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Dr. Joshua Cooper - Arrhythmia Education
United States
Registrace 26. 11. 2018
This arrhythmia education channel was created to educate health care providers, patients, and anyone interested in learning more about the diagnosis and treatment of arrhythmias. The videos vary with regard to complexity and audience, so please find the ones that are best suited to your needs!
For patients:
Are you looking for an arrhythmia expert to educate you in person and help manage your arrhythmia problem(s), including pacemakers and defibrillators?
Please call our Temple EP Program in Philadelphia at (215) 707-7526.
We would love to meet you in person!
For patients:
Are you looking for an arrhythmia expert to educate you in person and help manage your arrhythmia problem(s), including pacemakers and defibrillators?
Please call our Temple EP Program in Philadelphia at (215) 707-7526.
We would love to meet you in person!
Surgical epicardial pacing wires - uses and management
(Quick links for topics below!) This video reviews how temporary epi pacing wires are placed, how they work, and basic management and troubleshooting in the post-op cardiac surgery setting. Loss of capture, oversensing, undersensing are reviewed, as well as using atrial epi wires for arrhythmia diagnosis and treatment.
1.Introduction - 0:00
2.Surgical epi wire basics - 0:19
3.Temp pacing and heart rate, BP - 9:51
4.Underlying rhythm assessment - 12:55
5.Pacing threshold testing - 15:29
6.Pauses from oversensing - 19:54
7.AV interval adjustment - 25:48
8.Epi pacing induced arrhythmias - 28:26
9.Using atrial epi wire for SVT diagnosis - 36:07
10.Using atrial epi wire to terminate AT/A.flutter - 41:41
11.Options to improve elevated ventricular pacing threshold - 47:35
12.Summary - 52:47
1.Introduction - 0:00
2.Surgical epi wire basics - 0:19
3.Temp pacing and heart rate, BP - 9:51
4.Underlying rhythm assessment - 12:55
5.Pacing threshold testing - 15:29
6.Pauses from oversensing - 19:54
7.AV interval adjustment - 25:48
8.Epi pacing induced arrhythmias - 28:26
9.Using atrial epi wire for SVT diagnosis - 36:07
10.Using atrial epi wire to terminate AT/A.flutter - 41:41
11.Options to improve elevated ventricular pacing threshold - 47:35
12.Summary - 52:47
zhlédnutí: 1 698
Video
TAVR and Pacemaker - May I Need Both? (In Plain English)
zhlédnutí 1,6KPřed 2 měsíci
Up to 15-20% of patients who have a TAVR aortic valve procedure end up needing a pacemaker as well. Here's an explanation why, in plain English!
Living With A Pacemaker (common questions answered) - in Plain English!
zhlédnutí 13KPřed 4 měsíci
Answers to common questions about pacemakers. Magnets? MRI? Microwaves? Metal detectors? Hospice care? No "doctor language", just plain English! Quick links below: 1.What is a pacemaker - 0:11 2.Electrical system of the heart - 0:31 3.Pacemaker 2 main functions - 1:52 4.Why does my heart need a pacemaker? - 4:21 5.Pacemaker maintenance - 5:40 6.Pacemaker and a.fib - 7:16 7.Microwaves & other ho...
Diagnosis of SVT in the EP lab
zhlédnutí 68KPřed 5 měsíci
(see below for quick links to jump to topics!) Here are the fundamentals of using intracardiac egms to diagnose the mechanism of SVT. I discuss findings during sinus rhythm, baseline pacing, in SVT, and with pacing maneuvers. Join the club of EP! 1. Introduction - 0:00 2. Baseline sinus and programmed stim pacing - 7:47 3. Is there a forward conducting accessory pathway? - 14:48 4. Is there a b...
Telemetry Tips - Sinus Node Dysfunction
zhlédnutí 4,8KPřed rokem
Patterns of sinus node dysfunction are reviewed, as well as fake-outs, including hidden ectopic beats, vagal events, and accelerated junctional rhythm. Making the right diagnosis is essential to picking the right treatment for the patient!
Dr. Cooper AED public service message
zhlédnutí 1,9KPřed rokem
Cardiac arrest can happen at any time. Seconds count. If you witness someone suddenly collapse, you may be able to save their life - here's how!
Telemetry Tips - Artifact
zhlédnutí 6KPřed rokem
Electrical artifact is seen in 100% of patients on telemetry, and it can mimic a wide range of arrhythmias. This video reviews various ways to identify and correctly diagnose artifact, which is critically important to avoid unnecessary testing and treatment.
