ECG Media Pearl

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DEAR READER: To master ECG interpretation clearly requires seeing the tracing you are analyzing — but important ECG concepts are sometimes best conveyed by either a short Audio message or a brief ECG Video. This is the purpose of me adding this new feature to my ECG Blog posts — in which I'll be adding brief audio and/or visual PEARLS to facilitate understanding.
  • For easy reference — I'll maintain a list of my ECG Media PEARLS below.
  • For comments or questions: WRITE ME at ekgpress@mac.com
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ECG Media PEARLS (This series started on 1/10/2021):
  • ECG Media Pearl #1 (3:00 minutes Audio— Regarding deWinter-like T waves (1/10/2021) See ECG Blog #183

  • ECG Media Pearl #2 (2:15 minutes Audio— The "magical" mirror-image opposite relationship with acute ischemia between lead III and lead aVL (1/15/2021)See ECG Blog #184

  • ECG Media Pearl #3 (3:00 minutes Audio— The Ps, Qs & 3R Approach to Systematic Rhythm Interpretation (1/18/2021)See ECG Blog #185

  • ECG Media Pearl #4 (4:30 minutes Audio— The AV Blocks & WHEN to Suspect Mobitz I (1/21/2021)See ECG Blog #186

  • ECG Media Pearl #5 (7:00 minutes Video)  ECG Blog #188 — WHAT to Know about Laddergrams? — even if you are not an advanced interpreter. Brief review of essential laddergram elements appear in this ECG Video, with written summary and links to over 20 cases with detailed explained laddergrams. (NOTE: The video refers to a laddergram I discussed in ECG Blog #186).

  • ECG Media Pearl #6 (12:00 minutes Video ECG Blog #189 What type of AV Block? Detailed analysis of this challenging arrhythmia (including ECG Video with step-by-step analysis of this complex ladderegram).

  • ECG Media Pearl #7 (4:50 minutes Audio) — ECG Blog #190 — When to suspect RV MI on a standard 12-Lead ECG (What is the "culprit" artery?).

  • ECG Media Pearl #8 (8:20 minutes Video) — ECG Blog #191 — Distinguishing between AV Dissociation vs Complete AV Block (2/6/2021).

  • ECG Media Pearl #9 (5:40 minutes Video) — ECG Blog #192 — Reviews the 3 Causes of AV Dissociation (2/9/2021).

  • ECG Media Pearl #10 (10 minutes Audio) ECG Blog #193 — Reviews why the term "OMI" ( = Occlusion-based MI) should replace the more familiar term, "STEMI" — and presents the basics for predicting the "culprit" artery.

  • ECG Media Pearl #11 (6 minutes Audio) — ECG Blog #194 — Reviews how to tell IF the “culprit” artery has reperfused, using clinical and ECG criteria.

  • ECG Media Pearl #12 (6:40 minutes Audio) — ECG Blog #195 — Reviews the phenomenon known as isorhythmic AV Dissociation (in which the atrial and junctional [or ventricular] rate is virtually equal, but P waves are not conducting to the ventricles).

  • ECG Media Pearl #13 (13:15 minutes Audio) — ECG Blog #196 — Reviews “My Take” on assessing the regular WCT (Wide-Complex Tachycardia), when sinus P waves are absent — with tips for distinguishing between VT vs SVT with either preexisting BBB or aberrant conduction.

  • ECG Media Pearl #14 (8 minutes Audio) — ECG Blog #197 — What is Idiopathic VT? — WHY do we care? Special attention to the 2 most common forms = RVOT (Right Ventricular Outflow Track) VT and Fascicular VT.

  • ECG Media Pearl #15 (5 minutes Audio) — ECG Blog #198 — Is Monomorphic VT Regular? — with attention to the 2 Caveats that emphasize how: i) Fast AFib may look regular; andii) Monomorphic VT is not always perfectly regular.


  • ECG Media Pearl #16 (2:20 minutes Video) — ECG Blog #199 What is MAT (Multiple Atrial Tachycardia)? How is it diagnosed?

  • ECG Media Pearl #17 (3:30 minutes Audio) — ECG Blog #200 — What is a Wandering Atrial Pacemaker (as opposed to MAT)?


  • ECG Media Pearl #18 (7:45 minutes Audio) — ECG Blog #201 — On recognizing Artifactand — using Einthoven's Triangle to determine within seconds the "culprit" extremity causing the Artifact on your ECG.

  • ECG Media Pearl #19 (5:00 minutes Audio) — ECG Blog #202 — A few quick things to look at that allow you to rule out complete AV Block within seconds!

