ECG Rhythms for self-assessment: Test ECG Interpretation Skills

[@tracelawson1367]

0:18 sinus Bradycardia 0:39 junctional rhythm 1:00 sinus rhythm 1:20 sinus arrhythmia 1:42 wandering pacemaker 2:02 sinus tachycardia 2:24 atrial flutter 2:44 accelerated junctional rhythm 3:05 junctional tachycardia 3:25 atrial fibrillation 3:48 idioventricular rhythm 4:08 accelerated idioventricular rhythm 4:31 second degree AV block Mobitz type 1 / wenckebach 4:52 SVT 5:11 first degree AV block 5:32 second degree AV block mobitz type 2 5:53 PVC 6:14 Third degree AV block 6:35 Ventricular Tachycardia 6:57 PAC 7:17 Atrial pacing 7:40 PJC 7:59 paced ventricles 8:20 VFIB

[@PracticalMedicine]

Thanks

[@tracelawson1367]

@@PracticalMedicineNp, Did it to cheat on a test. Didn’t really work out 💀

[@kennethrobinson6738]

I appreciate the break down. I always mix up the PVCs and PACs.

[@valentinocaine2294]

The rhythm at 6:31 shows Normal Sinus Rhythm, not a PAC as listed. It would be an irregular rhythm.

[@hh-de6hc]

yeah

[@rosalietumacder1993]

agree

[@RBTrujillo1]

agree

[@sometimesoonfan]

Dudeeee! That was racking my brain!

[@ronthemogul]

6:57 you mean

[@lkw5699]

That wandering pacemaker gets me everytime

[@doris7653]

Me too

[@kalenclayton]

ECG test in a few days. This just helped me identify a few rhythms that I need a little more work on. Thank you!

[@chelsea9588]

This is literally the perfect review before ACLS or a rhythm exam for work! Thanks!

[@dr.omarrashwan]

In 3:00 , it's VT not junctional tachycardia....junctional tachycardia is the same as SVT.....compare between both at 3:00 & 4:50 ...they are different

[@perveennoor372]

Saw this right before exams! Thanks a ton!

[@Cacio99]

I think that PAC rhythms (at 6:55) isn't correct but i'm probably wrong

[@PracticalMedicine]

Thanks for pointing out the error

[@4m4lmini4wdhobbyshop7]

Yup...there is no ectopic beat at all

[@simplyash4165]

I agree, it's a normal sinus rhythm

[@misbahkachchi2236]

How to identify ectopic beat on ecg?

[@RichKennedyIII]

It’s not a pac but the PRI is still small...

[@premarawat7919]

I cnat believe that koi aise bhi padha skta hai ❤️

[@ardilalucia]

Thanks!

[@PracticalMedicine]

Thank you 😊

[@eljosepr10]

This beat is fire !!! Helped with my studying !!

[@jadensilva2227]

Where is the PAC at 7:02?

[@blooddrunk4957]

Can someone explain to me how 6:57 is PAC? I'm not taking a class or anything, this is just a reoccurring hyperfixation of mine. But the only thing I can see is the different morphology of some p waves. I thought PAC's usually led to an irregular rate? Thanks in advance!

[@iganpparamarta8813]

It's definitely an error.

[@joat9278]

This was excellent ! I passed my test with it❤ thank you!!

[@rocambole93]

the music has the right rhythm too

[@hapax87]

It would be nice if there were a brief intro to explain how to use this test practice.

[@lebparr6139]

That was fun!

