CONTENTS of My ECG Video-15 on QRST Changes (Applying a Systematic Approach)

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NOTE: The Easy-Link to my 65-minute ECG Video-15 on, QRST Changes is at: www.QRSTecg.com — 
  • Information about this Video is on my ECG Blog #118 —
  • Because of the length of this video (65 minutes— You may prefer to view it in more than a single setting (or to refer to specific parts of the video). I have therefore made a timed CONTENTS. Fast Forward at the above YouTube LINK to focus in on the specific subject area you are looking for!
  • Your Feedback is welcome!  Write Me at  ekgpress@mac.com 
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TIMED CONTENTS (Click on Links to Fast Forward! ):

0:00 – INTRO (How to Contact Me).
1:17 – The KEY: You Need a Systematic Approach.
2:00 – The 2 Steps (Descriptive Analysis/Clinical Impression).
2:45 – EXAMPLE: The Cause of Anterior T Inversion?
4:52 – Distinction between Description vs Interpretation.
5:30 – The Systematic Approach We Favor (6 Parameters).
6:40 – Where QRST Changes “fits” in … (What it is … ).
7:49 – Is this an Acute STEMI? (Why a System is Needed … ).
11:27 – Looking for Q Waves (Definitions of Q,q,QS,rS).
14:29 – What are Normal Septal q Waves?”
16:22 – vs Infarction Q Waves (Describe what you see ).
17:09 – The “R” in QRST (R Wave Progression).
18:04 – Why Include the “R” in QRST?
18:58 – Is R Wave Progression “normal”? (Transition).
21:41 – TRANSVERSE View: Septal q waves? / Why an “r” in V1?
23:29 – WHERE is Transition? (Early vs Delayed Transition ).
25:00 – Problems with the term, “Poor R Wave Progression” …
27:21 – Schematic CHEST Leads: Has there been Anterior Infarction?
30:39 – The “S” and the “T” in QRST (ST segment deviations).
31:10 – What is the ST “Baseline”? (Use of the PR vs TP baseline).
32:54 – EXAMPLES of ST Elevation / Depression (Using the baseline).
34:05 – KEY Point: Normal T Inversion / Q Waves Leads (Reverse “Z”).
38:00 – The T wave vector often follows the QRS vector …
38:46 – The SHAPE of the ST segment is Most Important …
39:36 – Appearance of a normal ST segment (vs “nonspecific” change).
42:26 – ST DEPRESSION (asymmetric vs symmetric ST-T depression).
45:16 – ST ELEVATION (“smiley” vs “frowny” shape … ).
47:17 – PRACTICE Tracing #1: New-onset Chest Pain
48:22 – Analysis of Tracing #1.
51:38 – Clinical Impression of Tracing #1.
52:50 – PRACTICE Tracing #2: An Asymptomatic Young Adult
53:20 – Analysis of Tracing #2.
54:52 – “Smiley”-shape ST elevation … (EarlyRepolarization).
55:54 – Clinical Impression of Tracing #2 (ERP vs anything else … ).
57:10 – Same Descriptive Analysis: What if this patient had Chest Pain?
58:43 – PRACTICE Tracing #3: Atypical Chest Pain (“strain” vs ischemia?).
58:53 – Analysis of Tracing #3.
1:01:49 – Did you notice any ST elevation?
1:02:30 – ST Elevation in Lead aVR
1:03:00 – Clinical Impression of Tracing #3.
1:04:37 – That’s it for today!


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