Friday, October 31, 2014

ECG Blog #99 (ECG Video-Blog-5) - Arrhythmia Management in Primary Care (Part 2)

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     This is the 5th installment of my ECG Video Blog. This 17-minute video continues a Clinical Look at Cardiac Arrhythmias from a Primary Care Perspective. Focus in this Part 2 is on ventricular arrhythmias  and, on bradycardia including diagnosis of Sick Sinus Syndrome and indications for pacing. In the final part of this video series (Part 3 — coming soon!— We'll conclude with discussion of the SVT rhythms that are commonly encountered in primary care.
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NOTE: There are advantages to using a video format format. These include:
  • Ability to illustrate concepts not done full justice by the written word.
  • Greater dispersion of my content through Google & YouTube. This material is free for anyone to use.
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LINKS to my ECG Video-Blog installments:
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My goal in this 3-Part video series is to address the "art" of arrhythmia management from a primary care perspective. This includes cost-effective assessment as to whether a rhythm disturbance is present (with details on monitoring methods— whether the arrhythmia is likely to be benign or more worrisome — and a practical approach to treatment.
  • Below in Figure 1 — a sample of some issues discussed in this Part 2 (Video-Blog #5 = Blog #99). I believe this video brings the topic to life!

Figure-1: Slide discussing indications for pacing in Sick Sinus Syndrome, with illustration explaining the importance of pause duration.  NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window.
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GTO: https://www.youtube.com/watch?v=8n8PEYLb1hg  on YouTube to view this ECG Video (17 minutes).
  • Please also check out my ECG Video Blog page on Google. The link is easy to remember = www.videoecg.com -
  • Part 3 of this Video - as well as the Power Point Show version will be coming within a few weeks ....
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NOTE: For a Power Point Show (.ppsx) version of my Video Blogs - CLICK HERE. This folder will contain links to download a .ppsx version that allows faster viewing:
    • Download the .ppsx to your computer desktop.
    • The PPT show is without automatic sound. YOU activate only the Audio clips you want.
    • Hover your mouse over the highlighted Audio. You may play and/or pause if/as you like.
    • Feel free to use this .ppsx for teaching with my blessings!
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    Saturday, October 11, 2014

    ECG Blog #98 (ECG Video-Blog-4) - Arrhythmia Management in Primary Care (Part I)

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         This is the 4th installment of my ECG Video Blog. This 26-minute video provides a Clinical Look at Cardiac Arrhythmias from a Primary Care Perspective. Focus in this Part 1 is on monitoring methods  the importance of the clinical scenario and determining whether the rhythm is likely to be benign vs a rhythm that should be referred. In Part 2 — We'll apply these principles to a rapid overview of the arrhythmias most commonly encountered in primary care.
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    NOTE: There are advantages to using a video format format. These include:
    • Ability to illustrate concepts not done full justice by the written word.
    • Greater dispersion of my content through Google & YouTube. This material is free for anyone to use.
    -----------------------------------------
    LINKS to my ECG Video-Blog installments:
    ------------------------------------------
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    My goal in this brief video series is to address the "art" of arrhythmia management from a primary care perspective. This includes cost-effective assessment as to whether a rhythm disturbance is present (with details on monitoring methods— whether the arrhythmia is likely to be benign or more worrisome — and a practical approach to treatment.
    • Below in Figure 1 — a sample of some issues discussed. I believe this video brings the topic to life!
    Figure-1: Slide discussing clinical assessment as to whether an arrhythmia is likely to be benign — and whether referral to Cardiology (or EP Cardiology) is indicated. NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window.
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    GTO: https://www.youtube.com/watch?v=THJKEXZmA2k  on YouTube to view this ECG Video (26 minutes).
    • Please also check out my ECG Video Blog page on Google. The link is easy to remember = www.videoecg.com -
    • Part II of this Video - as well as the Power Point Show version will be coming within a few weeks ....
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    NOTE: For a Power Point Show (.ppsx) version of my Video Blogs - CLICK HERE. This folder will contain links to download a .ppsx version that allows faster viewing:
      • Download the .ppsx to your computer desktop.
      • The PPT show is without automatic sound. YOU activate only the Audio clips you want.
      • Hover your mouse over the highlighted Audio. You may play and/or pause if/as you like.
      • Feel free to use this .ppsx for teaching with my blessings!
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      Tuesday, September 9, 2014

      ECG Blog #97 (ECG Video-Blog-3) - SVT with Marked ST Depression

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           This is the 3rd installment of my ECG Video Blog. This 11-minute video features a case of a patient with SVT (SupraVentricular Tachycardia) with chest pain and marked ST depression on his 12-lead ECG. Please give me Feedback on how you like these ECG Video-Blogs!
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      NOTE: There are advantages to using a video format format. These include:
      • Ability to illustrate concepts not done full justice by the written word.
      • Greater dispersion of my content through Google & YouTube. This material is free for anyone to use.
      -----------------------------------------
      LINKS to my ECG Video-Blog installments:
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        Acknowledgment — My appreciation to the following individual:
        • Dr. Ong (Taiwan) — for providing me with the case for ECG Video-Blog #3.
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        The patient is a previously healthy 60-year old man who presented with palpitations and new-onset chest pain. He was on no meds — and had no prior history of heart disease. BP = 70 systolic at the time the 12-lead ECG in Figure-1 was obtained.
        • What is the rhythm in Figure-1?
        • Why so much ST segment depression?
        • What are your diagnostic considerations?
        • What would you do?
        Figure-1: 12-lead ECG obtained from a 60 year old man with chest pain. What is the rhythm? Why so much ST depression? NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window.
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        GTO – http://youtu.be/5E3_MKuvr9c on YouTube to view this ECG Video (11 minutes).
        • Please also check out my ECG Video Blog page on Google. The link is easy to remember = www.videoecg.com -
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        NOTE: For a Power Point Show (.ppsx) version of my Video Blogs - CLICK HERE. This folder will contain links to download a .ppsx version that allows faster viewing:
          • Download the .ppsx to your computer desktop.
          • The PPT show is without automatic sound. YOU activate only the Audio clips you want.
          • Hover your mouse over the highlighted Audio. You may play and/or pause if/as you like.
          • Feel free to use this .ppsx for teaching with my blessings!
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          Sunday, August 31, 2014