Telemetry Tips - 2nd Degree AV Block (Mobitz 1, Mobitz 2, and 2:1)
zhlédnutí 6KPřed rokem
A deep dive into distinguishing Mobitz 1 from Mobitz 2 block, specifically figuring out if heart block is occurring in the AV node or in the His-Purkinje system (it matters!). Exceptions are discussed, and 2:1 AV block is tackled in detail!
Telemetry Tips - Atrial Flutter, Atrial Tachycardia
zhlédnutí 10KPřed rokem
Atrial flutter & atrial tach with 2:1 and 1:1 AV conduction is often missed, mistakenly called "sinus tachycardia." Here I review how to find hidden P waves and use the heart rate trend to easily distinguish atrial flutter and atrial tach from sinus tachycardia!
WPW: Explanation and Treatment - in Plain English!
zhlédnutí 29KPřed 2 lety
(Please hit "like" if you want more videos like this!) I explain what WPW (Wolff Parkinson White Syndrome) is, how it can cause symptoms, and how it can be cured. And I don't use "doctor language!" For other patient education videos, click my picture, then "Playlists" tab, and visit the Patient Education section! For an office consultation at Temple University, click www.templehealth.org/doctor...
EKG Reading: How the QRS is Made
zhlédnutí 30KPřed 2 lety
(Quick links to topics are below) I explain how the QRS is created, helping the viewer *understand* rather than memorize when it comes to EKG reading. I review function of the His-Purkinje system, narrow vs wide QRS, bundle branch blocks, ventricular pacing, what is meant by "QRS fusion," and many basic concepts of physiology and anatomy. The video is intended for anyone who looks at and interp...
Antitachycardia Pacing (ATP) - How it Works, How to Improve
zhlédnutí 22KPřed 3 lety
I discuss reentrant VT, how ATP works, why it doesn't work, and how to improve the success rate of anti-tachycardia pacing. A new ATP algorithm is discussed, in the context of pace-termination mechanisms. I hope you enjoy the presentation! Come join the EP Twitter community for real-time discussions! You can find me there: @narrowQRS
Atrial Flutter - Fundamentals of Diagnosis and Ablation
zhlédnutí 68KPřed 3 lety
Use clickable links below to jump to any of the 11 topics! 1. Anatomy & Catheter Placement: 0:23 2. Electrograms & Activation Sequence: 13:21 3. Entrainment & Post Pacing Interval Part 1: 21:38 4. Entrainment & Post Pacing Interval Part 2: 31:47 5. 3D Activation Mapping & Window of Interest: 41:11 6. Ablation - Creating a Line of Block: 57:25 7. Ablation - Egms in the Ablation Catheter: 1:12:57...
iPhone 12 and ICD Interaction Explained
zhlédnutí 8KPřed 3 lety
(Click "like" for more content like this!) This video explains how the iPhone 12 (and other items with strong magnets) interacts with an implanted defibrillator (ICDs). It is intended for all viewers, especially patients and other non-medical people who are concerned or curious about the news stories about this interaction. The basic punchline is given at the beginning, and then I go into a lit...
Window of Interest Setup for Atrial Flutter
zhlédnutí 12KPřed 3 lety
From 2020 EP Fellows Summit, this video discusses principles of creating a window of interest for activation mapping of a macro-reentry atrial flutter. The impact of creating a symmetrical window around the reference point is discussed, as well as the benefits of a De Ponti window setup. This presentation supplements the material presented in much greater depth in my Activation Mapping video. E...
PVCs: Symptoms and Treatment - in Plain English!
zhlédnutí 198KPřed 4 lety
PVCs: Symptoms and Treatment - in Plain English!
Intro to Intra-cardiac Electrograms & the EP Lab
zhlédnutí 102KPřed 4 lety
Intro to Intra-cardiac Electrograms & the EP Lab
Entrainment Mapping: The Post-Pacing Interval
zhlédnutí 39KPřed 4 lety
Entrainment Mapping: The Post-Pacing Interval
Atrial Fibrillation: How do we treat it? - Plain English, no Doctor language!
zhlédnutí 11KPřed 4 lety
Atrial Fibrillation: How do we treat it? - Plain English, no Doctor language!
Atrial Fibrillation: What is it? - Plain English, no Doctor language!
zhlédnutí 9KPřed 4 lety
Atrial Fibrillation: What is it? - Plain English, no Doctor language!
