Fainting Dead Away - Cardiogenic Syncope | The Heart Course 

If this guy loves diagnosing syncope so much I wish I could get him to examine my health issues cause I still have no Diagnosis after 6 years.

As a paramedic and flight nurse, I make a note on everything Amal says!!

As a paramedic with HCMO, I appreciate this lecture and will use it to teach my employees on what to look for and what not to dismiss. Thank you.

Great lecture --very clear and helpful thank you. from a GP in the UK.

A note about the computer always correctly interpreting the QT. I had a patient that it interpreted as having approximately 540ms QT and when I looked at the ekg I knew that couldn't be correct, it was around 320ms. The t waves were very flat. I measured from the qrs to the next p wave and got around 540ms. The computer missed the t wave because it was so flat and counted the next p wave as the T. So they're not 100%.

Marvelous review & insights again. thank you!

Amazing lecture. I'm excited!

GREAT TEACHER AND COMMUNICATOR !!

So glad I watched this. I will take this knowledge back to the streets when dealing with syncope patients.

This is gold. Solid review, and excellent take-home points. At least one class of ACPs will have these on the road. Thanks again. PS - I'm a huge fan of yours and so very thankful that you take the time to educate. Cheers

Wow!!! Amazing lecture!!! Thank you!!!!

Great review for me, it's amazing how important spaced repetition is, thank you.

THANKS!!! Summary: With syncope patient and ECG evaluation Look for the "common stuff" - 1) Ischemia - 2) Dysarytmias and the the rare stuff (that you need to look for consciously) - No 1: HOCM - High voltage + deep-narrow (non ischemic) q-waves (especially lateral leads: I, aVL, V5, V6) - No 2: Brugada - V1-V2 look for downsloaping ST-elevations (Coved type) > Saddle type . Look in V1+V2 (forget V3; forget about subtypes of brugada - neither are helpfull) - No 3: WPW - if "normal ECG": look for short PR interval and delta-waves in ALL leads (might be missing in some); if takykardia: "snow flake" (every QRS looks a little different), HR around 300, wide QRS. Don't use AV-nodal blockers - No 4: Prolonged QTc >500 msek

Thank you for this video. I have recently been experiencing syncope & this was super helpful!!

Great lecture. Fan of you Dr.Mattu.Keep sharing, n educating. Tthank you a lot.

Thanks!just yesterday we lost a young girl from first time seizures.your pathophysiology is awesome!Nkqubela (south africa)

Excellent talk Amal and very informative

Love your videos!

Excellent. I loved it.

Amal is the master!

Thanks for sharing this amazing lecture , I hope I will find all lectures by dr amal mattu♥️🙏🏻

Totally awsome lecture 🤗

I got extremely dizzy, lied down, and had a 4.5 min seizure-like episode. I was conscious for the episode (although maybe not the entire 4.5m) and with the exception of dizziness, made a complete recovery in less than 1 min. I couldn't move, couldn't yell, could barely whisper, couldn't swallow, had stridor. Your talk was sufficient for me to confirm in my own ECG that I lacked the often overlooked conditions of HCM, Brugada, Arterial fibrillation with WPW, and Long QT brain Hyperperfusion. Knowing what to look for and what is most often missed is of great comfort to this patient. For those of us following along at home who are not doctors, (I know this is not your audience) it would be helpful if you painted the part of the trace you were referring to in red at the same time as the condition is revealed. I also assume some could benefit from labeling the waveform with QRST.

Excellent Talk. Very informative and Educational.

I hv been roaming RU-vid for around 20yrs or little less wasting time mostly until just I landed into this M$ lecture, big thank

Excellent presentation. Very well explained.

Amal Mattu is quite simply the best! Especially from an EM point of view.

great lecture!

My dad has obstructive HC and last week had syncope for the first time. He refused to go to the doctor or hospital at the time. This video helped me anyway as a lay person.

I teach EKG and this man is AMAZING!!

damn the amount of practical knowledge is insane

Professor, you're a genius and my idol

Great lecture. I have noticed in my practice that EKG is a great help if you pay attention to the hints . Most of the cardiologist ignore EKG considering it a poor diagnostic tools.

great lecture

Awesome sir

Teacher of par excellence 🤗

I am a Pt. Female 41 . I was diagnosed with vasovagal Syncope this morning. It all started on Nov. 24th in the kitchen. I suddenly got very light headed and freezing cold. I had to lay down. I felt horrible the entire day and couldn't get warm. Several more episodes occurred until the worst one while I was driving on Dec. 2nd when i almost crashed into oncoming traffic. I went to ER and had elevated d dimer and abnormal T wave. I was admitted and had Bradycardia with a high of 51 and low of 37 with a BP of 102/67. I have "athletes heart" even though I'm not an athlete. Otherwise normal heart with slight bit of atrial regurgitation. Anyway. I'm still S B with average of 51 bpm. The Cardiologist is telling me to wear compression hose and to lie down right away if feeling an episode. Or to pull over when driving. I feel like I'm going to end up hurting myself or someone else if I keep driving. But he says to live my life. I don't feel better immediately after these things happen to me. I have super slow pounding in my chest after and I feel confused and dazed for hours after. Should I trust his opinion or seek another opinion?

