Entrainment Mapping: The Post-Pacing Interval

[@jaskaransgujral6942]

It takes a genius to make a complex topic like entrainment seem so simple. Thank you for the effort Sir !!

[@mankadpranav]

These are very helpful, thank you for taking time and doing it! Love the curriculum you are building. Since I am a visual learner these are more helpful than any text book I have found. I remember having a discussion with you at HRS during fellows mentoring session couple of years ago and was very helpful!

[@rizkyfanani9059]

Really love how you explain such a complicated material to study become so simple and crystal clear. Thank you so much, it is very valuable for me who is having an electrophysiology fellowship next year. Thank you soooo much

[@dr.joshuacooper-arrhythmia9917]

Thank you so much! I'm thrilled you found this video to be helpful!! Good luck as you start your EP fellowship!

[@solitairewolff]

As an EP enthusiast doing my first steps in this field I found this extremely helpful. Thank you Dr. Cooper! Greetings from Argentina

[@mohammedlakha1610]

Fantastic video. Definitely recommend for people that are just being introduced to EP. Keep up the good work. Looking forward to more video. Especially complex ones!

[@girijajha]

MY HUMBLE REGARDS & GRATITUDE . I HAVE WATCHED ALL OUR VIDEOS AND LEARNED A LOT . IT WAS VERY DIFFICULT STUDYING TEXT BOOK AND GETTING IT . YOU MAKE EVERYTHING EASY, SIR .

[@Enkoherans]

If I learn EP one day thoroughly it will be because of you. Thanks Dr . Cooper , you are a great man.

[@666rayoflight]

Fantastic Sir , Take a bow to your presentation.

[@amardeepbishnoi226]

Very very very very helpful. Thanks for taking out the time to share thinking process at every successive step!!

[@lindseypetritis2376]

Great video Dr. Cooper! As a new mapper, I found this video incredibly helpful at bridging gaps in knowledge. Thank you!

[@mohammadpaymard792]

Another excellent presentation, thank you so much Dr Cooper for your teaching.

[@angieteng2664]

I’m an Ep nurse , I understand your lecture 80%. That’s great for me! I’m looking forward to seeing more from your presentation! Thank you DR

[@dr.joshuacooper-arrhythmia9917]

Sorry if I've failed you for the other 20%! But so glad you watched and that you found the video helpful!!

[@angieteng2664]

@@dr.joshuacooper-arrhythmia9917 Dr. Cooper, you did not fail me, it’s my brain that is not able to comprehend the concepts. I’m getting there. The more I watch your videos the clear I get. Thank you so much. You are the only one so far I could understand!

[@fernandomalpicacervantes829]

excellent class, we look forward to the chapter of entrainment in VT

[@avieres8033]

Excellent presentation, easy to understand and follow.Thank you very much.

[@arshadali56]

Always womderfull to watch

[@jaymutah]

This was a great lecture. You have explained a complex concept beautifully. Thank you for your teaching.

[@dr.joshuacooper-arrhythmia9917]

Glad it was helpful!

[@Aries471]

Thank you so much for your very helpful guiding video! It is really easy to understand.

[@1emart1]

Outstanding video. Clearly explained, concise and focused, visuals perfectly complemented. Very much appreciate you taking the time to share your approach. Great resource for fellows starting out, or as a review of the fundamentals. I hope you will keep making more vidoes on more advanced EP topics as well.

[@dr.joshuacooper-arrhythmia9917]

Thanks so much! I have found that teaching on the fundamentals of EP is an unmet need, as most EP experts love and prefer talking about the more advanced and "exciting" EP topics of greater complexity. So that's where I've started. But yes, more to come, building up from the basics!

[@1emart1]

@@dr.joshuacooper-arrhythmia9917 Glad to hear it! I look forward to them :)

[@jimloops8093]

Congratulations!!!...very helpful and explanatory.

[@DH-vy8hw]

PLEASE make a video on PVC Localization! PLEASE!

[@MonishaK-jc9mq]

yes definitely Dr.cooper, please do!

[@samuelho5051]

Another Excellent presentation. Thank you!

[@Sandouras]

I cannot thank you enough for these videos!

[@jeevan22m]

Great lecture, very lucid explanation..

