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Rhythm Practice: Part 1

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Shade Tree Cardiology

Shade Tree Cardiology

Күн бұрын

Lazy Day by Audionautix is licensed under a Creative Commons Attribution 4.0 license. creativecommon...
Artist: audionautix.com/
Practice your rhythm identification skills.
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Пікірлер: 129
@Karltonx
@Karltonx 5 жыл бұрын
Thanks for showing the same rhythms on different styles strips.. it’s helpful to see them like that.
@amycucurillo7364
@amycucurillo7364 3 жыл бұрын
I can't tell you how grateful I am for this resource. Thanks for taking the time to put this together.
@ditzywallflwr9714
@ditzywallflwr9714 Жыл бұрын
The amount of 3rd degree blocks in this video 😂
@prudencejimenez1782
@prudencejimenez1782 10 ай бұрын
I’m not in the medical field at all but I thought it was interesting to learn in case I ever need it and I got most of them right!
@chloeparezanovic2220
@chloeparezanovic2220 3 жыл бұрын
Finally an ECG practice with the most important rhythms!! Thank you :)
@cindybailey6396
@cindybailey6396 3 жыл бұрын
Just WOW! This was SO helpful. Thank you so much!! Exam Monday morning, and I feel so much more confident now!!🙏❤🙏
@ShadeTreeCardiology
@ShadeTreeCardiology 3 жыл бұрын
You're so welcome!
@dr.bshousecalls141
@dr.bshousecalls141 Жыл бұрын
Correct me if I am wrong, but in a 3rd degree or complete heart block there is no relationship between the p waves and the QRS. A "2:1" block would be a type of second degree block.
@m.khaledhamwi9830
@m.khaledhamwi9830 Жыл бұрын
you are correct
@sandrahurst9086
@sandrahurst9086 Жыл бұрын
I'm glad that I was not the only one confused; 3rd deg. HB has P waves not associated with QRS; seen a couple of 3rd HBs that seemed to be 1st deg.
@saintxzaysounds364
@saintxzaysounds364 6 жыл бұрын
Exactly what I needed prior to my interpretation test THNX 😎
@omargaming2125
@omargaming2125 2 жыл бұрын
اللهم إنى أسألك علماً نافعاً و رزقاً طيباً و عملاً متقبلاً
@ShadeTreeCardiology
@ShadeTreeCardiology 2 жыл бұрын
إِنْ شَاءَ ٱللَّٰهُ
@Michelle0403
@Michelle0403 11 ай бұрын
Thank you for this!!
@annamagtaan2155
@annamagtaan2155 Жыл бұрын
very good practice. Thank you.
@lagracekitchen9732
@lagracekitchen9732 2 жыл бұрын
Thank you..awesome practice,!! More videos practice please!
@ShadeTreeCardiology
@ShadeTreeCardiology 2 жыл бұрын
I'm engineering some good ones as we speak. I hope to have them out soon. I'll probably inundate the channel with them. Practice is the only thing which makes perfect but, I have to scrape around for new EKG's. Any duplicates are picked up by the youtube algorithm. Unfortunately, they frown on this and will take it down. As such, scrambling the current list to allow for more practice is a no-go. If you have some EKG's you'd like to have used, send them my way. You'll be helping out every subscriber on this channel.
@PoopScooper10000
@PoopScooper10000 3 жыл бұрын
Example @ 13:18 is KILLER!! You can just BEARLY see the P wave on the T wave on the third beat. Beautifully tricky example
@dust9319
@dust9319 2 жыл бұрын
totally thought that was a first degree av block
@deborahrippe5641
@deborahrippe5641 Жыл бұрын
Need this practice!! Thx!
@edvedder7835
@edvedder7835 5 жыл бұрын
Excellent. Thank you.
@gina3047
@gina3047 5 жыл бұрын
awesome practice!!!! thank you!
@tacticalyeti007
@tacticalyeti007 3 жыл бұрын
thanks for making this super helpful!
@cynthiahorton9008
@cynthiahorton9008 5 жыл бұрын
Great refresher
@lennyshorter197
@lennyshorter197 5 жыл бұрын
cool MoD!!! I am for the ICU again!!
