ECG Blog #99 (ECG Video-Blog-5) - Arrhythmia Management in Primary Care (Part 2)

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     This is the 5th installment of my ECG Video Blog. This 17-minute video continues a Clinical Look at Cardiac Arrhythmias from a Primary Care Perspective. Focus in this Part 2 is on ventricular arrhythmias — and, on bradycardia including diagnosis of Sick Sinus Syndrome and indications for pacing. In the final part of this video series (Part 3 — coming soon!) — We'll conclude with discussion of the SVT rhythms that are commonly encountered in primary care.

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NOTE: There are advantages to using a video format format. These include:

• Ability to illustrate concepts not done full justice by the written word.
• Greater dispersion of my content through Google & YouTube. This material is free for anyone to use.

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LINKS to my ECG Video-Blog installments:

• ECG Video-Blog #1-Revised (= Blog #95) — Is there AV Block?
• ------------------------------------------------------------
• ECG Video-Blog #2 (= Blog #96) — Bundle Branch Blocks
• ------------------------------------------------------------
• ECG Video-Blog #3 (= Blog #97) — SVT with marked ST Depression
• ------------------------------------------------------------
• ECG Video-Blog #4 (= Blog #98) — Clinical Arrhythmia Mgmt (Part I )
• ECG Video-Blog #5 (= Blog #99) — Clinical Arrhythmia Mgmt (Part 2 )
•    Please check out our Cardiac Arrhythmia page = www.aafpecg.com -
•    Click Here for Timed Contents to Video-Blogs #4,5,6!
• ECG Video-Blog #6 (= Blog #100) — Clinical Arrhythmia Mgmt (Part 3 )
• ------------------------------------------------------------
• ECG Video-Blog #7 (= Blog #101) — Wide Tachycardia + Chest Pain
• ------------------------------------------------------------
• ECG Video-Blog #8 ( = Blog #105) — Basics of AV Block
• ECG Video-Blog #9 ( = Blog #110) — Complete AV Block? / Laddergrams
• ------------------------------------------------------------
• ECG Video-Blogs #10,11,12 ( = Blog #113) — Rhythm Diagnosis Basics
•    Click Here for a Link-Timed Contents to Video-Blogs #10,11,12!
• ------------------------------------------------------------
• ECG Video-Blog #13 ( = Blog #116) — Essentials of Axis / Hemiblocks
• ------------------------------------------------------------
• ECG Video-Blog #14 ( = Blog #117) — Brugada Syndrome
• -----------------------------------------------------------
• ECG Video-Blog #15 ( = Blog #118) — QRST Changes
• -----------------------------------------------------------
• ECG Video-Blog #16 ( = Blog #120) — Giant T Waves

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     My goal in this 3-Part video series is to address the "art" of arrhythmia management from a primary care perspective. This includes cost-effective assessment as to whether a rhythm disturbance is present (with details on monitoring methods) — whether the arrhythmia is likely to be benign or more worrisome — and a practical approach to treatment.

• Below in Figure 1 — a sample of some issues discussed in this Part 2 (Video-Blog #5 = Blog #99). I believe this video brings the topic to life!

Figure-1: Slide discussing indications for pacing in Sick Sinus Syndrome, with illustration explaining the importance of pause duration.  NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window.

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GO TO: https://www.youtube.com/watch?v=8n8PEYLb1hg — on YouTube to view this ECG Video (17 minutes).

• Click Here  — for a Timed CONTENTS of Video-Blogs #4,5,6
• Please also check out my ECG Video Blog page on Google. The link is easy to remember = www.videoecg.com -

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NOTE: For a Power Point Show (.ppsx) version of my Video Blogs - CLICK HERE. This folder will contain links to download a .ppsx version that allows faster viewing:

• Download the .ppsx to your computer desktop.
• The PPT show is without automatic sound. YOU activate only the Audio clips you want.
• Hover your mouse over the highlighted Audio. You may play and/or pause if/as you like.
• Feel free to use this .ppsx for teaching with my blessings!

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ECG Blog #98 (ECG Video-Blog-4) - Arrhythmia Management in Primary Care (Part I)

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     This is the 4th installment of my ECG Video Blog. This 26-minute video provides a Clinical Look at Cardiac Arrhythmias from a Primary Care Perspective. Focus in this Part 1 is on monitoring methods — the importance of the clinical scenario — and determining whether the rhythm is likely to be benign vs a rhythm that should be referred. In Part 2 — We'll apply these principles to a rapid overview of the arrhythmias most commonly encountered in primary care.

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NOTE: There are advantages to using a video format format. These include:

• Ability to illustrate concepts not done full justice by the written word.
• Greater dispersion of my content through Google & YouTube. This material is free for anyone to use.