[@drhamayundawar9010]

Excellent presentation.thanks alot for explaining in a very nice way.thumbs up

[@dr.joshuacooper-arrhythmia9917]

Thanks so much! I'm very pleased you found it helpful!!

[@Movierecapitall]

Amazing presentation.... thanks alot . Made it very easy 🌸🌸

[@prihinn]

Thank you so much! Your videos are great!

[@sharathkumar8518]

Thank You !

[@julianaiglesias6165]

Great explanation!

[@bluesistanbul]

Absolutely brilliant 🤩

[@vmemtsas]

that was an excellent video, offering clear explanations, with good moving graphics, of complex concepts such as entrainment, for those of us starting to get our hands dirty with EP. Thank you!. Looking forward to more videos of yours. Perhaps now (Aug 2020) that the most of the basic concepts have been presented , case presentations would be very useful. ANRT, AVNRT etc.

[@dr.joshuacooper-arrhythmia9917]

Working on it! Clinical work is keeping me busy, but when I have some free moments, I'm creating new content! The next video I'm working on deals with atrial flutter, and draws upon (and extends) concepts that I've taught in my Intro to Egms, Entrainment Mapping, and Activation Mapping videos! Thanks for watching!

[@shenle75]

i hope you continue to share educational videos and slides

[@dr.joshuacooper-arrhythmia9917]

Thanks so much. Yes, I have more in the works - priorities shifted during covid, but closing in on a presentation about atrial flutter that brings together lots of topics! And I'm planning a higher level entrainment talk as well.

[@sandeshnayak9527]

Super presentation 👌👌

[@jenishshroff4667]

This was superb!!

[@nikhilshah7181]

Excellent sir got all my queries cleared regarding entrainment

[@dr.joshuacooper-arrhythmia9917]

So glad it was helpful!

[@munirabdullatif2022]

Excellent and great job.. many thanks..

[@kountchev1]

Thank you so much!

[@anunaygupta5343]

Gratitude

[@dalipsaivittal1120]

great

[@tuanlongnguyen948]

Thanks you sir so much!!

[@kyawkhant4273]

Hello Dr. Cooper, Thank you so much for your awesome lecture! I have a quick question. At 11:49 in this video, I am not entirely sure how the excitable gap migrates backward when you pace faster than TCL. Can you please explain, sir?

[@dr.joshuacooper-arrhythmia9917]

The excitable gap isn't actually moving backward, but rather it continues to revolve forward around the circuit for as long as the tachycardia continues. However, the location of where the gap is located at any moment in time will of course vary, depending on what moment you're looking at. When one starts pacing at a faster rate than the ongoing tachycardia/circuit is happening, then the location of where the gap is will be different with each pacing pulse (because the pacing is happening at a different rate than the circuit revolution i.e. they are out of sync). And so, if pacing is occurring faster than the revolution of the circuit/excitable gap, then with each sequential pacing pulse, the excitable gap will not have had the chance to get all the way around back to where it was at the moment of the previous pacing stimulus; instead, the gap location will essentially be a little be behind where it was the last time a pacing pulse occurred. And that means that effectively, comparing each gap location to the previous location, the gap will be a little bit behind where it was before, and at some point, the gap will be located as close to the pacing stimulus as possible, given the different locations it will occupy during different pacing pulses. That is why I made the statement that the gap "migrates backward" during faster pacing, which referred to its position each time pacing occurred, rather than the actual direction of travel. Does that make sense?

[@kyawkhant4273]

Yes that does make sense, Dr. Cooper! I was assuming an excitable gap to be stationary during re-entrant arrhythmia. Thank you so much for your detailed explanation, sir.

[@dr.joshuacooper-arrhythmia9917]

@@kyawkhant4273 You'll see at the 7:10 mark, i review how the excitable gap is rotating! 👍

[@kyawkhant4273]

That’s right. Thank you, Dr. Cooper :)

[@martynaskrzynska]

Fantastic😊😊😊🥰 thank you a lot 😄😄😀

[@akashsinghyadav7786]

Please explain crossover

[@alexandermunoz992]

WAO, THANKS

[@bigBadArabianGuy]

that was amazingly well to follow. thank you!

[@Cardiology-courses]

thank you so much!