@mateharidesigns
@mateharidesigns 2 жыл бұрын
Amazingly good Self test for EKG...THanks so much !!! God Bless
@ShadeTreeCardiology
@ShadeTreeCardiology 2 жыл бұрын
Glad you liked it!
@iganpparamarta8813
@iganpparamarta8813 Жыл бұрын
8:28 there's irregularity from R to R in beat 5 to 12, IMO it's a rapid AFib
@ynguyen2473
@ynguyen2473 2 жыл бұрын
Thank you so much for your video! It helps me alot 🥰🥰🥰🥰
@ShadeTreeCardiology
@ShadeTreeCardiology 2 жыл бұрын
I'm so glad!
@mereenajomon6724
@mereenajomon6724 4 жыл бұрын
Sir,plz upload video with the explanation about each rhythm.
@ShadeTreeCardiology
@ShadeTreeCardiology 4 жыл бұрын
Looking through the videos, you will find individual rhythms explained along with the interventions necessary. :)
@acatwithinternet5635
@acatwithinternet5635 4 жыл бұрын
Oof that's going to be hours of content right there.
@janeciasico1455
@janeciasico1455 Жыл бұрын
This was fun!
@muthoni632
@muthoni632 4 жыл бұрын
Thank you so much. Super useful
@dukemd69
@dukemd69 6 жыл бұрын
Rhythm @ 6:35 is Bradycardia + 1st degree AVB.
@ShadeTreeCardiology
@ShadeTreeCardiology 6 жыл бұрын
That is a very astute observation. The concept here was to identify the name of the complex which was dropped. While the finding of 1st degree AVB and bradycardia are not insignificant, the larger issue is that of a dropped complex. In this context, a sinus pause is when a single complex is dropped. Conversely, a sinus arrest would be when multiple complexes are dropped.
@bernard.torgbor
@bernard.torgbor 4 жыл бұрын
Thanks for this video. Please i will be grateful for your permission to use it in my training for my work colleagues
@ShadeTreeCardiology
@ShadeTreeCardiology 3 жыл бұрын
Go ahead!
@kxneki5369
@kxneki5369 Жыл бұрын
Thank you
@samuelharuna20
@samuelharuna20 3 жыл бұрын
You're there for me. Well done.
@ShadeTreeCardiology
@ShadeTreeCardiology 3 жыл бұрын
Rock on!
@cjorde673
@cjorde673 Жыл бұрын
Great review. Thank you.
@pandemix19
@pandemix19 4 жыл бұрын
I'd recommend being more specific with rhythms like 6:24 my instructors would most likely not accept just "bigeminy" but instead "sinus rhythm with bigeminal unifocal PVCs" or at least just put "PVCs" in there so people know they're not PACs for instance
@ShadeTreeCardiology
@ShadeTreeCardiology 4 жыл бұрын
I think this discussion has happened on another board but, I’ll do it again here. You’re interpretation is spot on and I would love it if everyone spent the needed time to interpret with that kind of accuracy. That said, if the average person can not identify the premature contractions at 6:24 are ventricular in origin and are trying to practice rhythm interpretation, they’ve put the cart before the horse. The wide complex is the more important catch there. Also, while we’re discussing it, what is the clinical significance of univocal PVCs?
@pandemix19
@pandemix19 4 жыл бұрын
@@ShadeTreeCardiology fair enough, that makes sense. And the clinical significance is that the irritable foci is originating in the same spot with every premature contraction, vs multifocal where the foci has more than one origin
@ShadeTreeCardiology
@ShadeTreeCardiology 4 жыл бұрын
Chris Yeomans Absolutely! It’s Awesome sauce to see people keeping their edge as sharp as this.
@pandemix19
@pandemix19 4 жыл бұрын
@@ShadeTreeCardiology haha I have a leg up, I just learned this like a week ago (I'm about 2 months into paramedic school) but thanks!
@ShadeTreeCardiology
@ShadeTreeCardiology 4 жыл бұрын
Chris Yeomans Well you’re going about your education the right way. Tell your instructors I said “kudos” for being so specific. You’re in a good program!
