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

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 - ------------------------------------------------------------------------ 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. ------------------------------------------------------------------------ YouTube LINK to Video-4 (26 minutes) —    • ECG Video-4 (Blog 98) Rhythm Mgmt-Part 1 (...   YouTube LINK to Video-5 (17 minutes) —    • ECG Video-5 (Blog 99) Rhythm Mgmt-Part 2 (...