EKG Reading: How the QRS is Made

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  • čas přidán 9. 07. 2024
  • (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 interprets electrocardiograms or telemetry! I hope you enjoy and find the content helpful!
    Sections in the video:
    1.Normal electrical system 0:00
    2.Bundle branch block, fascicular block 4:20
    3.AV block and escape rhythms 13:17
    4.PVCs and Ventricular tachycardia 19:13
    5.Fascicular and junctional tachycardia 26:00
    6.WPW and ventricular preexcitation 37:33
    7.Ventricular pacing and cardiac resynchronization 49:36
    8.Cardiac resynchronization optimization (AV and VV timing) 1:05:47
    9.His bundle pacing, left bundle branch pacing 1:16:59
    10.Take-home points 1:23:09
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Komentáře • 47

  • @nonsochukwunenye4620
    @nonsochukwunenye4620 Před 2 lety +4

    I got here from your comment on a Twitter thread. And now I'm watching this video at 4am. Sleep is for the weak! Absolutely loving your lecture!

  • @dawoodbanday6267
    @dawoodbanday6267 Před rokem +3

    One of the best ekg basic tutorial animation

  • @AliAbdulkarimN
    @AliAbdulkarimN Před 2 lety +6

    This is by far the best and most comprehensive video explaining EKGs I have ever seen! Thank you, Dr. Cooper!

  • @nguyenphung4978
    @nguyenphung4978 Před 2 měsíci

    Ths you for sharing, after watching all the video I do understand deeper about QRS and wide QRS tachycardia in an easy way.

  • @alsmanyahmed6295
    @alsmanyahmed6295 Před 4 měsíci +1

    The most comprehensive video explaining ECGS,thank you,keep going

  • @michellensahlai7682
    @michellensahlai7682 Před rokem +2

    Always
    We cannot overstate the importance of truly understanding basic principles ! the phenomenal Dr Cooper

  • @phallant5919
    @phallant5919 Před 2 lety +2

    The Best EP channel on CZcams.. No doubt

  • @nieuwegeljo5645
    @nieuwegeljo5645 Před rokem +1

    I have worked with excellent electrophysiologists and EP technicians, who unfortunately did not have the ability to teach. I wish I had seen your lectures in a much earlier stage of my EP career since you have an extraordinary talent for teaching. THANK you very much! Your videos are an inspiration to EP.

  • @jaymutah
    @jaymutah Před 2 lety +3

    Brilliant lecture. Please continue to release these clinical focussed lectures.

  • @meltemaltnsoy2932
    @meltemaltnsoy2932 Před 2 lety +5

    Wow , Waiting for these videos nearly 7 months . I wish more electrophysiology videos would also be broadcasted

  • @adrianek12102008
    @adrianek12102008 Před 2 lety +5

    I think this video is sensational. I’m not in medical field (I wished) but I am hobbyist very interested in arrhythmia and ecg and this video is such a tremendous material and explanation. Thank you doctor.

  • @ramezmorcos9300
    @ramezmorcos9300 Před 2 lety +14

    Thank you, Dr.Cooper ! This is beautifully done. Decided to apply to EP and not IC after watching your videos. Can’t wait for devices timing and different operations.

    • @dr.joshuacooper-arrhythmia9917
      @dr.joshuacooper-arrhythmia9917  Před 2 lety +8

      There is no better compliment than that! Different specialties suit different people, but we can only consider areas we are exposed to during our training, whether that is in-person exposure or remote. It is such an honor to be able to inspire you through this medium!

  • @Ivorforce
    @Ivorforce Před 2 lety +2

    This is very well explained, thank you! I'm a techie in arrhythmia software and all of your videos have been an excellent resource in catching up on some fundamentals.

  • @parthasarathidas7279
    @parthasarathidas7279 Před rokem +1

    This is the best lecture on this topic i ever came across... thanks a ton sir

  • @kyawkhant4273
    @kyawkhant4273 Před 6 měsíci

    Thank you, Dr. Cooper. I love how you apply the basic principle and logic to explain various phenomena. I now understand better about BiV timing and how you can assess individual contribution from RV/LV leads and native conduction by looking at EKG. Beautifully done!

