Advanced EKGs - Distinguishing VT from SVT with aberrancy

A discussion of how to distinguish VT from SVT with aberrancy among wide complex tachycardias, including the Brugada algorithm and brand new Basel algorithm.

#EKG #ECG #electrocardiogram

[vt]

I am a trainee sort of general cardiologist and have learned a lot from your videos! They are of the highest scientific quality and very entertaining. Thank you!

[Sharmi-irjf]

Hello Dr Strong!

I want to thank you first and foremost for all your carefully made videos.

Secondly, I have a small question. I am halfway through your series on EKG interpretation. Do you have any review questions that you would personally recommend, yours or any educational body I can easily access on the web?

A grateful med student!
I would like as much revision as I can, and I’ve done the the ones included in the videos

[studentforlife]

Thank you so much from Morocco Dr Strong !

[ΆγιοςΧίλαριος]

Great thanks for the video ! I've seen a case of hyperkalemia with regular WCT and very wide QRS ~ .2 sec which resolved completely with IV Ca gluconate . I'm not sure if antidromic AVRT would be called aberrancy as this refers to tachycardia-related RBBB/LBBB. Also, I read somewhere that BBR-VT can present with a QRS morphology that resembles the baseline EKG.

[medstudentbloop]

Please more ECG videos 🙂i love this channel🥰

[biancabrown]

I’m a new nurse. And find myself struggling a bit, but this helps! Thanks

[yasirmohammedali]

Hello doctor, thank you for your help

[Propofol]

Hi Dr Strong

How do you know where the QRS complex is pointing in these VTs? It is hard to identify an isolelectric line

[joshuahaywood]

Thank you so much Dr Strong
You a g for dis one

[josephgarribaldi]

In the AV dissociation strip how come is it said to be wide or borderline wide cause those QRSs' complexes look <12 ms..?

[shehzadsaab]

Very helpful, but need time to retain all these. I should play it again and again. 😢

[kazeckr]

How can one know the onset of the QRS complex to apply the brugada sign? (R-S interval)

[junnyhaan]

I have a question. I can not understand 7:12.(you explained R-S > 100ms is the critical point of VT) Why did you set up R wave starting point on the first notching on the down slope? Regardless of brugada sign is superior axis or inferior axis, R wave starting point should be the highest point on brugada wave. Please, someone will make me understand.

[andonisangelov]

What is the reason for S wave in lead V6 in
normal ECG?