Intro to Intra-cardiac Electrograms & the EP Lab

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  • čas přidán 30. 03. 2020
  • This video discusses unipolar and bipolar electrogram recordings, fundamentals of EP studies (including catheter types and nomenclature), and walks the viewer through the basics of electrogram interpretation. AH, HV intervals are reviewed, along with activation sequence and a few basic pacing maneuvers in the EP lab. I hope you enjoy the presentation!
    Come join the EP Twitter community for real-time discussions! You can find me there: @narrowQRS
  • Věda a technologie

Komentáře • 102

  • @omegapm4699
    @omegapm4699 Před 2 lety +11

    Joshua Cooper is the god of electrophysiology education. The world is a better place because of his amazing and thoughtful work. Epic.

  • @ahmeda8378
    @ahmeda8378 Před 4 lety +16

    Thank you Dr Cooper for this amazing video. You make EP look easy. Breaking it down to the very basics is something I have struggled with in training. Best thing I have done since this COVID thing is having the time to watch these great sessions. Please keep them coming. One on breaking down accessory pathways will be so much appreciated. Regards

  • @mehmetkucuk9346
    @mehmetkucuk9346 Před 4 lety +6

    Thank you for this amazing lecture making electrophysiology seem so simple. I really appreciate your efforts and look forward to watching more of videos like this. From now on, you have +1 fan from Turkey🙋‍♂️

  • @samuelho5051
    @samuelho5051 Před 3 lety +1

    Thank you so much for the excellent lecture, your presentation is by far the best introductory EP education online. It makes much more sense now when I hear the cardiologist in the EP Lab talking about which signal is earlier.

  • @puiyuc1026
    @puiyuc1026 Před 4 lety +2

    Thank you Dr. Joshua for your details explanation, it's very clear and helpful!

  • @blee1146
    @blee1146 Před rokem

    Absolutely the clearest intro to e-gram and its relationship to each other. Certainly a must before even setting foot into an EP Lab!!
    Bravo! Keep up your great understandable teaching of our at times, misunderstood field!

  • @nieuwegeljo5645
    @nieuwegeljo5645 Před 4 lety +1

    Excellent lecture with very good explanations. Wish I had had this lecture when I started working as a technician at the EP-lab nearly 15 years ago. I am surely looking forward to other lectures on EP!! Thank you so much.

  • @JulyMoser
    @JulyMoser Před 2 měsíci

    This is 💎 and priceless! Thank you doctor for sharing your knowledge! Incredible educator!

  • @GusBetrayed
    @GusBetrayed Před 4 měsíci

    Just amazing how practicaland elegant this lecture was presented. Great introduction for a Cardio fellow.

  • @PriitPauklin
    @PriitPauklin Před 4 lety +1

    A very good lecture. It was easy to follow, with great explanations. A great intro into EP! Eagerly waiting for more lectures. Thank you very much for Your effort!

  • @doristhecoder765
    @doristhecoder765 Před 2 lety

    If I ever meet this provider, I owe him lunch. Great info that is easily comprehended by the non-clinical. Well done Sir!

  • @heartratelee
    @heartratelee Před rokem

    Thank you for great lecture Dr Cooper. This is the most valuable video what I saw on CZcams in past years.

  • @romanmarchenko6739
    @romanmarchenko6739 Před 3 lety +1

    Phenomenal lecture! Thank you very much, Dr. Cooper.

  • @anishbhargav5852
    @anishbhargav5852 Před 4 lety +1

    Excellent presentation on the basic understanding of EP. Waiting for more future enlightening sessions on EP. Thank you.

  • @jimloops8093
    @jimloops8093 Před 4 lety

    Again one exceptional explanation about the intracardiac recordings...Thank you for sharing

  • @Salomati_blog
    @Salomati_blog Před 4 měsíci

    Thank you, doctor. This is one of the best lectures dedicated to the EP.

  • @bruce9658
    @bruce9658 Před 2 lety

    Thank You, Dr. Cooper, for this awesome Video. I am a cardiology fellow that will be applying to EP next summer. I have to say your videos do a great job breaking down concepts visually and make me even more excited to learn more about electrophysiology.

  • @kyawkhant4273
    @kyawkhant4273 Před 6 měsíci

    Thank you so much, Dr. Cooper.
    You are a splendid educator!

