thank you for this video. It really helps me with my Exam for interpreting EKG rhythm.. I hope there is more videos to come regarding EKG rhythm interpretation..
In the presentation, at a place with broad qrs complex as is shown in picture Complete heart block with junctional escape rhythm . Junctional escape rhythms have narrow qrs complex. I feel the explanation is correct but the marking/writing in picture is incorrect as the qrs complex is originating from a ventricular focus lower down.
Anand, thanks for spotting this. You are correct. There is a minor typo when I talk about ventricular escape rhythms, but on that part of the video, the label still shows "with junctional escape rhythm" this should read, "with ventricular escape rhythm" instead.
So, I have had to wear an event monitor for a month. I turned it in on Thursday, and didn’t think anymore about it. So Saturday am I checked my Iris account/Forrest General Hospital. I was surprised to see that it said that I have a Third Degree AV Block. Why would my cardiologist not notify me and discuss it with me?????!
I had to wear a holter monitor for a month too and was diagnosed with sustained ventricular tachycardia. I've had 4 episodes of 3rd degree heart block within 6 years and cardiologists couldn't tell me what I had. If you had that you'd definitely know it because you would almost pass out and then you'd feel 2 heart rhythms at one time. Also I don't want a pacemaker as I'm 58 and think a cardiac arrest would be a great way to go...it's fast.
@@SUGAR_XYLER ….yeah, it’s scary is heck. He’s trying me on this new med called flacanamide. If this doesn’t work then I’ll have to get a pacemaker and defibrillator it in. I’m 66 and my husband is 78. I don’t want it either, but I’d like see my grandkids an great-grands grow up to see what they become, you know. My husband had. Pacer put in about 3 years ago. But, the blood thinners were making him go blind in the right eye. And it did. He bled out in that eye. So, got him off the blood thinners by performing the Watchman Procedure on his heart. Once they put the watchman device in, took him off the med and he’s good now. Yeah, that would be a good way to go alright, 🙃Just make sure you’re right with the Lord before leave this world…
Hi,I have a question;What's the life expectancy of someone with a pacemaker due to third-degree heart block? I was forty-five years old when I received my pacemaker that was 9 years and 9 months ago.And In just five short days I'll be getting my first battery replacement. And it made me start thinking about will I be around for my next battery replacement 10 years from now and what are my odds?.
@nancyallen8596 - I had irregularities from sick sinus syndrome and AV blocks my whole life, but when my heart rate slowly dropped to 37 with no atropine response, I finally had to give up and get a pacemaker, too. My battery change is in about 3 years. ------------ This is from a paper published in 2015 in _International Journal of Cardiology_ called "Life expectancy after implantation of a first cardiac permanent pacemaker (1995-2008): A population-based study". - - - _" Life expectancy among PPM_ [permanent pacemaker] _recipients without significant comorbidity approached that of the general population. Greater non-cardiac comorbidity, heart failure, atrial fibrillation and, in particular, cardiomyopathy, contributed most to the loss of expected years of life in all age groups. The oldest patients and women did relatively well."_ (There has to even better survival rates in 2024.) As expected, a history of heart attack, low ejection fraction, heart failure, cardiomyopathy, or atrial fibrillation contribute to death. Pacemakers cannot alleviate those problems. There is always a risk of clotting around the wires - that is why you take aspirin or other blood thinners. There is also a risk of a blood-borne infection - any MD that treats you should be told about your pacemaker. Other, non-cardiac, factors contribute to deaths, things a pacemaker cannot effect, like diabetes, organ failures (kidney, pancreas, lungs, liver), obesity, smoking, poor diet, lack of exercise, cancer, accidents, etc. But as the study states, women have longer survival rates then men, I am guessing that's because men are more lax about their general medical care. Go ahead and have that battery changed!
@nancyallen8596 - PS: You are correct to phrase it as "what are my ODDS?" because there are so many factors involved - with your own heart, your body, your environment, and your financial situation over time that nobody can ever give you a solid statement as in "you will live for 15 more years!" Like weather prediction, medicine can be the embodiment of Chaos Theory.
@@MossyMozart First I would like to say thank you for replying,I do appreciate that! Secondly I guess the answer is like with everything,if you try to eliminate the threat by encouraging good health ,good decisions that I can stretch my life span.And I nor anyone can predict when it's your time! Just make the best of it .That was a hard phrase for me to believe,when I asked the question " what is my life expectancy" I was so afraid of death, afraid to breathe !! I wasn't living I thought I had a death sentence.But now I have a whole new look on life! 🌸
My loop recorder says I had a cardiac pause that is consistent with chb. Am I in dangerous territory? I often have atrial and ventricle tachycardia and I do bradycardia with intermittent afib. Used to just have a pause but bus a chb. Isn’t this possible Heart attack territory?
If you mean at about 1:25 where the P wave occurred _during_ the T wave, *note* that it tracks out with the other P waves and that the wave in question is a bit taller and wider than the other T waves.
@jesseduncan5455 - No, they are not the same thing. There is an article at "The EKG Detective" at EMS1, written by a Paramedic with a Masters in Education, that explicitly and simply shows you how to differentiate the two.
@@SUGAR_XYLER… Not funny 🫤. I have had a thirddegree block for 16 months. I was healthy, athletic, and then all of a sudden the third degree block…. Now I am living, mostly a normal life with an implanted, micro pacemaker. I truly hope you never experience this trauma… But don’t make fun of something that is so serious please. Have a good life, and be kind.
I believe you mean, to be treated the answer is Yes with a Permanent Pacemaker device insertion. However, if you mean spontaneous cure, then the answer depends on the cause which will always need to be treated with pacemaker insertion. I hope this helps.
I've experienced this 4 times within 6 years with a high, incountable heart rate and I *don't* have a pacemaker. 🚫 I'm 58 and consider a cardiac arrest a great way to go....lights out and it's over.
