Supraventricular Tachycardia/Arrhythmia (SVT) Treatment, Vagal Maneuvers, ECG, Lecture USMLE/NCLEX

[@MedNerdDrWaqasFazal]

DON'T FORGET TO CLICK THE SUBSCRIBE BUTTON ❤ FOLLOW ME ON :) Instagram: instagram.com/docwaqasfazal/ Facebook: facebook.com/Drwaqasfazal Time Stamps: (CLICKABLE) 0:00 Intro 0:14 What is Supraventricular Tachycardia(SVT)? 3:20 Clinical Symptoms 4:20 Important Point 4:51 Auscultation Finding 5:25 ECG 7:28 How to see Hidden ''P'' waves? 8:08 Treatment 11:34 Vagal Maneuvers (Valsalva Maneuver) 12:08 Modified Valsalva Maneuver 13:23 Diving Reflex 13:45 Carotid Sinus Massage 14:45 Adenosine 17:50 Flow Diagram 18:57 Summary

[@mukizarogers]

The best explanation for SVT i have ever come across. Thank you.

[@rajendrakhandekar1457]

Fantastic explanation by a true teacher Dr. Fazal Sir... Salam saheb... I understood it because I am SVT patient who underwent DC electrocardioversion in the year 2007. Prior to that I underwent CMV in the year 1994. I am now 66 yrs of age.

[@Simplensweett]

I have watched this vedio after had attended a patient with SVT.u were clear and made it easy to understand.thank you for helping us to learn more and more.

[@aghajavaid8415]

God has given you an excellent brain and you are working for the benefits of folks.An ajray Azeem .God bless you.

[@imtiazmagsi3943]

MashaAllah sir your style of teaching is so good. Allah bless you 💝

[@WalturdTheCat]

For 5 years, i was misdiagnosed with anxiety and panic disorder. I kept telling the doctors something was wrong with my heart. They didnt believe me. Since it was left untreated, in having more episodes and much longer episodes. Finally a new cardiologist diagnosed SVT.

[@ronnasurmon1656]

I went through the same case. Did they prescribe you any medication? how do you cope with the svt episodes?

[@WalturdTheCat]

@@ronnasurmon1656 they first prescribed Dialtezem. It brought my blood pressure through the roof so I had a bad reaction to it. Then they switched me to metoprolol and the same thing happened, super high blood pressure and I felt totally out of it on that Med too. They took me off of the meds and they are talking about doing an ablation. However I have been doing tons of research and so far I have taken all caffeine out of my diet, including chocolate or anything with caffeine. If you research foods that trigger SVT it is very helpful so you know how to rearrange your diet and things you can add in to help prevent attacks. There are also different maneuvers you can do to try to stop the attack, one is putting very cold water or preferably ice on your face for at least 15 seconds and taking it off and then putting it back on for another 15 seconds. Start searching here on KZbin for Maneuvers to stop SVT. I just got off of the metoprolol yesterday after three days in a row going to the emergency room for symptoms and side effects

[@alikangal4734]

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[@sirmachi7061]

What is your condition now.and mention medicine names or you your recovery procedure

[@WalturdTheCat]

@@sirmachi7061 tried dialtezem, then metropolol tartrate. Both were horrible for me. I had to stop taking them. Side effects of both medications were horrible for me. Now I'm just winging it. If I have super fast heart rate, I put a bunch of ice with water in a baggie and out it on my face, from forehead to upper lip. I leave it on 15 seconds crate it off 15 seconds, and repeat. It usually calms the heart. My resting pulse as soon as I get up is over 100, I just pray and try to stay calm until it comes down. Medical system in Illinois is a big joke! EP dr ordered an MRI of my heart, to see if there's any scarring that could be causing my issues. Not sure what husband will be, if there is scarring. Took all caffeine out of diet and found sugar also triggers my heart rate to go fast. So trying to not eat candy, donuts. Etc. Change of diet seemed to calm it down a but, too. Less salt.

[@emmanueljosephfofanah2249]

You are helping people beyond your expectations, thank you doctor

[@mesenteria]

Great video and explanation. About the very best I have seen, and so helpful for AF/SVT sufferers like myself who want to learn more. BTW, if you're new to the subject, these things won't kill you. It's many weeks of this, unabated, that begins to cause heart failure. In the meantime, you will have presented to an ER or to a cardiologist and been treated appropriately. One tip: if your SVT doesn't correct inside of 24 hours, get yourself to the ER. Do not delay after 24 hours.