  • @MsHEADbanging
    @MsHEADbanging Před 2 lety

    Thank you so so so much for this video! My EP attending isn't explaining anything to me and these are literally a life saver. Thank you from the bottom of my heart

  • @RishSwr2024
    @RishSwr2024 Před 3 lety

    Thanks Dr Cooper, your presentation is very helpful for any person who needs understanding the basics of EP study, it really worth a dozen of books which otherwise not help much without having understanding these basics.

  • @dr.aravindcsa2703
    @dr.aravindcsa2703 Před 4 lety

    Ur talks are so simple and elegant . Thank u sir for the explanations.

  • @johnnivens7866
    @johnnivens7866 Před 4 lety +4

    Thanks again for another great video. Any EP labs wanting to get in some education during down time should definitely watch this video.

    • @dr.joshuacooper-arrhythmia9917
      @dr.joshuacooper-arrhythmia9917  Před 4 lety +3

      Thanks so much! I think this is a good starting video for EP lab staff, cardiology fellows, and EP fellows wanting to ensure a good foundation of egm interpretation. I also learned a lot in preparing this presentation, particularly with regard to unipolar egm recording and interpretation!

  • @pitkaleuna
    @pitkaleuna Před 4 lety +2

    Thank you, Dr. Cooper. Really enjoying your videos ! :-)

  • @fishfishfish3
    @fishfishfish3 Před 2 lety

    Thank you so much for this video! I am a new EP nurse and this video has cleared up so many thing for me!

  • @ashishmittal2024
    @ashishmittal2024 Před 3 lety

    Professor Cooper, Hats Off to you sir! Marvelous explanation of basics of EP. Looking forward more lectures.

  • @lizhong6339
    @lizhong6339 Před 4 lety +2

    Great lecture! Very understandable! Thanks for your sharing.

  • @DoeintheThicket
    @DoeintheThicket Před rokem

    Outstanding. This has simplified many concepts I found to be abstruse. Thank you, sir.

  • @doristhecoder765
    @doristhecoder765 Před 2 lety

    I am a coder/consultant and this was very helpful. It helps us connect what is going on during the procedure.

  • @vladimirrodaev2267
    @vladimirrodaev2267 Před 4 lety +1

    Thank you Dr Cooper for such a detailed and at the same time clear explanation. I'm a medical student and the last year I went through the clinical practice in an EP lab - that was an amazing experience so the next course I'll try to get more hours in the department to keep on learning - no doubt that your videos will help me to understand the magic of EP much better. Thank you very much!!!
    Greetings from Spain

    • @dr.joshuacooper-arrhythmia9917
      @dr.joshuacooper-arrhythmia9917  Před 4 lety +1

      Thanks so much for your kind words! One of our current EP fellows got his interest in EP when he wandered into the EP lab as a medical student! I'm so glad to hear you're on the same path! :)

  • @ardaturan3994
    @ardaturan3994 Před 4 lety +1

    great lecture... thank you so much. I am waiting more videos about EP

  • @doctorhim0076
    @doctorhim0076 Před 2 lety

    Excellent video. I'm very glad that I found your channel. Please make more videos.

  • @HoangLe-rz9zs
    @HoangLe-rz9zs Před 8 měsíci

    amazing video. I coudn't describe how happy I feel, while watching your videos
    I am about to be an EP fellow in a few months, and tons of new concepts are making me confused
    Thanks much, Dr Cooper !

  • @talehsahverdiyev8694
    @talehsahverdiyev8694 Před 4 lety +1

    Thank you very much!First time in my life İ understood the EP exam!

  • @sidl8698
    @sidl8698 Před 2 měsíci

    I am training as an EP specialist. This lesson is GOLD.

  • @weijiawang1571
    @weijiawang1571 Před 3 lety +1

    Thank you Dr. Cooper! This is terrific!!

  • @hayderkadhim6638
    @hayderkadhim6638 Před rokem

    Great and very informative video. Highly recommended to EP fellows! Thanks a lot sir!

  • @joshburmeister1527
    @joshburmeister1527 Před 3 lety

    Please make more videos! This an absolutely fantastic learning tool I’d most certainly pay for!

    • @dr.joshuacooper-arrhythmia9917
      @dr.joshuacooper-arrhythmia9917  Před 3 lety

      Thanks, will do! Nearing completion on a series on atrial flutter - lots of great things in that talk, to expand upon concepts introduced in the previous videos!

