Ventricular Arrhythmias | ECG EKG Interpretation (Part 5)

In the 5th lesson in this series we took a look at the ventricular arrhythmias for our ECG and EKG rhythm interpretation.

These ventricular arrhythmias are very important to recognize as often times these are either lethal or potentially lethal arrhythmias that your patients can be in and it is of utmost importance that you be able to identify these rhythms and do so quickly, as immediate intervention is often needed.

We start out with the basics and talk about idioventricular and accelerated idioventricular rhythms. These arrhythmias are the result of no signal reaching the bundle of His and to the Purkinje fibers. As a result the ventricular intrinsic rate must take over. Unfortunately these rhythms often to do provide sufficient cardiac output.

From there we move in to talk about the progression of these arrhythmias in to ventricular tachycardia. We talk about how your patient can be in a "stable" VTACH as well as an unstable lethal version, as well as some of the key characteristics to identify this rhythm. We also show an example of a polymorphic vtach (Torsades de Pointes) and explain what makes this different.

Finally we move on to cover how to identify ventricular fibrillation on ecg. We cover the two types, coarse and fine, but stress the importance that these are ALWAYS lethal arrhythmias and require immediate intervention to save your patients life.

Our hope is that by the end of this lesson you have a much better sense of the difference between these rhythms and more importantly that you can identify these quickly as often times your patients lives will depend on it!

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#EKGInterpretation #Arrhythmias #ICUAdvantage

[ICUAdvantage]

Thank you guys so much for watching! Please leave us a like if you enjoyed the video. We truly do appreciate it! Also we love hearing your comments so feel free to tell us what you think of the video. We hope that after this lesson, you will have a good understanding of the oh-so-important to know ventricular arrhythmias. It is vital that you be able to recognize the rhythms quickly as they are of life threatening for your patients!

[hahahere]

Been binge watching the ECG - Series in a row (one left)
Very nice Job u did there by being very cautious to give all the viable Information!
Will be better prepared tomorrow when i look at ECG's!

[mariamsafi]

thank you for these videos. i'm taking an ekg class and have my test tomorrow... definitely feel overwhelmed with all the rules when I got home to practice but this videos ties everything together so thank you! truly helped me

[TheErinlw]

I have a telemetry test today for work and these videos have been so helpful. Thank you!

[ubunie]

I have my CET exam tomorrow, these videos are great and simple at helping me review for it! Thank you!

[kiner]

Thank you tremendously for compiling these videos for our benefit. Now that we’ve got an extensive general overview of the EKG patterns I was wondering if you could incorporate patterns that are more relevant to the real life scenarios like what we see on a typical 12 lead EKG. Identifying these patterns in patterns provided by textbook drawings are so much easier to pick up than looking through an actual 12 lead EKG. Far too many times, real life 12 lead EKG does not depict anything that we are accustomed to seeing in the textbook drawings. Always have the trouble of identifying which lead is supposed to have inverted waves and which one is not. If you ever have the time of providing such video tutorials, I would really appreciate it.

[Rajimoto]

These videos have been extremely helpful. I very much appreciate the effort.
Kind regards from the UK

[tashee]

This really helps! Makes so much sense now. Thank you!

[thepalettewhispererasmr]

I know you're here for the ICU nurses, but you are making one smart ED nurse over here.

Oh. Btw, Amal Mattu says VTach should be a minimum rate of 120

[Skyrock]

Thank you i! I love the way your teaching, very easy to understand the way your talking with an animation .

[parisazamani]

Perfectly helpful as always. Thanks Eddie. 🙏🥇

[jamesromero]

I am having a lot of trouble identifying the difference between Polymorphic Vtach vs. Coarse Vfib at times since they resemble each other in my eyes ;(

[kaptech]

Thank you for explaining things so well!

[ajaiarora]

Videos are presented in an excellent way 👌👌

[ajaiarora]

Excellent ! You can add subtitles in your videos, then it will be easier to understand for all of us ; sometimes due to different pronunciation it’s difficult to understand word by word . Thanks ! 🙏🏻

[greggorystevens]

Awesome content well explained. Thank you!

[elidabelmartin]

Love you videos it’s easy to understand thank you so much 😊

[davidpowell]

V flutter? May precede VF ?
Incidents where an object such as a tennis ball or lacrosse ball hit a healthy person in the chest at a particular instant in time relative to that person's cardiac rhythm/EKG cycle such that a ventricular arrhythmia was set off that then evolved into V fib ? Sort of related to "R on T" phenomenon?

[melindamullis]

Great teacher/speaker! Thanks so much!! :)

[andytrinh]

What the different between atrial fib and ventricular fib ?