@northfulton92
@northfulton92 4 жыл бұрын
Great 👍🏾 practice video
@marialuisadomingosjordao2823
@marialuisadomingosjordao2823 5 ай бұрын
The best ❤
@dkchouston
@dkchouston 6 ай бұрын
13:11 is not 3rd degree. It's 1st degree. P's and Q's are equal. PR interval is greater than 0.20.
@redasafwan1392
@redasafwan1392 2 жыл бұрын
Thanks you, it is so helpful. There is one EKG which I may not agree with your conclusion otherwise it great work. Could you had LBBB, RBBB, ventricular hypertrophy, Pericarditis?
@ShadeTreeCardiology
@ShadeTreeCardiology 2 жыл бұрын
You may find this old video helpful kzbin.info/www/bejne/hH-WlKyYq56Bbrs New content coming soon .
@MsBarbarajean101
@MsBarbarajean101 3 жыл бұрын
That was awesome!!
@pepan9663
@pepan9663 5 жыл бұрын
At the time 13:10 it is not 3rd degree AV block, I think it's a 1st degree Av block. But if you're right I am sorry.
@ShadeTreeCardiology
@ShadeTreeCardiology 5 жыл бұрын
Don't be sorry. Let's look at it together: If you will notice, the PRI does not remain constant. This rules out 1st degree AVB. If you look at the T wave of the fourth and fifth QRS, you will notice that there is a P wave which ops up out of nowhere. This is what cinches the Dx of the 3rd degree AVB.
@pepan9663
@pepan9663 5 жыл бұрын
@@ShadeTreeCardiology Thanks for your answer, now I can see the diference, just at first look was it a 1st degree AVB.👌😁
@dukemd69
@dukemd69 6 жыл бұрын
Rhythm @ 4:36 is technically sinus tachycardia (rate > 100 bpm).
@abeerahmed8286
@abeerahmed8286 3 жыл бұрын
Thank you soooooo much u r the best🤙🏾🤙🏾🤙🏾🤙🏾
@da5449
@da5449 2 жыл бұрын
Thank you for your video
@adayinthelifeofgdubb775
@adayinthelifeofgdubb775 5 жыл бұрын
super good thanks for posting
@NetRolller3D
@NetRolller3D Жыл бұрын
5:06 AF with runs of VT, or AF with WPW? Complex #8 especially looks like preexcitation...
@drgadham
@drgadham 3 жыл бұрын
Excellent test practice 👏😃
@ShadeTreeCardiology
@ShadeTreeCardiology 3 жыл бұрын
Thank you! Cheers!
@neelamralhan1725
@neelamralhan1725 4 жыл бұрын
Was able to diagnose almost all except 4
@rachellu9679
@rachellu9679 4 жыл бұрын
2:44 Shouldn't 2:1 be second degree AV block not third degree?
@mdabdulhadi7730
@mdabdulhadi7730 3 жыл бұрын
Right. It's 2nd degree.. And it's 1:1 ..... Not 2:1
@ShadeTreeCardiology
@ShadeTreeCardiology 3 жыл бұрын
It's third degree. Look more closely for the P waves, while combining information from both leads. You will see.
@ShadeTreeCardiology
@ShadeTreeCardiology 3 жыл бұрын
@@mdabdulhadi7730 I'm afraid not. Please see the response to the OP
@oph48
@oph48 Жыл бұрын
Thanks a lot
@wanjessie6424
@wanjessie6424 6 жыл бұрын
Thanks for sharing.
@Foreigner194
@Foreigner194 3 жыл бұрын
Thank you kindly!
@ShadeTreeCardiology
@ShadeTreeCardiology 3 жыл бұрын
You're very welcome, very kindly!
@terse2010
@terse2010 5 жыл бұрын
Especial thanks for 13min:14 sec example.!