  • @drwessamgamal
    @drwessamgamal Před 4 lety +1

    Great lecture, thanks for your effort.

  • @mohamedadam9391
    @mohamedadam9391 Před 3 lety +2

    Excellent we need more lectures and case presentations

  • @user-zw7sd4fg8n
    @user-zw7sd4fg8n Před 5 měsíci

    Fantastic! Thanks so much. I’ll be sharing this with our EP lab staff.

  • @martynaskrzynska
    @martynaskrzynska Před 3 lety +1

    Absolutely fabulous lecture !! Helped me a lot 😊 wish to know it all 😄😄

  • @keerthidivulwewa3607
    @keerthidivulwewa3607 Před 4 lety +1

    This is very good! Thanks a lot!
    From Cambridge, the UK

  • @fernandomalpicacervantes829

    thanks Dr Cooper, very understandable, we definitely need more of these videos

  • @amineamine1980
    @amineamine1980 Před 4 lety +1

    Many thanks for this revelent lecture dear Joshua respect from Algeria.

  • @laxu49
    @laxu49 Před 3 lety +1

    You my sir, give such selflessly. Very excellent lecture. Respect from Nepal. Subscribed!

  • @obaydamd
    @obaydamd Před 3 lety

    Dear Joshua, thank you for the amazingly outstanding lecture and excellent demonstration.

  • @airwatching2
    @airwatching2 Před 4 lety

    thanks Dr. Cooper, this is a great video. Your capability to explain in simple words complex concepts is remarkable. Moreover your pronunciation is very easy to understand also for non-english speakers (I'm Italian). Please make more of these videos, they are just great!

    • @dr.joshuacooper-arrhythmia9917
      @dr.joshuacooper-arrhythmia9917  Před 4 lety +3

      Thanks so much for your kind words. It's very purposeful that I try to use non-medical jargon as much as possible (or explain technical terms clearly when I do!), and also my speaking pace and exaggerated articulation are intended to make the narration easier to understand, including for non-native English speakers (I learned that last trick from my dad :)
      I'm thrilled that you found the video helpful and understandable!

  • @buzzstylo
    @buzzstylo Před 2 lety

    This man at amazing at teaching, didnt think i could understand this!!!🙌🏾🙌🏾👏🏼👏🏼

  • @oattukmint
    @oattukmint Před 4 lety +2

    Thank you, this help me a lot

  • @eduardodelrio5503
    @eduardodelrio5503 Před 4 lety +1

    Big fan of your videos! already asked my EP fellows to like and follow your videos! regards from Mexico City!!!

  • @Sturnburn772
    @Sturnburn772 Před 2 lety

    I should have watched this before starting in the lab. thanks Dr. Cooper

  • @carolinebaldo7867
    @carolinebaldo7867 Před 2 lety

    Wonderful lecture! Thank you so much for such great sharing of knowledge. I am a veterinary anesthesiologist working with preclinical models for EP catheters and system development and your amazing lecture projected me forward.

  • @shiuantzer
    @shiuantzer Před 2 lety

    Fabulous explanation, thanks a lot!

  • @jeevan22m
    @jeevan22m Před 4 lety

    Great lecture... Thank you so much.

  • @amitgulati6240
    @amitgulati6240 Před rokem

    U r such a great teacher. Best video I have ever seen on CZcams.

  • @rosavivas5509
    @rosavivas5509 Před 2 lety

    Thanks for the information, I have a brother with atriofibrilation 2 times with ablation and recently with pacemaquer and still having haert problemas.

  • @drnamita9670
    @drnamita9670 Před rokem

    This is an awesome presentation. Thanks a ton for sharing.

    • @drnamita9670
      @drnamita9670 Před rokem

      I am doing observership in Cardiac Cath Lab and am preparing for USMLE exams as well. This is something I loved seeing in reality in the lab. Your videos helped me learn it very fast and from the basics. Thanks again Dr. Cooper.

  • @munirabdullatif2022
    @munirabdullatif2022 Před 4 lety

    Excellent. Thank you

  • @javiermogro8425
    @javiermogro8425 Před 4 lety

    Thanks, very useful and understandable.