Activation Mapping: Basic Concepts, Pitfalls, and Windowing
zhlédnutí 57KPřed 5 lety
Activation Mapping: Basic Concepts, Pitfalls, and Windowing
Thanx Dr. How do you define success & what is your success rate?
@@Homer19521 Success for SVT ablation is defined as no recurrent SVT episodes after ablation. Success rates vary by type of SVT, but generally are over 95% with a single procedure.
Thank you for explaining this concept so simply. Signed, Nursing Student😊
Thank you very much for this thorough stunning lecture. It is the best one ❤
Great lecture. I appreciate your hard work ,efforts and others.
"It was extremely good and informative. I appreciate your hard work and your efforts to help others. Absolutely love your lecture
This vedio was extremely good and informative. I appreciate your hard work and your efforts to help others.
Exceptional
Good morning Doctor, is there the possibility of removing the pacemaker in the event that a second degree atrioventricular block type Mobitz I regresses? Thank you very much and congratulations
Thank you Dr Cooper I was able to explain to new RN cardiothoracic unit how to see and relate , leads and locations ..!!!
Thank you so much, this is such a great video, very useful tips to differentiate those two.
I’m having my surgery tomorrow. Your videos are very helpful and reassuring. Thank you.
Love it thanks Dr Cooper! Question: Why is the threshold/output of a TPW measured in mA whereas the threshold/output of a permanent pacing lead measured in mV? Has always puzzled me.
Excellent lection as per usual! Thank you very much!
Thanx for sharing! A question: why is the changing morphology not a anodal stimulation?
@@kountchev1 It *is* anodal stimulation. Maybe i didn't explain it well ☹️
Thank you very much! Excellent presentation, very useful and practical tips!
Wonderful presentation. Thank you so much Dr.Cooper
Excellent analysis
I’m getting ablation done tomorrow. I’m really scared
@@Diana-dx8ky This is a very routine procedure from an EP standpoint. I'm sure it will go fantastic. Best of luck!
Thank you very much .
When I am on my deathbed I will be turning it off.
@@deborahbleidl6789 Appropriate in some situations, but unnecessary in most. Either way, understanding what the decision means (possibly resulting in symptoms, etc) is so important so each individual can make the right decision for them!
Could this be caused by Lyme? I have supraventricular extrasystoles with aberrant ventricular conduction, sometimes the case is ridiculously upset and that is scary, according to the doctor this is benign. I have late lyme, but that was treated last year, but I don't think it's gone yet.
Finally made it through in my holidays, what a pleasure, thank you so much. I will spread the video and look very nuch forward to everything you will post in the future!
So clear and helpful! I'm going to look into your other videos. Thank you, thank you.
Thank you Dr Cooper for these inspiring lectures. Which route the activation reached the His bundle with stimulus delivered in the distal CS at 26:45, is it through slow pathway in the CS > AVN > His, or lateral pathway > ventricle > bundle branch > His? Could you also tell the time from stim to His in this?
Thank you for all the information! I've had a dual chamber for 5 weeks now. It has taken care of the bradycardia but now i have the fast rates. Have had Afib at 229 and my brady was in the 30s-50s. Feeling better but still not quite right. This video has answered so many of my questions. Thank you for helping people like me with this type of situation. Stay safe and take care!
Excellent explanation. Thank you
Thank you sir!
amazing video, very well explained, any person can understand. I am going to have the ablation tomorrow, I hope everything goes on the right way
Dear Pro. JOSHUA COOPER, I really really appreciate your unbelievable video. It's so professional and vivid. I think it's definitely helpful for Chinese electrophysiologists. However, they can't use the CZcams. I would like to know if I can copy the video and share it with Chinese trainees on Chinese websites. Anyway, thank you very much again. I need to review this vedio over and over like a reentrant VT.
Thank you so much for your comments and insight. You gave me a great idea to look into another way to share these videos which can be accessible to Chinese electrophysiologists (and other countries where CZcams may not be available).
@@dr.joshuacooper-arrhythmia9917 Thank you. I will continue to study about all your vedio. Your pronunciation is really friendly for us. God bless you.
@@user-ht8lr2py7r I'm so glad to hear. I'm looking into creating a website of my own, to upload videos that will be accessible even where CZcams isn't available.
very helpful for someone is new to this field ,thanks Doc.
What type of exercising if any would cause the leads to break? Push-ups? Pull-ups? High Overhead stretch as in Bikram Yoga? Slalom Water skiing - getting up - arms pulled forward to skiing a course (one handed turns)? Thank You for your responses!
