Sterling. Thank you. 8:25 Lead Grouping 17:33 Reciprocal Lead Groups 17:45 : Contiguous leads (two or more leads that view similar areas of the heart. They follow lead grouping. Eg II, III and aVF look at the inferior part of the heart)
How are we going to differentiate in case 6 that MI is in inferior wall and anterior leads changes are reciprocal or posterior wall MI is present while ignoring completely elevation in contiguous leads in inferior wall?
I am a bit confused, didn't you explain in a different vid that in order to verify whether an ST-elev. is a "true" ST-elev., one would need to check for the smiley vs. frowning faces? In 21:45, aren't there only smileys? Or isn't that rule valid here since we have the symmetrical, broad-based, hyperacute T waves and reciprocal changes? Answer highly appreciated!
Great question and thanks for watching. ST segment elevation and T wave morphology are both things to look for on the ECG. The shape of the T wave can independently raise suspicion of ongoing myocardial ischemia. In this example, there is significant STE in multiple contiguous leads and therefore STEMI is diagnosed. The presence of smiley face ST segments does not negate the finding of STE. Indeed, there are causes of STE that are not due to OMI and sometimes the shape of the ST segment can help us differentiate them from the more sinister STEMI.
It is the most valuable video I found in social media thanks sir.
Excellent video and presentation. I should be able to get my ACLS certification now. It summed up STEMI very nicely.
The best video I ever seen on ECG. Thank you.
Thank you, it was very clear explanation
Very nicely explained. Thank you very much
You are the best !
AMAZING LECTURE !!!!!!! Huge tnx from Ukraine !
So helpful! Thank you so much!
Great video! Thank you! :)
I’m currently relearning about ekg’s so this helps so much, thanks man
Wow Ah! You are such a great educator! I feel like I finally get it!! Thank you thank you!
EXCELLENT LECTURE AND SUPERB REVISION
Thank you so much
Awesome!
Great lecture, thank you so so sos os sosososo much
Great lecture..thank u so much
Thanks!
Adipoli... 👌
Good analysis✔️👍✅
Sterling. Thank you.
8:25 Lead Grouping
17:33 Reciprocal Lead Groups
17:45 : Contiguous leads (two or more leads that view similar areas of the heart. They follow lead grouping. Eg II, III and aVF look at the inferior part of the heart)
The best
A ma zing 👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻
Tooooooo good 👍
How are we going to differentiate in case 6 that MI is in inferior wall and anterior leads changes are reciprocal or posterior wall MI is present while ignoring completely elevation in contiguous leads in inferior wall?
which tablet are u using to write: wacom tablet or deco xp pen or ...?
Nice
How accurate is the EKG for ischemia?
goood
Is that lead II at the start?
I am a bit confused, didn't you explain in a different vid that in order to verify whether an ST-elev. is a "true" ST-elev., one would need to check for the smiley vs. frowning faces? In 21:45, aren't there only smileys? Or isn't that rule valid here since we have the symmetrical, broad-based, hyperacute T waves and reciprocal changes?
Answer highly appreciated!
Great question and thanks for watching. ST segment elevation and T wave morphology are both things to look for on the ECG. The shape of the T wave can independently raise suspicion of ongoing myocardial ischemia. In this example, there is significant STE in multiple contiguous leads and therefore STEMI is diagnosed. The presence of smiley face ST segments does not negate the finding of STE. Indeed, there are causes of STE that are not due to OMI and sometimes the shape of the ST segment can help us differentiate them from the more sinister STEMI.
@@Touzeau123
Thank you very much! Makes sense now! I
I will recommend your videos to my mentees!
This feature of you tube where talk is typed is very inconvenient.Ecg tracing can not be seen . Otherwise teacher is excellent.
Hello Dr. Anand.