@italianstallion8786
@italianstallion8786 5 ай бұрын
3:33 is this not 3rd degree heart block. I measured the length difference in between each P wave and they are each in the same position away from each other while the QRS ventricles are shooting at their own rate
@EerybodyIsAnnoying
@EerybodyIsAnnoying 4 ай бұрын
It is not third degree heart block because the spaces between each R wave are not the same here. Pay attention to the spaces between p wave and the qrs next to it: it gets longer and longer with each beat, and then the QRS diaaapears which leaves the p wave alone. This happens twice in 3:33
@dr.sleepytime5271
@dr.sleepytime5271 Жыл бұрын
What does Afib w/R.O stand for. I don't think its trying to say rule out VT
@anandrahangdale5214
@anandrahangdale5214 4 жыл бұрын
at 3:01 i literally jumped, as i diagnosed the issue properly .....
@FaTHoMnL
@FaTHoMnL 11 ай бұрын
I would change the names of some of your rhythms that just say, "bigeminy." To say, "Sinus rhythm with Bigeminy unifocal PVCs" to be more correct. Or sinus rhythm with a run of Vtach as another example. Everything else was great. 🍻
@YesYes-yt3lb
@YesYes-yt3lb 3 жыл бұрын
@6:40 it is a 1st degree AVB, good video but I definitely did not agree with every strip but for the most part you got your interpretations down
@ShadeTreeCardiology
@ShadeTreeCardiology 2 жыл бұрын
I spent quite a bit of time verifying these with both text and colleagues. Please take a second look.
@widaya1687
@widaya1687 4 жыл бұрын
Thx
@bobbylight8833
@bobbylight8833 Жыл бұрын
You can’t convince me that 4:26 isn’t sinus tach… the HR is just over 100? No?
@mightydivu528
@mightydivu528 2 жыл бұрын
V helpful
@EerybodyIsAnnoying
@EerybodyIsAnnoying 4 ай бұрын
1:27 what does a biphasic T wave indicate?
@francesg3926
@francesg3926 Жыл бұрын
thank you for this :)
@Craig6009
@Craig6009 5 жыл бұрын
That is not Junctional; it IS ectopic atrial paced. The PR interval is atrial not junctional...
@ShadeTreeCardiology
@ShadeTreeCardiology 4 жыл бұрын
Two Questions: 1. Which rhythm, at what time? Second, If a junctional rhythm presents with no P waves at all (sometimes inverted), Exactly what PR interval are you measuring?
@Craig6009
@Craig6009 3 жыл бұрын
@@ShadeTreeCardiology I don’t know
@KurtJensen-wa
@KurtJensen-wa Жыл бұрын
Could that sinus brady ( second rhythm ) be Wellens?
@ShadeTreeCardiology
@ShadeTreeCardiology Жыл бұрын
You should only attempt to identify Wellen’s syndrome in 12 leads and then only in the first three precordial leads.
@nicktriplett9331
@nicktriplett9331 3 жыл бұрын
at 6:45 would the underlying rhythm be junctional?
@ShadeTreeCardiology
@ShadeTreeCardiology 3 жыл бұрын
That is a possibility though, difficult to say with this amount of artifact. Interpretation is all about task-stacking. What is the most imperative issue? It is the triplet. Ectopy such as this can indicate ischemia and needs to be rectified STAT.
@prestonbrower4411
@prestonbrower4411 Жыл бұрын
Really appreciated the video!
@sasasasaasable
@sasasasaasable 3 жыл бұрын
Quality
@emmebee1168
@emmebee1168 Жыл бұрын
This was AWESOME!!!!
@anandrahangdale5214
@anandrahangdale5214 4 жыл бұрын
9:34 ... does it suggest 3rd deg AV block with escape rythmn from ventricles ?
@ShadeTreeCardiology
@ShadeTreeCardiology 3 жыл бұрын
I'm afraid I don't understand your question. It seems we agree there is a 3rd degree AVB. It would then seem intuitive that the ventricular rhythm would be idio/escape, as the impulses MUST come from the ventricles in the absence of sinus or junctional involvement.
@dalmarslam9100
@dalmarslam9100 5 жыл бұрын
Dr: please answer my question..why you are calling only wenckebach?can you explain me please.thank you!
@ShadeTreeCardiology
@ShadeTreeCardiology 5 жыл бұрын
Mostly because the concept of Mobitz I and Mobitz II become confusing. If you call one of them a Wenckebach and the other a Mobitz II, it is mush easier for new interns to remember.