Pacemaker lead fracture is difficult to predict and there are no specific activities that are predictably associated with lead fracture. The anatomic relationship between the pacemaker leads, the clavicle (collar bone), the ligament between the clavicle and the 1st rib likely plays a role in lead fracture risk, but that has more to do with the lead implantation and patient anatomy than specific activities. And so, both for quality of life reasons, as well as no data to support activity restrictions, there are no prohibitions on any particular type of exercise with a pacemaker in place (including no restrictions on push-ups, pull-ups, overhead reach/stretch, slalom water skiing) - but I envy the person who is this physically active and I must vow to do better myself!! :)
Thank you!! Your videos are very informative and helpful!!! For me, it is always a struggle to understand what actually happens and why it looks like that on an ECG, and you make everything clear. Please continue to upload more videos! It would be amazing if you could upload a video about SVT and explain the different definitions, for example: what is the difference between atrial tachycardia and focal atrial tachycardia? Or is SVT the same as atrial tachycardia? And of course the ECG patterns of each SVT. THANK YOU!
Finally! Thank you for a simple, easy to understand explanation on PVC's
Very gratefull for the simple and delicate explanation of the hard understood and basic topic of the EP.
Very interesting. My question is whether there are any differences between treatment/tips for males and females? Women have a different torso to men, which may mean that different muscle groups in the chest need different maintenance.
Pacemakers are small, compared to local muscles of either men or women. No specific gender differences in recovery or maintenance. 👍
That was super clear . Perfect . Thankyou .
I was born with WPW. It only was known to me around age 48 as I started menopause. Now, at age 80, I haven't had any irregular fast rhythms for several years. I wonder if the accessory pathway shrunk, like everything else as we age. Also, my resting heart rate is lower than when I was younger, but I make it a point to workout every day. I am a coach at a local gym.
Thank you! PVCs actually caused me multiple vtachs.
My PVCs make it feel like I have a fish flopping around in my chest. It'll last for anywhere from a few days to a few months.
Thank you Dr. Cooper!!! It was brilliant 🤩
terrific
very good
I have had PVCs for 50 years but as of late they are getting worse. I have Parkinson's and when ever I get stressed out which is often lately I get them bad. I'm having them right now as I type. It's driving me crazy and my cardiologist says don't worry too much about them Well I am because they are getting uncomfortable. I have never smoked and never drank much alcohol. Any suggestions ?
What a wonderful presentation. So informative and explained in a simple understandable way. Thank you
That was an outstanding presentation! Simple, concise and patient friendly, thank you so much!❤️
Thank you so much for your kind comments! Out of curiosity, how did you come across the video? It had been sitting online for a little while without that many views at first, and for some reason it seems to have picked up interest, which of course I'm happy to see!
@@dr.joshuacooper-arrhythmia9917 I had a dual chamber pacemaker inserted almost two years ago, so now and then I search for pacemaker related videos. I must say you did answer some of the questions that I had asked at my pacemaker check last week i.e end of life with a pacemaker. As a former nurse I like to keep up as well.
It definitely helps. My mother might have to get one. Thanks for the great info
Thanks for your kind feedback!
Hi Dr. Joshua Cooper, I would love to meet you at one of these HRS meetings. Were you in Boston this year? I am a postdoc in Cardiac EP & CMR Imaging at Stanford University. I hope to match into a cardiology fellowship later this year.
Yes, i was in Boston. Congrats on a great career choice! 😉
Just had a catheter ablation done a Little over a month ago for WPW My pathway turned out to be in the center. Very informative video
I'm a 57yr old male, I had PSVT with WPW and AFIB. I couldn't get it on an EKG for 40 years. I've worn so many monitors, I think I used every single type many times. Then about 5 years ago I wore an extended time (30 days) model with a cell connection to a computer system somewhere. The very last day I had it on it started to fall off. I was very frustrated and removed the pads from my chest. Wouldn't you know I then had an episode of SVT, lightheaded and not feeling well I scrambled to put the pads back into place. I was lucky to get a graph of my WPW and had an ablation a few weeks later. 40 years of vasalva maneuvers, carotid massages and cold showers to control the episodes was over. I was so happy, so thankful to my cardiology team. I'm left with AFib now and treat it pharmacologically qith some success, I still get AFib issues but we adjust medication to set it right again. I've been cardioverted 2 times over the last 5 years.
Thanks Dr. Joshua Cooper for such an amazing lecture presentation. I wish you could teach me more complex cases related to pace mapping and entrainment.