[@alikangal4734]

bende eforda çıktı 250 nabız oldu 2 ila 3 dakika sürdü düştü tekrar öksürme ıkınma su ile bu hangisi taşikardi

[@charlesmunsamy1404]

Effective ... even a high school student can follow and understand. Makes complex medical phenomenon easy to make sense of and comprehend. You have the art nd skill to teach the discipline of cardiology par-excellance

[@PeoplesScience]

One of the most thorough profs 🙏🏼 Thank you Sir

[@stevegodsey2020]

Thanks for this information. The MULLER MANEUVER, which is trying to INHALE rather than PUSH against a blocked airway (the Valsalva maneuver), works far better for me. Over 40 years and many SVT episodes, I used to always try the Valsalva maneuver and it often didn't work - I had to go to the ER several times and get Adenosine. But several years ago I discovered the Muller maneuver and it works every time (sometimes I have to do it more than once). It's a weird feeling to lower your intrathoracic pressure, but it's worth the discomfort. Hope this helps someone!

[@WalturdTheCat]

I'm trying to avoid medicine. Inhaling or holding my breath makes me feel dizzy where I nearly pass out. Do you just inhale deep and breathe, or for you hold your breath?

[@muhammadsaeedakbar8059]

Very good illustrations n way to pass information easily to viewers. Full of information & management of the cases. Thnx n jazak Allah Dr sb

[@samitino6217]

This was very helpful.....thank you Dr

[@luckycher2015]

Thank you very much for the best explanation of svt. Amazing doctor God bless you always.

[@meenuT.]

Very well explained Dr. I am from Himachal and I was suffering from SVT for 10 years , every time I went to hospital Dr gave me gastric injection, sometimes said it's a panic attack etc etc gave me too many strips of medicines. Fortunately, Finally in Kerala one gentleman cardiologist Dr K.Suresh from SK hospital, trivendram found that it is SVT and now I only take one tab. God bless Dr K.Suresh cardiologist 🙏🏻

[@fun-time3774]

Whts the name of that tablet sir

[@deeptimalhotra7743]

Sir you r one of the best teachers I v ever come across my regards and deep respect 🙏 for you, thank you.

[@manofsteal2792]

the best thing that all your videos are very updated to the recent guidelines ,, thank you very much sir love your videos

[@sudeshraina9307]

Best possible teaching.

[@LinaGQ]

You are an amazing teaching. Thank you God bless you

[@sunethchandi5242]

Best of the best. Every patient got cure, that helping this knowledge will bless from god.

[@16farwasaeed18]

I have an assignment in my emergency department, this video saved me in front of madam ! More duas to you✨

[@cravichenniah3548]

Exclent advice sir Clear my doubts

[@homosapien3895]

thankyou sir best explanation but one thing I would like to mention , that multifocal atrial tachycardia is irregular supraventricular rhythm

[@dr.sanjayupadhyay9676]

Thanks sir.. your explanation method is very easy ...

[@SatishDivekar-x6f]

Very nice Presentation

[@PeteHob]

Very informative. Just a couple of things. When you mention sedation it would be helpful if you explain whether you use propofol or merely fentanyl and midazolam, which would definitely be a Knogo in my case. Secondly., it would be helpful as well as compassionate to mention how the patient will feel and react to adenosine. Thank you

[@yonasabebe5387]

Very helpful lecture , keep shining 🌟🌟🌟🌟 Dr. 🎉🎉🎉🎉🎉🎉

[@alanpadayathil4294]

Thank you so much Dr Fazal. Your the best !

[@israhmanzoor5556]

Thankyou dr waqas. Your videos are really great. May Allah give you ajar for this.ameen. Please keep making vidoes like these

[@MedNerdDrWaqasFazal]

So kind of you Israh. Ameen. Keep supporting 😊

[@manarmohialdeen3939]

You are super superrr superrr great doctor , and we're so grateful for you❤!!!!

[@msdahinwal]

Watching ur video afer giving 6 mg and 12 mg adenosine to a patient. Before adenosine. Rate was 220 , regular, p wave absent and after adenosine..rate became 100.. mission successful

[@thuptentenzin7850]

explanation, presentation and synthesis are great. Very useful. Thanks

[@MedNerdDrWaqasFazal]

Thank you. 😊 Keep supporting

[@amandabeauchamp244]

Thankyou so much I have just been diagnosed age 63 ...but have been somewhat anxious my entire life ... The Expert cardiologist I saw in NZ said I may have been born like this but only picked up as it's worsened and I have now these symptoms physically. My first collapse was six days after the second COVID shot ...the Professor I saw said there has been much more of these problems since a bout of Covid last year. Please do you have an opinion on this phenomenon . I didnt have physical problems like this before 🙏

[@X2O8MZV9]

Very interestin and well explained. Thank You very much!