@dalmarslam9100
@dalmarslam9100 5 жыл бұрын
@@ShadeTreeCardiology thank you..I get you Dr.
@rabianazar4758
@rabianazar4758 6 жыл бұрын
thank you
@anandrahangdale5214
@anandrahangdale5214 4 жыл бұрын
2:30 torsades de pointes ?
@ndelrey53
@ndelrey53 3 жыл бұрын
What does "W/R.O." stands for?
@miamccloud6222
@miamccloud6222 3 жыл бұрын
Hopefully you found your answer...with run of
@montetramonte8054
@montetramonte8054 5 жыл бұрын
what is the difference between a sinus pause ans sinus arrest?
@ShadeTreeCardiology
@ShadeTreeCardiology 5 жыл бұрын
While the terms are sometimes used interchangeably, the generally accepted difference is that a sinus pause is only for the length of one complex (or cardiac cycle) whereas a sinus arrest takes the time that multiple complexes would have taken.
@ShadeTreeCardiology
@ShadeTreeCardiology 5 жыл бұрын
Generally a sinus arrest involves more than one complex being dropped.
@dalmarslam9100
@dalmarslam9100 5 жыл бұрын
Hello, sir..sinus pause and sinus arrest are the same? Right??
@ShadeTreeCardiology
@ShadeTreeCardiology 5 жыл бұрын
No sir. I sinus pause is when only one complex is missed. A sinus arrest is when multiple complexes are missed. I hope this clears things up.
@dalmarslam9100
@dalmarslam9100 5 жыл бұрын
@@ShadeTreeCardiology yes..thank you so much, Sir..
@Fakhrihilmi69
@Fakhrihilmi69 5 жыл бұрын
i think 6:40 is mobitz 2 not sinus pause since pr is more than 1 box
@manarahmed6888
@manarahmed6888 5 жыл бұрын
PR interval is up to 3 small squares(0.12 up to.0.20 sec)
@alexbrownbaker5491
@alexbrownbaker5491 3 жыл бұрын
All junctional rhythms have narrow complexes.
@ShadeTreeCardiology
@ShadeTreeCardiology 3 жыл бұрын
I'm afraid not, though, I do wish it were so. It would make things easier. As with so many things in medicine: "The only absolute allowed is the absolute insistence there are no absolutes."- Francis Schaffer...except asystole is absolutely the most stable rhythm to ever exist :)
@Abbiekakez
@Abbiekakez 3 жыл бұрын
i kept getting 3rd deg wrong! Ahhhh
@ShadeTreeCardiology
@ShadeTreeCardiology 3 жыл бұрын
Don't feel bad. We ALL have an Achilles heel.
@Mindraker1
@Mindraker1 2 жыл бұрын
7:10 I have ZERO medical knowledge and I can tell you this one is bad
@dalmarslam9100
@dalmarslam9100 5 жыл бұрын
In 12 minute you said BIGEMINY, but looks like PVC.. did you agree bro? Just check..
@ShadeTreeCardiology
@ShadeTreeCardiology 5 жыл бұрын
I assume you mean at 12:18. Bigeminy is a PVC every other beat. So yes, it is both a PVC and Bigeminy.
@dalmarslam9100
@dalmarslam9100 5 жыл бұрын
@@ShadeTreeCardiology Thank you sir, ur answer
@danyosonz
@danyosonz 4 жыл бұрын
alot of mistakes im seeing here
@ShadeTreeCardiology
@ShadeTreeCardiology 4 жыл бұрын
Such as?
@jbuccilli1
@jbuccilli1 4 жыл бұрын
such as???? pretty gutless how those can post their opinions with NO, RATIONALE medical basis for their comments. Please feel free Daniel, to create your own website and educate the rest of us or are you just looking to be relevant with your comment?
@shaneb.3982
@shaneb.3982 3 жыл бұрын
Back it up Danny boy. Please explain. I'm waiting?
@yasmeenazan7816
@yasmeenazan7816 6 жыл бұрын
Thank you
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