ECG Blog #101 (ECG Video-Blog-7) - Wide Tachycardia in a Patient with Chest Pain

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     This is the 7th installment of my ECG Video Blog. This 25-minute video features a case of a 70-year old woman with new-onset chest pain and a WCT (Wide-Complex Tachycardia)  on her 12-lead ECG. Your Feedback is welcome on 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
• ------------------------------------------------------------
• 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
•     Addendum to Video-7 ( = ECG Blog #102) — Review of Key Concepts
•     Click Here for Timed Contents to Video-Blog #7!
• ------------------------------------------------------------
• 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. Sa'ad Lahri (Cape Town, South Africa) — for providing me with the case for ECG Video-Blog #7.

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The patient is a previously healthy 70-year old man who presented with chest pain and the wide tachycardia shown below in the long lead II rhythm strip. Her past medical history was unknown. She was hemodynamically stable at the time the ECG in Figure-1 was obtained.

• What is the rhythm in the long lead II shown in Figure-1?
• Is this VT? If you think it is — How certain are you of your diagnosis?

Figure-1: Long lead II rhythm strip obtained from a 70 year old woman with chest pain. Is the rhythm VT? How certain are you of your diagnosis? NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window.

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GO TO – http://youtu.be/sna1fcSQPFw – on YouTube to view this ECG Video (25 minutes).

• Click Here  — for a Timed CONTENTS of Video-Blog #7.
• NOTE: For those wanting thorough written discussion of this case — Please CLICK HERE to see my ECG Blog #102 (Addendum to Video Blog-7).
• 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 #100 (ECG Video-Blog-6) - Arrhythmia Management in Primary Care (Part 3)

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     This is the 6th installment of my ECG Video Blog. This 40-minute video is the final part of this 3-part series on a Clinical Look at Cardiac Arrhythmias from a Primary Care Perspective. Focus in this Part 3 is on ECG diagnosis and management of the SVT Rhythms — including PSVT/AVNRT — MAT — Atrial Flutter — and Atrial Fibrillation.

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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 )
• ECG Video-Blog #5 (= Blog #99) — Clinical Arrhythmia Mgmt (Part 2 )
• ECG Video-Blog #6 (= Blog #100) — Clinical Arrhythmia Mgmt (Part 3 )
•    Please check out our Cardiac Arrhythmia page = www.aafpecg.com -
•    Click Here for Timed Contents to Video-Blogs #4,5,6!
• ------------------------------------------------------------
• 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 3 (Video-Blog #6 = Blog #100). I believe this video brings the topic to life!

Figure-1: Slide discussing use of calipers and carotid massage (large arrow) for diagnosis of AFlutter.  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=K827SARyi04&feature=youtu.be on YouTube to view this ECG Video (40 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 -
• Be sure to also view Parts 1 & 2 of this 3-part Series ....

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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!

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

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.

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

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 )
• 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

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

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

     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 -

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

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 #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.

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

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

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

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

     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 -

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

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 #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!

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

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!

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