I have nuerocardiogenic syncope. My electrocardiologist has been wanting me to get a pacemaker for the last year. I've been avoiding it because I'm only 40. Now I'm considering it.

Very nice Thankyou

Ì try to absorb any words as pure gold ....

It’s said whoever saves one life it’s like they saved all life thanks you to all the real heroes you are appreciated.

I have been dizzy and heart beat irregular after a bacj surgery went wrong ( I suffered MINS with elevated Troponin)..Have CT angiography done with no significant findings)...Now trying to figure out myself what is wrong with me...Thank you for a very interesting lecture...

Nobody makes electeocardiology as fun as Amal

I have problems with my heart and fainting im 33 years old and I've had these issues as long as i could remember no one can figure it out i wish i knew wbat was wrong with me im on a journey to find out for myself this was so helpful

Wow!!!! Thanks

great...

Niice work

Really you are genius ...I love your lectures .But let me ask you a question : does SCN5 genotype study effective and necessary in the diagnosis of Brugada ?

thanks from gp in uran

good one, i also like how this dr explains things. got a question though. what should we check for if its an HCM in a kid? ive seen a bunch of kids with deep narrow Q in inferior AND lateral leads (well okay, just V5 and V6), and ofc i cant use the voltage criteria in kids at all. so how do i do this? i mean sure q in lead I and avL is a really bad sign no matter the age, but what if it doesnt show?

11:30 syncope is on the spectrum of death

Could you make a video about brain zaps following by fainting?

differential should include pulmonary embolism. sometimes syncope is the only clue. there might not be typical ECG changes.

Is pulmonary hypertension related to the heart and dizziness? After having a black out this AM I still have tachycardia and and lots of burps. Should I have ECG?

can 4 abnormal t waves on an ecg combined with fainting, migraine and vomiting be cardiac syncope or is it nothing to look into

I'm old and living with heart racing & fainting , been put through the mill for months, still zero help. I am now dizzy 80% of the time. Have all kinds of tests including 2 weeks heart monitor. No diagnosis. Not fun.

So a syncope will show up on an ecg? Does that have to be recently after or will it show after in the same way they can tell you've had an attack?

What would they think it is the spikes like that

Great lecture. I never thought of looking for HCM.

That O J reference though 😎

Dr Mattu makes the call using his AI (brain) and the ECG machines can't pattern-recognize Brugada as a DDx, very curious?

The bar called Brugada must to be warning if one eats there then they must to test for Brugada.

I had 5 collapsed, the last year I stayed unconscious for 11 hours, this past Monday I collapsed and my blood pressure felt to 49/26. I don't remembered anything, almost go into cardiac arrest and they are refusing to perform an angiogram on me. Am scared this time, I felt drained, tired, fatige.

October 11, 2023 this sounds like my 27 year old son right now! HELP me without scaring the crap outta him! He is on almost every platform FB, Tiktok, ect his name is Urían! If I show him this, he'll go into a panic attack fight or flight that he also suffers with, along with SVT, Cushing's, and many other health conditions. He has many invisible illnesses, he looks athletic 🏃🏻‍♂️ but is physically sick. He is married with 3 kid's. No health insurance. He can't leave his kid's behind at 27 year's old. Most people downgrade or downplay his symptoms. I know he's sick! I believe him. He had surgery on his pituitary in his brain about 3 years ago for having Cushing's!

32:00 round up inc long QT

I have a non - specific gene for sudden cardiac death...it's really scary to me.😮

IM A CARDIOGENIC SYNCOPE PERSON WHEN BLACKING OUT I DO WONDER IF IM GOING TO RETURN THAT I HAVE BEEN HAVING FOR SO LONG OVER 13 IN MY 60TY YEARS SCARY

Sir, my father is going through Syncope. He loses his sense instantly and fall flat in ground. Same happens even when his is sitting. He was admitted to a Heart Special Hospital and the Cardiologist Doctors told there is no problem in Heart. Can you Please Please Please Guide me how can we take care of my father in Home now.

Now I will take syncope very seriously!!!Nkqubela

Japan is not tropical but Brugada is more common in Japanese men.

35:20 etoh chronic all have prolngd qt

What is the date for course release?

bril as always

Beauty

🙏🙏🙏🙏🙏

2:00 2 no brainers, 2 intervalopathies, 2 genetics

Smooth anointed, what? Muscle! isn't a jagged-- electronic dynamic signal! N= not ever!

There are stories of Asian women dressing their sons as girls for bedtime because Brugada was so much more common in boys 😢

20:00 brugada

ACID REFLUX INDUCED SYNCOPE. If you have bad acid reflux for many weeks or months the lower gullet sphincter seems to stop working so food backs up in the gullet and feels like you cannot swallow or are choking. Then the pressure of the food causes pressure on the blood vessels from the hart and that reduces blood flow to the brain which suddenly shuts down. It is quite terrifying when it occured to me three times in ten days.

F

hahaha so jack daniels ia a diagnosis now