-----------------------------------------

LINKS to my ECG Video-Blog installments:

• ECG Video-Blog #1-Revised (= Blog #95) — Is there AV Block?
• ------------------------------------------------------------
• ECG Video-Blog #2 (= Blog #96) — Bundle Branch Blocks
• ------------------------------------------------------------
• ECG Video-Blog #3 (= Blog #97) — SVT with marked ST Depression
• ------------------------------------------------------------
• ECG Video-Blog #4 (= Blog #98) — Clinical Arrhythmia Mgmt (Part I )
•    Please check out our Cardiac Arrhythmia page = www.aafpecg.com - 
•    Click Here for Timed Contents to Video-Blogs #4,5,6!
• ECG Video-Blog #5 (= Blog #99) — Clinical Arrhythmia Mgmt (Part 2 )
• ECG Video-Blog #6 (= Blog #100) — Clinical Arrhythmia Mgmt (Part 3 )
• ------------------------------------------------------------
• ECG Video-Blog #7 (= Blog #101) — Wide Tachycardia + Chest Pain
• ------------------------------------------------------------
• ECG Video-Blog #8 ( = Blog #105) — Basics of AV Block
• ECG Video-Blog #9 ( = Blog #110) — Complete AV Block? / Laddergrams
• ------------------------------------------------------------
• ECG Video-Blogs #10,11,12 ( = Blog #113) — Rhythm Diagnosis Basics
•    Click Here for a Link-Timed Contents to Video-Blogs #10,11,12!
• ------------------------------------------------------------
• ECG Video-Blog #13 ( = Blog #116) — Essentials of Axis / Hemiblocks
• ------------------------------------------------------------
• ECG Video-Blog #14 ( = Blog #117) — Brugada Syndrome
• -----------------------------------------------------------
• ECG Video-Blog #15 ( = Blog #118) — QRST Changes
• -----------------------------------------------------------
• ECG Video-Blog #16 ( = Blog #120) — Giant T Waves

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     My goal in this brief video series is to address the "art" of arrhythmia management from a primary care perspective. This includes cost-effective assessment as to whether a rhythm disturbance is present (with details on monitoring methods) — whether the arrhythmia is likely to be benign or more worrisome — and a practical approach to treatment.

• Below in Figure 1 — a sample of some issues discussed. I believe this video brings the topic to life!

Figure-1: Slide discussing clinical assessment as to whether an arrhythmia is likely to be benign — and whether referral to Cardiology (or EP Cardiology) is indicated. NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window.

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GO TO: https://www.youtube.com/watch?v=THJKEXZmA2k — on YouTube to view this ECG Video (26 minutes).

• Click Here  — for a Timed CONTENTS of Video-Blogs #4,5,6.
• Please also check out my ECG Video Blog page on Google. The link is easy to remember = www.videoecg.com -

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NOTE: For a Power Point Show (.ppsx) version of my Video Blogs - CLICK HERE. This folder will contain links to download a .ppsx version that allows faster viewing:

• Download the .ppsx to your computer desktop.
• The PPT show is without automatic sound. YOU activate only the Audio clips you want.
• Hover your mouse over the highlighted Audio. You may play and/or pause if/as you like.
• Feel free to use this .ppsx for teaching with my blessings!

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ECG Blog #97 (ECG Video-Blog-3) - SVT with Marked ST Depression

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     This is the 3rd installment of my ECG Video Blog. This 11-minute video features a case of a patient with SVT (SupraVentricular Tachycardia) with chest pain and marked ST depression on his 12-lead ECG. Please give me Feedback on how you like these ECG Video-Blogs!

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NOTE: There are advantages to using a video format format. These include:

• Ability to illustrate concepts not done full justice by the written word.
• Greater dispersion of my content through Google & YouTube. This material is free for anyone to use.

-----------------------------------------

LINKS to my ECG Video-Blog installments:

• ECG Video-Blog #1-Revised (= Blog #95) — Is there AV Block?
• ------------------------------------------------------------
• ECG Video-Blog #2 (= Blog #96) — Bundle Branch Blocks
• ------------------------------------------------------------
• ECG Video-Blog #3 (= Blog #97) — SVT with marked ST Depression
•    Click Here for Timed Contents to Video-Blog #3!
• ------------------------------------------------------------
• ECG Video-Blog #4 (= Blog #98) — Clinical Arrhythmia Mgmt (Part I )
• ECG Video-Blog #5 (= Blog #99) — Clinical Arrhythmia Mgmt (Part 2 )
• ECG Video-Blog #6 (= Blog #100) — Clinical Arrhythmia Mgmt (Part 3 )
• ------------------------------------------------------------
• ECG Video-Blog #7 (= Blog #101) — Wide Tachycardia + Chest Pain
• ------------------------------------------------------------
• ECG Video-Blog #8 ( = Blog #105) — Basics of AV Block
• ECG Video-Blog #9 ( = Blog #110) — Complete AV Block? / Laddergrams
• ------------------------------------------------------------
• ECG Video-Blogs #10,11,12 ( = Blog #113) — Rhythm Diagnosis Basics
• ------------------------------------------------------------
• ECG Video-Blog #13 ( = Blog #116) — Essentials of Axis / Hemiblocks
• ------------------------------------------------------------
• ECG Video-Blog #14 ( = Blog #117) — Brugada Syndrome
• -----------------------------------------------------------
• ECG Video-Blog #15 ( = Blog #118) — QRST Changes
• -----------------------------------------------------------
• ECG Video-Blog #16 ( = Blog #120) — Giant T Waves

