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ECG Video-6 (Blog 100) Rhythm Mgmt-Part 3 (11-12.1-2014)

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Published on Nov 12, 2014

NOTE: To facilitate viewing — I have made up a Timed CONTENTS with LINKS (!) — which allows you to instantly Fast Forward on YouTube if you want to focus on a specific area (GO TO — http://ecg-interpretation.blogspot.co... ). This 40-minute ECG Video (my 6th) — is Part 3 of a Clinical Look at Cardiac Arrhythmias from a Primary Care Perspective. Focus in this Part 3 is on the SVT Rhythms, including PSVT/AVNRT — MAT — AFlutter — and Atrial Fibrillation. ECG recognition and clinical management is covered for each rhythm. LINK to my Google Page on Arrhythmias = http://www.aafpecg.com -
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TIMED CONTENTS (Click on Links to Fast Forward! ):
0:00 – Introduction (How to Contact Me).
1:06 – SVT Rhythms (Definition of “SVT”; What is “narrow” ? ).
1:59 – Exceptions (SVT despite a wide QRS).
2:41 – Despite a Narrow QRS in V1 – Not SVT! (Use 12 leads!).
3:26 – Our Agenda for this Part 3.
3:49 – Next Case: A Regular SVT (How to Use Ps,Qs,3Rs).
5:08 – Rate Estimation (Rule of 300).
5:56 – LIST: Regular SVT without Sinus Paves (3 Causes!).
6:36 – Initial Mgmt of a Regular SVT of Uncertain Etiology.
7:38 – Next Case: Regular SVT at 180/Minute (Ps,Qs,3Rs).
8.37 – Fast Rate Estimation (Every-other-Beat Method).
9:40 – PSVT (Illustration of AV Nodal “Reentry”; Implications).
10:50 – Effect of Vagal Manuevers on PSVT.
11:20 – How to Treat PSVT? (AVNRT vs AVRT; Initial Rx).
13:06 – Common Themes in Practical Arrhythmia Mgmt.
14:12 – Next Case: Atrial Flutter (How to assess this SVT).
15:18 – Effect of Vagal Maneuver on Atrial Flutter
15:39 – Using Calipers to Recognize Flutter (sawtooth).
16:10 – Atypical AFlutter (Distinction from Atrial Tachycardia).
16:36 – Mgmt of AFlutter (Differences in Rx vs AFib).
18:10 – Next Case: Irregular but Not AFib (Recognizing MAT ).
20:03 – ATRIAL FIBRILLATION: What if AFib is Slow?
21:28 – AFib with a Rapid Response: Initial Evaluation.
22:27 – AFIB: The 5 Initial Priorities in Management.
23:12 – CAUSES of AFib (Which are most common?).
24:33 – “Lone” AFib (How to Define; A Lower Risk Group?).
25:09 – Recommended WORK-UP of New AFib (When Echo?).
27:01 – AFIB: Slowing the Ventricular Response (Which Meds?).
28:46 – To CARDIOVERT AFib? (Spontaneous/Meds/Shock).
30:25 – Issues Regarding Cardioversion (Candidates? 1st Episode).
31:29 – Anticoagulation of Rate-Controlled AFib may be Enough …
32:00 – Effect of Lifestyle Changes for Treating Chronic AFib.
32:32 – Most AFib Episodes are Asymptomatic!
33:00 – Should AFib be Cardioverted in the ED (Emergency Dept.)?
34:05 – When to Refer to Cardiology? (specifically to EP Cardiology).
34:59 – Preventing STROKE: Who to Anticoagulate? (CHADS, etc.).
36:58 – Newer Oral Anticoagulant Drugs (NOACDs vs Coumadin?).
39:35 – End of Part 3.
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YouTube LINK to Video-4 (26 minutes) — https://youtu.be/THJKEXZmA2k

YouTube LINK to Video-5 (17 minutes) — https://youtu.be/8n8PEYLb1hg

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