ST Elevation and ST Depression EXPLAINED

Why do we see ST elevation and ST depression on ECG / EKG?

[@warmflash7]

OMG....I have never heard anyone explain the biophysical basis for ST depression and elevation so clearly and simply! Some of us learn better by learning the mechanism of things, but that not how things are taught generally in medical education, where instead it’s often “this is what you beed to know. Dont worry about why, unless you become an electrophysiologist.” Thank you!

[@CA-mk4hp]

God bless this mustached man helping me understand how to do my essay.

[@khan6004]

😂😂😂

[@hassinayazid99]

Amen! Lol

[@nicolecarswell4113]

I had to come to the comments to write how amazing Dr. Mustache is to actually get me to UNDERSTAND the why's behind this. This video was beyond helpful.

[@happyvibes722]

🤣🤣🤣🤣 you make me laugh by moustache

[@siliconesal]

Moustachioed - lovely word !

[@jaquelinemanuel5716]

Your lecture is SOOOO GREAT! I know what ST elevation and ST depression look like in an ECG but I did not know what that really means but now I know. Thank you.

[@DV-bj9wi]

I just have been sent this video in the 5th week of my CVS block and man this was such a helpful and eye opening lecutre. Thank you so much for putting this much effort into making these videos so great. Your way of explaning and creative use of the board is outstanding! Keep doing what you do, you deserve 100 times the amount of subscribers you have! Thank you once again and I wish you all the success in the future.

[@katelynreilly5394]

this may be the single best video I have ever watched

[@akshayvarahamurthy8743]

Thank you 🙏

[@user-ht9gj6kb5p]

I spent 3 years in my medical school journey trying to understand this proplem and you explained it in 16 minute and i really fully understood it thanks a lot and god bless you

[@lukasx543]

I guess you didn't Google it once in 3 years.

[@gfivefour]

​@@lukasx543 I'm sure they did but couldn't find anything/anyone that explained it well enough. it was the same for me so I get what they're saying.... I've looked at so many things but no one explained it as well as these docs did.

[@markwilliams2620]

Dr.....you have answered a question I have had asked everyone about for 9 months. Thank you! Insomniatic Monitor Tech

[@kittylitterish80]

Amazing!! So glad that you guys do these videos. Couldn't find this info, presented in a comprehensible way anywhere else.

[@marleemurray6584]

After taking two anatomy courses and multiple exercise physiology courses you've just cleared up all confusion I've had about this topic in 15 minutes. Thank you so much.

[@PabloSanchez-ih8eo]

Great explanation Dr. Mike! Have been looking everywhere as to why subendocardial ischemia leads to initial elevation of the isoelectric point..

[@pouyanrazminia2996]

One of the best explanations for ST changes following ischemia! Thank you so much!

[@dharvisondhi6931]

This is awesome!!!!.Never understood this concept before....Thanks a load Dr. Mike

[@kaleemwhitmore7877]

Thanks you Dr . You is the ONLY person gave me this clear understanding in ecg and subtle understanding of axis deviation. Thanks one love

[@desertdweller129]

Changed my perspective while looking at STEMI and NSTEMI . Thank you for the explanation .

[@jordanpope9096]

I have been trying to understand this concept across 2 degrees and have just now made sense of it thanks to this video. Thank you so much!

[@A.Hemashreeanand]

Your explaining very well!!! sir ..hats off sir👑...🙏🙏💐really a great great teacher...I had ever seen....🔥

[@lionnelberinyuy8438]

Very helpful. I'm a beginner in ECG reading and interpretation but I must confess that I have learnt a lot from this video. Thank you sir

[@sarangjadhav7298]

one of the best explanation for st elevation and depression in a very simple way .

[@paulbieber7103]

I’m worried that I’m becoming addicted to your videos. Brilliant explanation. Thank you.

[@user-pn3bh9sw1b]

Thank you for your great presentation. I think every cardiology fellows should watch your video.

[@Demon1987AS]

Wow. So simple! A question I’ve had for years finally answered. Thank you!

[@Jrodrig1138]

When I tell you my mind is blown right now. I was never taught it this way and assumed it was just elevated because of something happening during repolarization. Until today when I decided to understand what is happening in the heart and ecg during elevation and depression. Thank you!!!!!!!

[@nj2552]

AH! I love learning something like this that just fits in with everything else I've learned and just fills the gap as to why it is. Great clip!!!

[@Juliana.Nyarko]

Oh my days, where have you been all my life thank you so much for your video I’m already understanding how myocardial infraction works.

[@breakinggreatness1010]

This was so good. All teachers should have this ability to teach, communicate and make difficult subjects easy for others to understand. Keep it up!