          ECG Blog #96 (ECG Video-Blog-2) - ECG Diagnosis of Bundle Branch Block

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               This is the 2nd installment of my ECG Video Blog. This 17-minute video reviews how to make the ECG diagnosis of BBB (Bundle Branch Block) in 5 seconds or less. Please Give Me Feedback (ekgpress@mac.com) as to whether you like this new Video format — which (if feedback is positive) I hope to use more to enhance my ECG Blog.
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          NOTE: There are advantages to using a video format format. These include:
          • Ability to illustrate concepts not done full justice by the written word.
          • Greater dispersion of my content through Google & YouTube. This material is free for anyone to use.
          -----------------------------------------
          LINKS to my ECG Video-Blog installments:
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          ECG Diagnosis of the bundle branch blocks can be simplified — and readily accomplished with accuracy in seconds. This is because: i) There are only 3 "answers" ( = typical LBBB; typical RBBB; or neither = IVCD); and ii) You only need to look at 3 leads to diagnose the type of BBB ( = leads I, V1, V6).
          • Recognition of the BBBs is thoroughly reviewed.
          • The system for rapid diagnosis is presented.
          • Practice tracings reinforce concepts (such as the 12-lead shown in Figure-1).
          Figure-1: 12-lead ECG. How would you describe the conduction defect? (Figure reproduced from A 1st Book on ECGs-2014-ePub). NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window.
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          GTO – https://www.youtube.com/watch?v=WQHzbZXcU4Y - on YouTube to view this ECG Video (17 minutes).
          • Please also check out my ECG Video Blog page on Google. The link is easy to remember = www.videoecg.com -
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          NOTE: For a Power Point Show (.ppsx) version of my Video Blogs - CLICK HERE. This folder will contain links to download a .ppsx version that allows faster viewing:
            • Download the .ppsx to your computer desktop.
            • The PPT show is without automatic sound. YOU activate only the Audio clips you want.
            • Hover your mouse over the highlighted Audio. You may play and/or pause if/as you like.
            • Feel free to use this .ppsx for teaching with my blessings!
            --------------------------------

            Saturday, August 16, 2014

            ECG Blog #95 (ECG Video-Blog-1) – Is there AV Block?

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                 This is the 1st installment of my ECG Video Blog. As the concept of adding sound and making videos is new to me — I am starting with an interesting but not overly complicated tracing, that nevertheless illustrates important points regarding what does and does not constitute AV block. Please Give Me Feedback (ekgpress@mac.com) as to whether you like this new Video format — which (if feedback is positive) I hope to use more to enhance my ECG Blog.
            -----------------------------------------
            NOTE: There are advantages to using a video format format. These include:
            • Ability to illustrate concepts not done full justice by the written word.
            • Greater dispersion of my content through Google & YouTube. This material is free for anyone to use.
            -----------------------------------------
            LINKS to my ECG Video-Blog installments:
            • ECG Video-Blog #1 (= Blog #95) — Is there AV Block?
            • ECG Video-Blog #2 (= Blog #96)coming soon if YOU like this format!
            • ECG Video-Blog #3 (= Blog #97) — SVT with marked ST Depression
            • ECG Video-Blog #4 (= Blog #98) — Clinical Arrhythmia Mgmt (Part I )
            • ECG Video-Blog #5 (Blog #99) — Clinical Arrhythmia Mgmt (Part 2 )
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            Acknowledgments — My appreciation to the following individual:
            • Mike Frease — for providing me with the case for ECG Video-Blog #1.
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            Interpret the simultaneously-recorded 2-lead rhythm strip shown in Figure-1.
            • Is AV block present on this tracing? IF so — What kind of AV block?
            • Is there enough information to know for certain?
            • How does one distinguish AV block from other causes of relative pauses, such as PACs (blocked or conducted) and/or Sick Sinus Syndrome?
            Figure-1: 2-lead rhythm srip. Is there AV block? (Figure reproduced with permission from Mike Frease). NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window.
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            GO TO – https://www.youtube.com/watch?v=9xC-Ch9sS5Ion YouTube to view this ECG Video and for the Answer (15 minutes). 
            • Please also check out my ECG Video Blog page on Google. The link is easy to remember = www.videoecg.com -
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            NOTE: For a Power Point Show (.ppsx) version of my Video Blogs - CLICK HERE. This folder will contain links to download a .ppsx version that allows faster viewing:
            • Download the .ppsx to your computer desktop.
            • The PPT show is without automatic sound. YOU activate only the Audio clips you want.
            • Hover your mouse over the highlighted Audio. You may play and/or pause if/as you like.
            • Feel free to use this .ppsx for teaching with my blessings!
            --------------------------------