  • @Algalkacyo
    @Algalkacyo Před 2 lety +3

    Thank you Joshua, missed your videos. EKG was what I was missing most :)

  • @lozserg1
    @lozserg1 Před 9 měsíci

    This video is handy for understanding different practical scenarios and their combinations. Thank you, Dr. Cooper!

  • @jimloops8093
    @jimloops8093 Před 2 lety +2

    Congratulations, excellent presentation covering all aspects of ECG tracings, especially CRT and His pacing.

  • @richardelinskas6663
    @richardelinskas6663 Před 2 lety +3

    Absolutely fantastic! Once again thank you for taking the time to explain this so well. You are a gifted and wonderful teacher

  • @aymansaif5562
    @aymansaif5562 Před 2 lety +1

    I did not listen or read before like this very informative lecture, Thank you so much dear professor .

  • @hongchuongnguyen7289
    @hongchuongnguyen7289 Před 8 měsíci

    This video is so great! Thank you, Dr.Cooper!

    • @hongchuongnguyen7289
      @hongchuongnguyen7289 Před 8 měsíci

      I saw some of your videos! All of them are very useful to me, Dr.Cooper! Do you have any video about SVT and how to differentiate some kinds of them?

  • @vmemtsas
    @vmemtsas Před 5 měsíci

    Thank you Dr Cooper. Truly excellent electrophysiological and anatomic explanations of different phenomena. The only part that I would have wished to be a bit more in depth is on how to localise the origin of a pvc based on surface EKG. Will definitely explore more of your very educational videos. Thank you again.

  • @kerolusshehata2275
    @kerolusshehata2275 Před 2 lety +3

    Thank you for such wonderful and thorough presentation.

  • @adinach1676
    @adinach1676 Před 2 lety +3

    Phenomenal video. It's great learning when someone is doing such an amazing job explaining these concepts. Also the graphics helped a lot. Thank you!

  • @leebanguilan8478
    @leebanguilan8478 Před 2 lety +2

    This is very informative. Thank you.

  • @reginakiefer6701
    @reginakiefer6701 Před 2 lety +3

    Great presentation. Thank you!

  • @120avenger
    @120avenger Před 2 lety +3

    Great video, I'll definitely be adapting some of this to my own talks!

  • @mcardio1287
    @mcardio1287 Před 2 lety +1

    Thank you professor Cooper.

  • @diverslog3095
    @diverslog3095 Před 2 lety +1

    SUPER PRESENTATION

  • @PeteStueve
    @PeteStueve Před 11 měsíci

    Excellent job

  • @thomassutedja9285
    @thomassutedja9285 Před rokem

    ....excellent explanation...good job Sir...👍

  • @rajeshkhanna5161
    @rajeshkhanna5161 Před 2 lety

    Un vrai tour de force. Merci.

  • @manvendra5528
    @manvendra5528 Před 9 měsíci

    Invaluable

  • @gloriamariarodriguez3322

    Thank you.

  • @tristantrinidad9606
    @tristantrinidad9606 Před rokem

    thank you!!!!

  • @azamatyuldoshaliev4985
    @azamatyuldoshaliev4985 Před rokem +1

    awesome

  • @DH-vy8hw
    @DH-vy8hw Před 6 měsíci

    You promised me a vid on PVC Localization😂

  • @adrianek12102008
    @adrianek12102008 Před 2 lety +1

    Doctor I also have a question. If you have SVT with aberration, would it mean the normal (after sinus rhythm is restored) ecg should show LBBB or RBBB morphology? Or can you have aberrated SVT without regular ecg showing any block? Thank you 🙏

    • @dr.joshuacooper-arrhythmia9917
      @dr.joshuacooper-arrhythmia9917  Před rokem +1

      No, just because SVT has aberrancy doesn't mean sinus rhythm also will. Each bundle branch has a recovery time (aka refractory period), and a heart rate that exceeds a certain critical rate can show aberrancy. This is called a "rate-related bundle branch block" and can result in aberrancy during tachycardia even while sinus has a narrow QRS.

    • @adrianek12102008
      @adrianek12102008 Před rokem

      @@dr.joshuacooper-arrhythmia9917 Love the response, thank you.