[@Papinca]

Hello, We are working hard to develop competitive materials. I hope this is of use. TeachMeAandP. We would appreciate your support either on youtube or Patreon. www.patreon.com/TeachMeAandP kzbin.info/door/ZYQgK2AKo9dwIE7xDe0p8A

[@melvinleong3731]

can anyone tell me which one is the most common for people

[@drgadham]

Good presentation 👍

[@rajanjacob2577]

Excellent

[@PoopScooper10000]

Agreed! Thought I was crazy for a second

[@ashwinkalaiselvan6358]

Hats off to you, who made this video

[@4emperor4]

6:50 is SR not PAC been knocking me head out , rest was very usefull

[@drgadham]

Very good practice presentation 👌

[@NJFireBuff]

6:50 where the hell do you see a pac

[@PracticalMedicine]

Lol. You're Right. It is difficult to see.

[@Untamed_ayla]

LOL I was just saying this outloud myself . I BARELY see it. I thought it was NSR.

[@X1OAFREED0M]

3:05 don't junctional rhythms have narrow QRS complexes? This looks more like vtach since the QRS is wide

[@iganpparamarta8813]

Possibly from an aberrant conduction, my guess was VTach too = regular wide QRS tachy + taller left ear. If you look closely there are small P waves very close to QRS complex, as explained by dr.Ken Grauer those Ps can't be sinus.

[@shaneb.3982]

Thanks for the quick refresher.

[@breadfan9]

The atrial contraction was wrong. That was just a sinus rh

[@jocelynjohnson5065]

Have exam in a few days feeling overwhelmed trying to remember these strips for my exam any hints?

[@annaciesielska4463]

that's great reviewing, thank you so much ❤

[@merboyontiveros5297]

Any tips on retaining all this info

[@PracticalMedicine]

Strengthen the basics of ECG interpretation.

[@Zizuthecreatorlamarwest]

Plz add what leads these are, bc i dont know if it's lead avf ,II, or avr

[@PracticalMedicine]

Rhythm lead - II

[@Zizuthecreatorlamarwest]

@@PracticalMedicine what about the sinus arrythmia one? that did not look like lead II

[@abdulchaba3188]

Sir after importing data to SPSS from Kobo toolbox, the data type is automatically left as string (even those that should be numerical) and measure is automatically left as Nominal (including those that should be scale or ordinal). Is there a way to import so that it is imported the correct way or I must always edit manually after importing it? Thanks sir.

[@karentomas9442]

super helpful practice video! thanks!

[@ardilalucia]

🎉 the music could be a bit less dramatic😅😅 hey i love this it help me a lot

[@PracticalMedicine]

😅

[@jab376]

Million thanks..

[@iganpparamarta8813]

3:00 I immediately guessed VTach lol, when I saw the answer there is actually tiny non sinus Ps very close to QRS.

[@lov.2.g]

Remove the background sound and atrial flutter at 75 heart rate ? Thats a first

[@FLtailboard]

Thank you for this!

[@helenyourlo581]

For the ECG labelled sinus arrhythmia, I think it may be wandering atrial pacemaker instead given that the p waves have different morphologies.

[@bettysmith4527]

That is due to artifact, and is not a change in morphology. Change in morphology would include inverted, or lacking all together, as well as a change in shape. In order to have a wondering atrial pacemaker you need at least three different morphologies.

[@tornikekharbedia8650]

@@bettysmith4527 There are 3 different morphologies..

[@valentinocaine2294]

Look at the irregularity though. Sinus arrhythmia changes on breathing. A WAP will have different P wave morphologies, however, the overall rhythm should be regular if not nearly regular.

[@dokotolobingoma7953]

Beautiful video

[@whytejune207]

Very very helpful

[@misbahkachchi2236]

I love how they ended the video with Ventricular Fibrillation 😄

[@taliarose3166]

Should’ve ended with asystole 😂

[@saranyabathey4851]

Video was very helpful

[@francesg3926]

thank you

[@iy2608]

Thanks you so much

[@Freshknight7]

These were great thanks!

[@samuel.tatchim]

Having issues with jonctional rhythms 😭

[@Flumazenil]

Nice video. Get rid of the creepy music and put the sound of the monitor on instead.

[@annural_whitner]

thank you!!

[@jenniferjojotms3821]

Thank you so much!!!