[@evanhalpern3909]

I'm having a serious case of mustache envy at the moment. I feel the sudden need to overcompensate. Good video by the way. Very informative.

[@jesslugsdin677]

This is great! Revising for ACEM primaries and your videos are perfect - thank you.

[@israchan4474]

I ALWAYS wanted to know this but never found anyone explaining it. tysm!!!

[@yuriko189]

I have been looking everywhere for this explanation. Thank you so much for this video Dr. Mike. It cleared things up for me.

[@jasonchan275]

Spent half an hour om this video and now I understand it. Thanks so much!

[@normaesquivel6575]

Even though it takes effort to understand cardio, I like listening to you, and that makes it easier! Thank you 💗

[@twinklelight1362]

Wow now In understood why is it St elevation and depression! Thank you so much for this highly- educational video! 👏👏👏❤️❤️❤️

[@ltfextreme6506]

I can’t comprehend how this channel is soo underrated!

[@jpdigerolamo]

So well explained while going thru my arrhythmia course. Thanks a lot!

[@lunaeve711]

My professors need to watch your channels to learn how to teach. You explain so well. I love you so much!😘😘😘

[@Promiseland2024]

Oh how i wish you were my nursing instructor. You explained that so well! Thank you so much 💓

[@zahraasalim2739]

Wow, I finally understand it! This is a really wonderful explanation. Thank you so much.

[@jaydenbeaini4761]

Best 16mins I have spent in a long time... finally makes so much sense!!

[@Irisjohnnylee]

Doing clinical exercise physiology and revising some basic concepts for indications of terminating exercise testing. This is such a good simple explanation thank you!!

[@RohanKayani]

You explained this concept so well. Thank you!

[@SebnemEgriboyun]

I'm a medical student and I was struggling to understand this, thank you so much!

[@zakirzak1494]

Another great video... thank you 🙏 Your videos make things easier to understand

[@anp2920]

This man is the best in medical teaching in youtube!

[@chorvang9670]

Dr. Mike, what a wonderful presentation. Thank you sooooo much!!! Please, can you do a video on how to read an EKG and 12-lead EKG printouts?

[@eyaayadi9053]

i had no idea! I was looking for this video for a while and I m glad that I found it! thank you so much

[@pilaringham3031]

WOW best explenation ever, not found in most books. THANKS now I can continue learning the resto of cardiology :)))))))

[@saadyasir10]

Didn't know Fuse from apex had an education Channel Been struggling with this for so long.... Love this ❤❤❤

[@ryan_churchill]

Thank you so much! I've been so confused about this for weeks and just shared the link with my medical cohort!

[@DrMattDrMike]

Thanks Ryan! 😊 🙏

[@aestheticvibes7524]

@@DrMattDrMike sir please help, i am 20 years old,i have anxiety issue and did 5 ecg last year and came back normal but today i did ecg and during the test i was anxious and heart was beating fast and when the test was done the report said Borderline condition in 1.early repolarization and 2.sT T abnormalities..i dont know what it is and is it false report....please sir

[@christapenman4240]

Thank you for such a great video. I've been searching for this very explanation down to the cellular level of STEMI and NSTEMI

[@jessebassett5865]

thank you so much this finally started to make sense after weeks of trying to get my head around it thank you again

[@aditirawat4560]

This is just mind blowing how u explained it. Just the best 👑

[@nicolecarswell4113]

Thank you thank you! This was beyond helpful it helped bridge the gap between what it means when I see it and what is actually occuring to make it that way. Can't say thanks enough

[@SSelenaTY]

you guys are great. glad I accidently found out this channel, which help me understand many concepts

[@tbrooke1234]

You are AMAZING. so many things coming together for me with your videos. Thank you Thank you Thank you

[@rachael4775]

i was feeling pretty down about this but you explained it sooo well. thank you so much!

[@hinnypinny]

🤯 You're a fantastic teacher. Thank you!!!

[@code3toepain]

This is a fantastic video. Great job Doc

[@saraadiba5861]

Amazing!please make more videos like this,basic is explained so nicely!

[@johannliesner6659]

BRILLIANT EXPLANATION, thank you!!

[@Juliana.Nyarko]

You are literally so alive thank you so so much

[@brianchen8809]

you save my license test, how lucky i am can come across this video. thanks way more a lot

[@siyabendunus6443]

Tank u so much! Great video, great teacher. Was a pleasure to listen to ur passionate explanation!

[@herbaboa]

Such an elegant moustachy understanding of a very efficiently explained concept so confusinggly everywhere else

[@jxnwxxng]

This is powerful. Thank you so much!!