  • @luiz.angelo.peixoto
    @luiz.angelo.peixoto Před 3 lety +2

    Great Lecture!!!
    I only wish I had found it on the beginning of my EP Fellow.
    Kudos from Brazil ✌🏻🇧🇷

  • @smarakrout
    @smarakrout Před 4 lety

    No word to explain that how succinct this video is !! The complex dynamicity of EP so beautifully explained. Many Many Thanks Sir. This type of video is extremely helpful for we Cardiology Fellow (India), where there is very less talk on EP during our course tenure. Awaiting eagerly for more videos.

  • @nasermesmari2166
    @nasermesmari2166 Před 2 lety

    Amazing illustrations

  • @victorwong9622
    @victorwong9622 Před 2 lety

    Superb lecture, thank you!

  • @frostbreeze6496
    @frostbreeze6496 Před rokem

    Amazing lecture.

  • @Algalkacyo
    @Algalkacyo Před 4 lety +2

    As EP Technician, i found this lecture very helpfull.
    I hope Dr. Cooper will post more :) I would also appreciate if you could present different cases? Another wish --> lecture on EP ECG/Arrythmia interpretation.
    Thank you very much in advance. You are really Great at teaching!

    • @dr.joshuacooper-arrhythmia9917
      @dr.joshuacooper-arrhythmia9917  Před 4 lety +4

      Thanks so much for your kind words! I am indeed working on additional presentations, between other duties at work and at home! :) Will tweet when new material is posted!

  • @thienminhnguyen8192
    @thienminhnguyen8192 Před 3 lety

    Thank you for great slides. This helped me a lot

  • @apurvaloyola1097
    @apurvaloyola1097 Před 3 měsíci

    Just amazing, thanks

  • @murtazaalisundhu
    @murtazaalisundhu Před 3 lety

    I am a 1st year cardiology fellow interested in EP and could not find where to start with the understanding of basic EP. Loved this video and now those EGMs in the EP lab make some sense. Thanks for the amazing boot camp video for EP.

  • @truongquoccuong1808
    @truongquoccuong1808 Před 4 lety

    Thanks for your amzing lecture

  • @reyesben
    @reyesben Před 3 lety

    Excellent video. Thank you.

  • @waseemomar7387
    @waseemomar7387 Před 4 lety

    Amazing lecture

  • @amirsami1961
    @amirsami1961 Před 2 lety

    Thank you very much for your efforts to learn the people like me step by step. How to read the EPS recording and the diffrent manouvers

  • @user-hx7hh3wk9q
    @user-hx7hh3wk9q Před 3 lety

    Great! Thank you a lot!!!

  • @hadeermohammad281
    @hadeermohammad281 Před 3 lety

    thanks alot.. amazing informations

  • @ardaturan3994
    @ardaturan3994 Před 3 lety

    The presentation is amazing. Thank you so much. Why you are not making new videos? Looking forward to watch it.

  • @fabriziofortunato5538
    @fabriziofortunato5538 Před 2 lety

    Masterpiece

  • @tlamkk3260
    @tlamkk3260 Před 3 lety

    Excellent video lecture, easy to understand even for general physicians ……..Will you consider creating more videos regarding Atrial Fibrillation ablation / Ventricular Arrhythmia ablation / WPW ablation / Pacemaker & ICD & CRT troubleshootings + programming ?
    Thank you very much and keep up the great job ** ^_^ **

  • @ardaturan3994
    @ardaturan3994 Před 4 lety

    Waiting for new lectures for e.g. AVRT, AVNRT.. Thank you again.

  • @akshittuli1211
    @akshittuli1211 Před 3 lety

    Great video!!
    A question, though.
    Does HV interval only represent the time taken for conduction in the His and bundle branches, or does it also include the conduction through Purkinje fibres?

    • @dr.joshuacooper-arrhythmia9917
      @dr.joshuacooper-arrhythmia9917  Před 3 lety +2

      Great question. The HV interval represents the time taken for conduction in the His bundle, bundle branches, AND Purkinje fibers, until the first/fastest Purkinje fiber inserts into ventricular myocardium. The HV interval starts at the His bundle electrogram and ends at the onset of the surface QRS complexes.

    • @akshittuli1211
      @akshittuli1211 Před 3 lety

      @@dr.joshuacooper-arrhythmia9917 Thank you!

  • @TheShyMusician
    @TheShyMusician Před 2 lety

    4:30, 9:03