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Acknowledgment — My appreciation to the following individual:

• Dr. Ong (Taiwan) — for providing me with the case for ECG Video-Blog #3.

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The patient is a previously healthy 60-year old man who presented with palpitations and new-onset chest pain. He was on no meds — and had no prior history of heart disease. BP = 70 systolic at the time the 12-lead ECG in Figure-1 was obtained.

• What is the rhythm in Figure-1?
• Why so much ST segment depression?
• What are your diagnostic considerations?
• What would you do?

Figure-1: 12-lead ECG obtained from a 60 year old man with chest pain. What is the rhythm? Why so much ST depression? NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window.

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GO TO – http://youtu.be/5E3_MKuvr9c - on YouTube to view this ECG Video (11 minutes).

• Click Here  — for a Timed CONTENTS of this Video-Blog #3.
• Please also check out my ECG Video Blog page on Google. The link is easy to remember = www.videoecg.com -

--------------------------------

NOTE: For a Power Point Show (.ppsx) version of my Video Blogs - CLICK HERE. This folder will contain links to download a .ppsx version that allows faster viewing:

• Download the .ppsx to your computer desktop.
• The PPT show is without automatic sound. YOU activate only the Audio clips you want.
• Hover your mouse over the highlighted Audio. You may play and/or pause if/as you like.
• Feel free to use this .ppsx for teaching with my blessings!

--------------------------------

ECG Blog #96 (ECG Video-Blog-2) - ECG Diagnosis of Bundle Branch Block

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     This is the 2nd installment of my ECG Video Blog. This 17-minute video reviews how to make the ECG diagnosis of BBB (Bundle Branch Block) in 5 seconds or less. Please Give Me Feedback (ekgpress@mac.com) as to whether you like this new Video format — which (if feedback is positive) I hope to use more to enhance my ECG Blog.

-----------------------------------------

NOTE: There are advantages to using a video format format. These include:

• Ability to illustrate concepts not done full justice by the written word.
• Greater dispersion of my content through Google & YouTube. This material is free for anyone to use.

-----------------------------------------

LINKS to my ECG Video-Blog installments:

• ECG Video-Blog #1-Revised (= Blog #95) — Is there AV Block?
• ------------------------------------------------------------
• ECG Video-Blog #2 (= Blog #96) — Bundle Branch Blocks
•    Easy YouTube Link for Bundle Branch Block (www.bbbecg.com)
•    Click Here for Timed Contents to Bundle Branch Block Video!
• ------------------------------------------------------------
• ECG Video-Blog #3 (= Blog #97) — SVT with marked ST Depression
• ------------------------------------------------------------
• ECG Video-Blog #4 (= Blog #98) — Clinical Arrhythmia Mgmt (Part I )
• ECG Video-Blog #5 (= Blog #99) — Clinical Arrhythmia Mgmt (Part 2 )
• ECG Video-Blog #6 (= Blog #100) — Clinical Arrhythmia Mgmt (Part 3 )
• ------------------------------------------------------------
• ECG Video-Blog #7 (= Blog #101) — Wide Tachycardia + Chest Pain
• ------------------------------------------------------------
• ECG Video-Blog #8 ( = Blog #105) — Basics of AV Block
• ECG Video-Blog #9 ( = Blog #110) — Complete AV Block? / Laddergrams
• ------------------------------------------------------------
• ECG Video-Blogs #10,11,12 ( = Blog #113) — Rhythm Diagnosis Basics
• ------------------------------------------------------------
• ECG Video-Blog #13 ( = Blog #116) — Essentials of Axis / Hemiblocks
• ------------------------------------------------------------
• ECG Video-Blog #14 ( = Blog #117) — Brugada Syndrome
• -----------------------------------------------------------
• ECG Video-Blog #15 ( = Blog #118) — QRST Changes
• -----------------------------------------------------------
• ECG Video-Blog #16 ( = Blog #120) — Giant T Waves

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ECG Diagnosis of the bundle branch blocks can be simplified — and readily accomplished with accuracy in seconds. This is because: i) There are only 3 "answers" ( = typical LBBB; typical RBBB; or neither = IVCD); and ii) You only need to look at 3 leads to diagnose the type of BBB ( = leads I, V1, V6).