[@jibraeelkhandurrani1237]

Excellent lecture

[@gracewaithaka9382]

Great lecture. Thank you!

[@clinical101]

بارك الله فيك

[@AmjadKhan-tb7tg]

Dear Dr you are contributing to the significant illness for the patients upto the mark. I hv one patient and want to get an appointment from you, so pl guide me, I shall be obliged...

[@KarenCeleste-op6bx]

I was one of those patients that did not respond to any measures that they tried to bring down my heart rate. In February this year, nothing would bring the heart rate from 237 bpm. I told them that previously (2020) had to be on diltiazem, metropolol and digoxin until cardiac ablation could be performed months later (during Covid restrictions). I am wearing a holter monitor now for 2 weeks and my own cardiologist will follow up.

[@MalalaiUlfat-mp2di]

Your videos are best i learn alotfrom your vedio thanks sir

[@thukralankit7]

Excellent lecture Sir

[@Dr-789]

Good sequence ...but it would be more charming if u showed different ECGs in differential u described like ECG of sinus tachy ,sinus arrythmia ...

[@radhwanabdulla6806]

Allah bless you . Great thanks for you and full clear explanation.❤

[@MedNerdDrWaqasFazal]

Thank you very much Radhwan Abdulla for all your comments. I read all of them. So Nice of you 😊

[@radhwanabdulla6806]

@@MedNerdDrWaqasFazal please if you visit uk please visit us in Wales . Really we are proud of you .

[@adityapathak9999]

Thanks for such a great and detailed video. My wife diagnosed with PSVT on 19th October and then doctor given Antiarrhythmic in IV. They did not apply any kind of vagal maneuvers or Valsalva maneuvers. If next time it happens can i do these all maneuvers at home and if it do not control then visit to hospital? if this Catheter ablation safe? how much risk of life have in this operation. Can you suggest best hospital or doctor in india

[@kennedyotieno1171]

You are absolutely great

[@jubedakhatun5712]

Sir great explanation. Thank you so much dilse

[@abhaykairati7067]

Sir please make vedio on stepwise management of all type of arrythmia

[@aarifbhat3664]

Sir...thank you....u explain complicated topics so easily.......❤

[@MedNerdDrWaqasFazal]

Thank you Aarif Bhatt. 😊

[@rajeshdeore7864]

Easily explained such a difficult topic thank you sir

[@MedNerdDrWaqasFazal]

Thank you very much Rajesh deore. 😊

[@mithidas4295]

Excellent discussion.What is the cause of urinary urgency polyurea?

[@MedNerdDrWaqasFazal]

Mithi Das, different mechanisms of this polyuria have been proposed. They include increased release of Atrial Natriuretic peptide from heart and inhibition of ADH release. Urine output in SVT patient can increase upto 10 times the normal.

[@Shubham-lv4is]

Thanks😘... Your voice and the way of explaining is very beautiful🎊

[@MedNerdDrWaqasFazal]

Thank you very much shubham for your kind words. 😊

[@dr.biplabkumardas3023]

Sir You are very good teacher

[@amna.ejaz10]

Aslam o alaikum sir. Thank you so much for these videos

[@MedNerdDrWaqasFazal]

Walaikmasalam. You're welcome. Keep supporting 😊

[@dr.rohitpaswanmbbs]

Sir Can You Make a video on ECG basics and how to read It.

[@rumjhumdatta8265]

Crystal clear explanation thank you so much sir

[@MedNerdDrWaqasFazal]

Thank you Rumjhum Datta. Keep supporting 😊

[@drsamreenpatait8001]

Thank you for wonderful videos plz make video for ckd and full ecg reading

[@MedNerdDrWaqasFazal]

Sure Dr. Samreen I will upload these videos. Keep supporting 😊

[@solankipankaj4940]

Sir. Please make full video on ECG leads

[@himalaya396]

wow what an explaination sir

[@QUIGS102]

Excellent Doctor!

[@KOReilly-j2x]

This was Great. Thank you.

