Ventricular tachycardia (VT) - causes, symptoms, diagnosis, treatment & pathology

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I work as an EKG tech at my hospital & man it is beyond scary when a patient sustains V-Tach and calls for immediate medical attention. That persons life is really at stake. It’s one of the reasons I enjoy my job, getting to play an active role in saving lives is humbling. Great informative vid 👍🏾

hawaiianhonu
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We had just got off a late flight and made our way outside the airport towards the taxi rank. My partner was recovering from nose surgery to better her breathing due to an assault she experienced in her past. She was approx 2 weeks post op. As we walked our 16month old son she just collapsed.
Unresponsive, her heart was beating very fast & her breathing wasn't normal and at times stopped for up to five seconds at a time. As I called for an ambulance I had airport staff get me a defibrillator from inside. I was monitoring her breathing best I could as I tried to confort our son who was in hyterics. I was just waiting to begin CPR. I was very thankful a stranger offered to watch my son as I couldn't focus on him, listen to 000 and my partners breathing/heart at the same time. By the time the defibrillator arrived she gained consciousness for a moment but then fainted once more. Her heart seemed to have stopped for a moment but as I moved my ear from her mouth and hand off her chest she gasped and her fast heart rhythm continued. Her breathing started to become normal once more however her heart was still beating fast by the time the ambulance arrived. The only thing that stopped me from beginning CPR was the fact she was breathing still. The whole time I was waiting for her heart and breathing to stop. The adrenaline, shock and fear I was experiencing was something I never want to experience again. She already had PTSD and was in a lot of pain from the nose surgery and also had a few wines at the airport and on the plane to help calm herself.. I believe all contributed to her cardiac arrest. She does have other health complications aswell but you get the main picture.
I am trained in CPR and advanced resuscitation & am required to refresh the training anually for my work.. despite having a decent understanding of what was happening and what I needed to do I was very scared and just did my best to remain calm. If it ever happens again and I have the ability to put a defibrillator on her I will do so much more promptly as my knowledge on them has since grown.. they are very smart machines and don't just shock once turned on and applied.
It scarred me going through this. I still feel a similar sense of shock when I think about it and that was about six months ago now I think.
I got her out of hospital that morning she was there from roughly 10pm to 4am. She's laying next to me 19weeks pregnant and angry at me as I write this haha
She wouldn't believe me but I'd give her my heart if she ever needs it.

burgers
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That's exactly what happened to me yesterday night (and some months ago too). I was about to fall asleep when it suddenly started. I felt a fluttering sensation in my chest so I put my hand over my heart and it was beating JUST LIKE in the video at 1:34. There were 4-5 beats per second and it lasted for about half a minute. I wasn't panicking at all, nor did I have chest pain, anxiety, sweating, dyspnea or anything like that. The only thing I felt was weakness. It was like I was almost dead. I could only stare into nothingness and was unable to lift my arms or move. I just felt an utter weakness.

Norahungary
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This was very useful to me. I'm a CT Radiographer who suddenly developed a fast HR of 240bpm whilst scanning a patient. Fortunately for me, my colleagues took me straight to triage who then took me straight to resus. I'm now writing this from a bed on our cardiac ward. People can bash the NHS but when it needs to move fast it does. I've had an angiogram, cardiac MRI and echo within days and am just waiting to find out if I have to have an ablation.

Thanks again for the informative video which I am about to pass onto my wife so she understands what is going on.

shorey
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You guys are amazing!!! Seemingly difficult concepts are made so simple! A big thank you to the entire team!
you guys deserve wayyy more subscribers :D

priyankas
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I just got home from the hospital, this past Sunday morning at 4am, I woke with Tachycardia. I’ve had it before many times since the 90s and it usually stops on its own after a few minutes.

It didn’t stop, in fact got worse and I could see my chest bouncing. After 10 minutes I called EMS and when they got to me I was passing out.

They attached defibrillator and gave me a shot of a pain medicine that sent me high as a kite.

One night stay in the hospital I am now home.

Only after effects are feeling worn out and mild dizziness.

I have heart studies coming up in OKC, maybe they will find the offending electrical path.

Thank you for your bideo

tomcook
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I have a murmur, ventricular tachycardia and HCM. Learning about all of the issues, so this was great!

primalpagan
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I had an episode of spontaneous pneumomediastinum in hospital and experienced VT for nearly two sustained minutes. Didn't lose consciousness, did get dizzy, did vomit. Considering I had zero cardiac history, am young (33 male) and relatively healthy and a heart CT showed no arterial blockage, I'm assuming the mechanical pressure of air in the mediastinum is what caused my arrythmia since it went away and has never returned. Had a heart ultrasound and EKG all of which came back perfectly normal. Stayed in the ICU 3 nights and was released straight away. I don't even list VT in my history because I don't consider myself a cardiac patient, but I did leave with a cardiologist who I never followed up with.

WonderBlubber
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all day i was so disappointed for not understanding this concept n suddenly now in the evening i thought about looking for this on ur channel n it was truly worth it...thank you sooo much...your videos have always come to my rescue

Bushrapeerzada_
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Fantastic explanation of the re-entrant mechanism! Thanks team : )

aboutmedicine
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Got my first Medschool final on Monday, thank you for your amazing videos!

snakefisch
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Thanks for these awesome videos that can explain difficult concepts into something that's much easier to understand. The animation is also very helpful. Thanks again and appreciate all the hard work you put in to help the students!

liyueh
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Nurse, been in er, just make it simple. You treat VT by two mean: if someone ends up at the hospital, and have had the VT before, the only opotion is the defibrillation. They have the meds, taken them, and will not fix it, so only option is to defibrillate/give an electric impulse to reset the rythm.

oshixxxx
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your videos are actually amazing 💛 your explanations are wayyy easier to understand than any of our lecturers haha! thanks so much for making them! xx

nattao
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Congrats for the 4000 subscribers!
You deserve much higher than that .
Keep going 👍🏻

mustafarafi
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Thank you for these amazing videos! in several minutes you manage to explain things that I can't get from plenty of pages. they help me so much for my exams and for my future career. keep up the good work!

badoiuanca
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You are a god sent, so well explained with a calm voice, I would love if you did pod casts that were at least an hour long where you could go into more depth although your doing a good job with these short vids

wmeva
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I had an episode of v tach 2 weeks ago. Lasted about 8 seconds. Im 23 years old, normal echo, MRI, stress tests, stress echos, EKG, blood tests, and EP study. Scared everyday of dying now, its horrible

Obsessivemind
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Thank you this helped me understand what my Dad is dealing with.

KG-xrno
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Excellent explanation . I was trying to explain this to my wife before I went to have my EP study for VT. Thank you !

markwkarriker