
@@joestevenson5568 unstable angina doesn't have increase in enzymes. If the country has infrastructure problem thats not the reason to avoid any procedure. I have seen many cases with subtle ecg changes and no enzyme elevation. Yet the vessel is full of thrombus. You may plan cag next day if patient is stable. but plaque erosions, inoca minoca prinzmetal will present like this only. And cag if not feasible then ct cag is another good option with ffr and calcium scoring. Point to emphasize is physiology and anatomy of vessels has to be known.
@@joestevenson5568 unstable angina doesn't have increase in enzymes. If the country has infrastructure problem thats not the reason to avoid any procedure. I have seen many cases with subtle ecg changes and no enzyme elevation. Yet the vessel is full of thrombus. You may plan cag next day if patient is stable. but plaque erosions, inoca minoca prinzmetal will present like this only. And cag if not feasible then ct cag is another good option with ffr and calcium scoring. Point to emphasize is physiology and anatomy of vessels has to be known.
@@joestevenson5568 unstable angina doesn't have increase in enzymes. If the country has infrastructure problem thats not the reason to avoid any procedure. I have seen many cases with subtle ecg changes and no enzyme elevation. Yet the vessel is full of thrombus. You may plan cag next day if patient is stable. but plaque erosions, inoca minoca prinzmetal will present like this only. And cag if not feasible then ct cag is another good option with ffr and calcium scoring. Point to emphasize is physiology and anatomy of vessels has to be known.
Dr. Mattu is the rock star of emergency medicine.
Rockstar Gangster
Dr Mattu makes all of us be better each time he talks... Thanks God he exists
I always wish there is more of his lectures posting. I can’t thanks him enough for the effort.
I'm just a paramedic brushing up and reviewing. I'm not even taking notes on your lecture because your lecture IS my note. I'm putting it into my listening rotation. FANTASTIC information. Thank you!!!
thank you so much!!!!! the level of deep understanding i get with your videos i never got from my residency lectures.
yo mattu is back at it! God bless.
Definitely the ECG teacher we all wanted (and needed)
You are genius and I consider you my best teacher.
Best lecture i have ever had in cardiology!
that was an extremely good lecture and thanks for the literature ref too
This is incredible!
More videos like this please
As always, great talk
this is briliant, tnx for video. i tought that tha pr depresion is first thing to watch
I absolutely love how you explain everything, thank you ❤️🙏🏼
Excellent teaching ！ I learned a lot！ Thank you so much！
Yeah you again love your teaching style,! Every sentence a gem♡
You are best teacher
oh man! This is absolute gold!!
Wonderful lecture..enjoyed it
Dr Mattu It's the best in the world!
Thanks, very nicely explained.
@24:35 I'm only a paramedic student, but would those weird T wave notches that you're pointing out here really just be artifact? Doesn't the consistency in morphology suggest a repolorization issue?
I've said it a thousand times, he's my idol
I love your ALL Videos
Can u post key point in separate slide for note taking people-- please
Is a blessing to have this video posts about such an important subject. Thanks God Dr Amal Mattu exist, the best ecg lecturer! Thanks a lot!
Great Dr.
Informative and targeted.
Great Great Lecture 🙏
Amal means hope. And this lecture is hope for cardiologest and patients
What is the reference point for pr depression? Since st is elevated.
3 professionals love eggs. Cardiologists, emergency physicians and lawyers
Ecgs
Wow, you actually found an S1Q3T3 ecg with PE
Thank you
Might pr depression sometimes actually be Q waves in evolution?
Many thanks to Dr Mattu and everyone ..I am very gratefull for these golden lectures.
Great lecture. Learned so much. Thank you Dr. Mattu, your lectures are always excellent.
Flat-out fantastic. Thank you!
Maybe the problem is that wide q wave can look like pr depression?
Stress the importance of LEAD PLACEMENT especially EMS to ER hand off.
thanks for the great lecture Dr Mattu !
Time 5:00 st depression in any leads is equal to nstemi or broadly we can say MI but we cannot say stemi
What he meant by that was reciprocal depression. I got confused at the same point but it cleared up later in the video.
great work👍👍🫀
great lecture as usual
Thanks for sharing!
This man is for the Nobel Prize for Medicine. Not some obscure molecular biologists for discovering something that does not exist
GREAT TEACHER AND SUPERB REVIEW
❤
These all things are good for UA-cam but when you are in emergency always give benefit of doubt to the patients. It’s better to overtreat rather than under treat, coz if you miss pericarditis it’s okay but if you miss stemi you may lose a life or if you get sued you’re career is gone.
Coronary angiography is not a risk free procedure. Serial ECGs and repeat enzymes are pretty benign and Dr Mattu seems to support doing them, but activating the cath lab for a patient that turns out to not have a STEMI could increase morbidity for TWO patients - your patient, and also the patient who didn't get pPCI in time because your patient was in the lab having a procedure they didn't need.
@@joestevenson5568 unstable angina doesn't have increase in enzymes. If the country has infrastructure problem thats not the reason to avoid any procedure. I have seen many cases with subtle ecg changes and no enzyme elevation. Yet the vessel is full of thrombus. You may plan cag next day if patient is stable. but plaque erosions, inoca minoca prinzmetal will present like this only. And cag if not feasible then ct cag is another good option with ffr and calcium scoring. Point to emphasize is physiology and anatomy of vessels has to be known.
@@joestevenson5568 unstable angina doesn't have increase in enzymes. If the country has infrastructure problem thats not the reason to avoid any procedure. I have seen many cases with subtle ecg changes and no enzyme elevation. Yet the vessel is full of thrombus. You may plan cag next day if patient is stable. but plaque erosions, inoca minoca prinzmetal will present like this only. And cag if not feasible then ct cag is another good option with ffr and calcium scoring. Point to emphasize is physiology and anatomy of vessels has to be known.
@@joestevenson5568 unstable angina doesn't have increase in enzymes. If the country has infrastructure problem thats not the reason to avoid any procedure. I have seen many cases with subtle ecg changes and no enzyme elevation. Yet the vessel is full of thrombus. You may plan cag next day if patient is stable. but plaque erosions, inoca minoca prinzmetal will present like this only. And cag if not feasible then ct cag is another good option with ffr and calcium scoring. Point to emphasize is physiology and anatomy of vessels has to be known.
Fifth!!!! 🫀
GREAT TEACHING
''HOSPITALIST-''----------------------What a disgusting name !!!!!!!!!!!!!!!!!!!
The biggest lesson I learned from this vid is that I should marry a Cardiologist to get EKG consults from them.
And then get sued.