[@AT-yj8gl]

No dr Mike you do not understand I have been looking for this explanation for the past 3 days day and night and it has been driving me crazy. Like thank you so freaking much my Australian professor

[@jspriver]

Not bad dude. No bad at all. As an old medic 12 leads were not a thing in the field and I never learned them. This has cleared things up a ton thanks

[@jerseyjeeper1575]

That was an awesome example, thanks very much.

[@Hossam_1993]

I saw two videos of him without mustache now I am watching this, this is so hilarious if you are not used to see him with mustache.

[@postmelon645]

Thank you so much for the brilliant explanation Dr. Mike! nice mustache by the way.

[@gfivefour]

thank you docs!!! you explained it the way that I understand stuff.

[@Santy_4799]

I was quite upset as none of the books provide an explanation for this phenomenon. Thank you for your wonderful presentation.

[@rebeccawan3088]

YES. So many resources only tell you what the ECG indicates but not WHY or the pathophysiology behind.

[@rebeccawan3088]

And my med school only have one lecture on ECG with NO teaching about cardiac pathology. We have to learn everything ourselves. Online resources like this is a god savior.

[@Santy_4799]

@@rebeccawan3088 Yup, same here in India

[@rashifarsya]

I know right! Lol!

[@rg8276]

This one video explanation was enough for me to subscribe!

[@johnikadougan8585]

I finally understand this! Thank you.

[@christyjane3451]

Thank you for this Doctor!🤗

[@sharonpadilla4878]

Awesome! Thank you very much

[@wit9815]

this vis is amazing, oh my god, best explanation ever, thank u so so so much

[@carnage3694]

Thank you I was looking for this concept

[@elyssaberger5901]

Thank you. I’m a nurse. Not cardiac- HH wound ostomy care. Cardiology beyond basics is French to me. Thanks for the clear explaination of all I forgot since nursing school! I was dx today w ST depressions symptomatic but nothing but ST depressions 1.5mm on stressEKG during nuclear med test. Other findings normal. If family hx of widow maker (my dad) mom CHF, brother stents at 35. I’m 58 cardiologist gave me the choice to take meds and watch… wait and see if it resolved or angiogram- came to the hospital yesterday morning w chest pain and troponin was .97. An hour later .96 then last one .58 CT at that time showed mild pericarditis and effusion- got steroids IV then prednisone 30mg tabs daily- at stress test fluid and inflammation was already not apparent echo and nuclear stress WNL Except the ST depressions- I’m opting for the angiogram and feel good w that after watching your video on it. Thank you. I don’t need to be a ticking time bomb and wait and watch on meds that have side effects (already ill w/ Crohn’s). I’d rather find out what’s causing it and move on. Hopefully w no meds no blockage but I don’t see if there is no blockage how it won’t lead to one eventually w ischemia already.

[@fedorfomin5759]

Hm, very logical and straightforward explanation. The only thing that is now missing for me, how this 'baseline shift' restores after repolarisation. If we have damaged cells in early depolarisation before the next QRS cycle, we should see some changes on the T-P segment

[@nickdoan4895]

Agree. Please explain. Sir.

[@Dr.bhushanbhole]

Refractory phase

[@Pedro-uk4mx]

That was an amazing explanation. Thank you.

[@ChrisBranleh]

Hell yeah this is a great explanation, thank you!

[@bishalmandal7754]

Thank you for this proper explanation!

[@Yamudu369]

you are god sir...thank u for clearing concept n making it easy

[@hajernt7833]

What an amazing explanation ! Thank u

[@chrishutchison621]

This was such a good way to explain shock

[@abdelkoddous3132]

WOW this is so helpful!! thank you for this beautiful explanation!!

[@somashishsaha]

Thank you for this wonderful explanation

[@gulabrai8723]

Thankyou very much sir, may god bless you for this

[@HabibKhan-kz1tx]

God bless this energetic man.

[@DrMattDrMike]

You too!

[@bhavyathakker9488]

Need more teachers like you 👍👍👍

[@MsYaotube]

this was AMAZING - better than my medical school. WOW!

[@madushikawijesundara3711]

Amazing explanation. Thanks in advance

[@watpremawardhane6808]

Thank you very much for your fantastic explanation Sir.

[@hari1234able]

Explained beautifully thank you so much sir

[@nikunjkumarkanani9018]

Thank you sir for teaching me this concept😊

[@victoragommuo7967]

Thank you for such an amazing explanation ❤️❤️

[@luqi01]

thank you! so clear and easily explained!

[@gfivefour]

God bless you guys truly!

[@tomtankengine0]

So THAT'S how it works! Great lecture!

[@peppapig934]

So is it spontaneous depolarization in absence of SAN impulse in NSTEMI? or do we still need SAN impulse before depolarization but it just happens faster and repolarizes faster?

[@aimz_med]

Wow that explanation was sooo clear 🔥 good job n Thank youuuu!