• Recognition of the BBBs is thoroughly reviewed.
• The system for rapid diagnosis is presented.
• Practice tracings reinforce concepts (such as the 12-lead shown in Figure-1).

Figure-1: 12-lead ECG. How would you describe the conduction defect? (Figure reproduced from A 1st Book on ECGs-2014-ePub). NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window.

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GO TO – https://www.youtube.com/watch?v=WQHzbZXcU4Y - on YouTube to view this ECG Video (17 minutes).

• Click Here  — for a Timed CONTENTS of this Video on AV Block.
• Please also check out my ECG Video Blog page on Google. The link is easy to remember = www.videoecg.com -

--------------------------------

NOTE: For a Power Point Show (.ppsx) version of my Video Blogs - CLICK HERE. This folder will contain links to download a .ppsx version that allows faster viewing:

• Download the .ppsx to your computer desktop.
• The PPT show is without automatic sound. YOU activate only the Audio clips you want.
• Hover your mouse over the highlighted Audio. You may play and/or pause if/as you like.
• Feel free to use this .ppsx for teaching with my blessings!

--------------------------------

ECG Blog #95 (ECG Video-Blog-1) – Is there AV Block?

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     I have just revised this Video (1/27/2014) — which was the first installment of my ECG Video Blog. This new version is greatly improved from my original recording on 8/16/2014 (demonstration to how much I've learned these past 5 months). Please Give Me Your Feedback (ekgpress@mac.com).

-----------------------------------------

NOTE: There are advantages to using a video format format. These include:

• Ability to illustrate concepts not done full justice by the written word.
• Greater dispersion of my content through Google & YouTube. This material is free for anyone to use.

-----------------------------------------

LINKS to my ECG Video-Blog installments:

• ECG Video-Blog #1-Revised (= Blog #95) — Is there AV Block?
•    Click Here for Timed Contents to Video-Blog #1.
• ------------------------------------------------------------
• ECG Video-Blog #2 (= Blog #96) — Bundle Branch Blocks
• ------------------------------------------------------------
• ECG Video-Blog #3 (= Blog #97) — SVT with marked ST Depression
• ------------------------------------------------------------
• ECG Video-Blog #4 (= Blog #98) — Clinical Arrhythmia Mgmt (Part I )
• ECG Video-Blog #5 (= Blog #99) — Clinical Arrhythmia Mgmt (Part 2 )
• ECG Video-Blog #6 (= Blog #100) — Clinical Arrhythmia Mgmt (Part 3 )
• ------------------------------------------------------------
• ECG Video-Blog #7 (= Blog #101) — Wide Tachycardia + Chest Pain
• ------------------------------------------------------------
• ECG Video-Blog #8 ( = Blog #105) — Basics of AV Block
• ECG Video-Blog #9 ( = Blog #110) — Complete AV Block? / Laddergrams
• ------------------------------------------------------------
• ECG Video-Blogs #10,11,12 ( = Blog #113) — Rhythm Diagnosis Basics
• ------------------------------------------------------------
• ECG Video-Blog #13 ( = Blog #116) — Essentials of Axis / Hemiblocks
• ------------------------------------------------------------
• ECG Video-Blog #14 ( = Blog #117) — Brugada Syndrome
• -----------------------------------------------------------
• ECG Video-Blog #15 ( = Blog #118) — QRST Changes
• -----------------------------------------------------------
• ECG Video-Blog #16 ( = Blog #120) — Giant T Waves

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Acknowledgments — My appreciation to the following individual:

• Mike Frease — for providing me with the case for ECG Video-Blog #1.

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Interpret the simultaneously-recorded 2-lead rhythm strip shown in Figure-1.

• Is AV block present on this tracing? IF so — What kind of AV block?
• Is there enough information to know for certain?
• How does one distinguish AV block from other causes of relative pauses, such as PACs (blocked or conducted) and/or Sick Sinus Syndrome?

Figure-1: 2-lead rhythm srip. Is there AV block? (Figure reproduced with permission from Mike Frease). NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window.

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GO TO – http://youtu.be/ILPrEhCMF48 - on YouTube to view this ECG Video and for the Answer (15 minutes). 

• Click Here  — for a Timed CONTENTS of this Video-Blog #1.
• Please also check out my ECG Video Blog page on Google. The link is easy to remember = www.videoecg.com -

--------------------------------

NOTE: For a Power Point Show (.ppsx) version of my Video Blogs - CLICK HERE. This folder will contain links to download a .ppsx version that allows faster viewing:

• Download the .ppsx to your computer desktop.
• The PPT show is without automatic sound. YOU activate only the Audio clips you want.
• Hover your mouse over the highlighted Audio. You may play and/or pause if/as you like.
• Feel free to use this .ppsx for teaching with my blessings!

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