[@nasmaandirahim8199]

Excellent video thank you

[@Maothak]

Sir please make a vedio of hypo hyper thyroidism

[@jeewanrajnirola4789]

Thank you sir. Really helpful

[@zanyarqadir6625]

Great video sir

[@lalitamoily9291]

Sir thank you your lectures are so great short concise thorough easy to understand can you do one on basic reading ecg

[@roberthalvorsen9392]

most excellent!

[@rajeevranjansingh4210]

Sir please make the video of cardiac myopathy with full explanation

[@Abduljalil-lf8ne]

Thank you so much💙 Clearly understand 💙

[@yeshanmunasinghe1669]

Need a lecture on non invasive ventilators

[@MedNerdDrWaqasFazal]

Sure Yeshan I will upload video on the above mentioned topic. 😊

[@naglaahamouda9520]

Great as usual 👏

[@mzareef4359]

AA. Dr sb, your videos on every topic is wonderful in all respects. We are regular listeners of your videos and this great job for humanity. 2. Can you please tell your area of specialisation and where you practice now a days. Your complete address for consultation. 3. Kindly make a video on Hyperthyroidism with multi nodular goiter . Regards. Dr Muhammad Zareef Ph D

[@bhaveshkumarsingh2185]

sir make a video on all fluid therapy

[@abhaykairati7067]

Best vedio i have seen

[@MedNerdDrWaqasFazal]

So kind of you Abhay Kairati. 😊

[@nursep18]

Great video!

[@PriyaDharshini-mu2ok]

Sir, pls upload VT explanation like this

[@saahilakhtar8671]

Thank you sir. Needed this badly

[@MedNerdDrWaqasFazal]

Stay tuned for more videos 😊

[@babakshirvani]

great video

[@sushilhare]

Many pts present with short episodes of palpitations on and off. (Palpitations for 2 to 5 minutes and then they feel ok for 10-15 days or sometimes months. These are most difficult arrhythmias type to diagnose

[@SimoneOrsucci-wn8ee]

Very good

[@Paris_vibes]

Sir can u make vid about VTs

[@mahmoodhasantaha4208]

Thank you very much Doctor

[@kkrwariyar3002]

Thank you very much sir.

[@qlasic124]

Pure gold 🥂

[@theinternist5372]

For chronic prophylaxis after controlling PSVT , should be give Metolar with dilzem together ??? If yes for how long ??

[@nishakushwah1422]

Gd evg.sir I m having a que A pt.having h/o TIA 2 days back admit in icu , now developing SVT HR 190/min. and hypotensive . Can we gave carotid massgae to pt having h/o TIA There is one mcq asking which will not be given to above pt having 4 options A.CSM B Adenosine C.IV fluid D.Cardioversion

[@hibajamil1914]

Sir plzzz make a video for Interestial lung disease

[@trauma_nurse574]

AVNRT-- the current just flow from AV NODE TO VENTRICLE AGAIN AND AGAIN?

[@ikhlaquehussain7778]

Please make video on PME and Ed

[@MedNerdDrWaqasFazal]

Sure Ikhlaque Hussain. Keep supporting 😊

[@alokaboro4449]

Sir, my son is 2years old and he is svt patient.He is diagionise at 1 1/2 months and till now 6 time hospitalised.Sir at what age operation can possible.

[@muhammadhussain-py6xd]

great although me gastroenterologist,but very good learning source

[@MedNerdDrWaqasFazal]

Your kind words mean alot to me Dr. Hussain 😊

[@gerrymiereyes9091]

Is it okay to not treat this bacause it just appear when my diet is bad or i play basketball like exerting more2 effort to do defence and offence.

[@sonalkuwar7583]

@mednerddrwaqasfazal Thanks Dr. My nephew is diagnosed with SVT. He is 14 yrs old...now will be taking 2nd opinion...for treatment..could you please guide on the treatment plan for more knowledge.

[@idream9928]

Sir can we take cefixime 400mg for three months.one capsule daily.

[@trauma_nurse574]

Which part of the atria ? AV NODE you mean?

[@golamrabbani1891]

Thank you doctor

[@obiealhezib3304]

Super

[@mzareef4359]

Wonderful video. Dr Muhammad Zareef Ph D

[@MedNerdDrWaqasFazal]

Thank you Dr. M Zareef 😊

[@razamansoori8244]

Very nice

[@ankushkumarmail746]

Sir...can jnj dilzem or adenosine be used for SVT if pt has hypotension..70/40mmg Age 18 years old.with No significant past history except taking some ayurveda medication for wy gain.

[@swethaswe5069]

Thank you sir🎉