[@drgadham]

VERY GOOD

[@gborowme]

Thank you ☺️

[@dylanfitch2997]

I have to remember wide qrs with no p wave or atrial origin is idoventricular

[@mr.x1363]

Thanks 🙏

[@BlakeSicley]

Sinus with PAC is tough

[@dr.deekshamedlife7488]

Excellent !!

[@azitagalinimoghaddam2095]

great

[@vahidmohamadi5884]

amazing

[@tahmeedahnaf5065]

that background music!

[@PracticalMedicine]

What about it! Good, bad ...?

[@tahmeedahnaf5065]

Good man.. 😀..kind of mesmerising....where did you get it?

[@dandreaevanswarner4845]

Thankkk youuuu 🥰

[@sebastienkutusova9824]

great it help me very much

[@annamjulius1286]

Bradycardia

[@alice010185]

I appreciate you all providing educational content however whoever made this video has no business making an EKG video, there are mistakes and incorrect terminology throughout. At 6:55 it says "Premature atrial rhythm" which they then abbreviated "PAC" which actually stand for premature atrial contraction. Also that PR does not look short but it's also hard to tell because it's not on an EKG background (like with squares). Even if the PR is normal the p wave morphology is normal except in one spot. Also at 3:05 that's too wide to be junctional. AT 5:56 that's SR with PVC's NOT "premature ventricular rhythm" which isn't even really a correct term. And again it has PVC next to it which stand for premature ventricular contraction NOT what they specified. 7:03 looks like there's a pacer spike in front of the QRS, obviously there isn't because the complex isn't wide however whoever drew that picture misrepresents it a little.

[@anandrahangdale5214]

Alice, yo must have read How to win friends and influence people!

[@shaneb.3982]

Make you should make a better video know it all. People like you really irritate me.

[@JohnMurse]

@@anandrahangdale5214 irrelevant

[@JohnMurse]

@@shaneb.3982 Have fun learning the wrong material and thinking you're smart!

[@bettysmith4527]

Alice looks like YOU have more studying to do dear! Junctional rhythms can in fact be wide if you have aberrant conduction either because the patient has an underlying bundle branch block, or because of slower conduction secondary to a faster rate. In 7:03 that is an ATRIAL PACEMAKER (hence the pacer spike you see before the P wave), as identified in the video, which WOULD NOT cause widening of the QRS since the impulse would be traveling down the atria and into the AV junction normally. READ UP BEFORE YOU INSULT THE WORK OF OTHERS, it is you who needs to study!! I will give you your first complaint about the PAC, there was no PAC in that running strip, so yes they screwed up that one.

[@5avilajohn]

Atrial Flutter actually has a fast HR typically around 300

[@brandionatuesday9411]

No…at that point 300 bpm it would be SVT. You can have a rate of less than 100 with a rhythm of a flutter.

[@TheWiseGorilla]

A-Fib has an ATRIAL rate of 300, which is why you cannot discern the p waves. A-Flutter does not have a Hr of 300. I usually see A-Flutter at a rate of 150ish.

[@candyxoxo506]

I got 2 wrong. Junctional tach and pjc . I know better now thanks to this vid!🙂

[@PracticalMedicine]

Thank you for appreciation

[@ebuseman6]

Junctional tach seemed more like svt to me due to the heart rate

[@farzane2606]

Thank you so much. It was very helpful

[@delilah8482]

i'm a first year medical student and this does not look like the ones in the book.... welp

[@kyleleggat175]

New to this

[@Anne-kg7ee]

😍😍😍😍😍🔥🔥🔥🔥👏👏👏👏

[@lkw5699]

No Torsades

[@cliftonsuber]

Am i the only one who didnt see any PAC's

[@doris7653]

Me too

[@LawrenceMadrigal-s6p]

Ziemann Mission

[@PracticalMedicine]

🤔

[@strawberrylala5529]

♥️