  • ECG Media Pearl #20 (14:30 minutes Video) — ECG Blog #203 — A user-friendly approach to Calculating Axis — 

  • ECG Media Pearl #21 (12:00 minutes Video) — ECG Blog #203 — Reviews a user-friendly approach to the Hemiblocks (LAHB/LPHB) and Bifascicular Blocks (RBBB/LAHB; RBBB/LPHB) — 

  • ECG Media Pearl #22 (13:15 minutes Video) — ECG Blog #204 — Reviews a user-friendly approach for how to diagnose Bundle Branch Blocks (RBBB/LBBB/IVCD) in a matter of seconds! —

  • ECC Media Pearl #23 (7:40 minutes Audio) — ECG Blog #205 — A user-friendly Systematic Approach to 12-Lead ECG Interpretation.

  • ECG Media Pearl #24 (9:00 minutes Audio) — ECG Blog #207 — Review on the Pros & Cons of the Computerized ECG Report.

  • ECG Media Pearl #25 (9:50 minutes Audio) — ECG Blog #208 — Review on the ECG Diagnosis of Acute Pericarditis.

  • ECG Media Pearl #26 (6:00 minutes Audio) — ECG Blog #209 — What Wellens' Syndrome is — and what it is not ...

  • ECG Media Pearl #27 (3:00 minutes Video) — ECG Blog #210 — Reviews the Rule of 300 for estimating heart rate — and — @ 1:25 minutes in the video, the Every-Other-Beat Method for Estimating Rate with fast rhythms.

  • ECG Media Pearl #28 (4:40 minutes Video) — ECG Blog #211 — Reviews WHY some early beats and some SVT rhythms are conducted with Aberration (and why the most common form of aberrant conduction manifests RBBB morphology).

  • ECG Media Pearl #29 (8:00 minutes Audio) — ECG Blog #212 — Reviews WHAT the Ashman Phenomenon is ... — HOW do we use it? — and — Is it accurate when the underlying rhythm is AFib?

  • ECG Media Pearl #30 (7:40 minutes Audio) — ECG Blog #213 — HOW to distinguish between Aberrant Conduction vs Ventricular Ectopy — when the underlying rhythm is AFib?

  • ECG Media Pearl #31 (5:30 minutes Audio) — ECG Blog #214 WHY do I emphasize the phrase, "12 Leads are Better than One?"

  • ECG Media Pearl #32 (7:30 minutes Audio) — ECG Bog #215 — Reviews the Cabrera ECG Format — and doing ECGs at a recording speed of 50 mm/second.

  • ECG Media Pearl #33 (7:00 minutes Audio) — ECG Blog #216 — Explores what to do when you are not certain of the Rhythm Diagnosis. How often does this really matter?

  • ECG Media Pearl #34 (6:00 minutes Audio) — ECG Blog #217 — Are YOU really seeing AV Dissociation in that WCT Rhythm? (ie, Is the rhythm VT?)

  • ECG Media Pearl #35 (5:20 minutes Audio) — ECG Blog #218 WHEN is a T Wave Hyperacute? (ie, How to distinugish from the T wave of repolarization variants?).

  • ECG Media Pearl #36 (7:45 minutes Audio) — ECG Blog #219 — Reviews distinction between Ventricular Tachycardia vs AFib when the Wide Tachycardia is Not Regular.

  • ECG Media Pearl #37 (6:00 minutes Audio) — ECG Blog #220 — Reviews how to determine IF Your Patient is Hemodynamically Stable!

  • ECG Media Pearl #38 (11:30 minutes Audio) — ECG Blog #221 — Reviews the ECG Diagnosis of Acute MI when there is BBB.

  • ECG Media Pearl #39 (5:15 minutes Audio) — ECG Blog #222 — Reviews the concept of Dynamic ST-T Wave Changes (and how this ECG finding can assist in determining if acute cardiac cath is indicated).

  • ECG Media Pearl #40 (9:45 minutes Audio) — ECG Blog #223 — Reviews points in Rhythm Diagnosis on Assessing P Waves and Atrial Activity.

  • ECG Media Pearl #41 (4:00 minutes Audio) — ECG Blog #224Reviews HOW to recognize within seconds (!!!) a Mobitz I ( = AV Wenckebach) 2nd-degree AV Block when there is ongoing Inferior STEMI.













  • ECG Media Pearl #42 — XXXX


  • ECG Media Pearl #XXX — XXXX
  • ECG Media Pearl #XXX — XXXX
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FUTURE ECG Media Pearls that I PLAN to DO:
  • The Every-Other-Beat Method: Fast & Accurate Rate Estimation
  • SVT Rhythms ...

  • XXX
  • XXX
  • XXX



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— To RETURN to My ECG BLOG —
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I hope my ECG Media PEARLS are helpful to you. 
  • My contact information (email) is listed at the top of this page.


2 comments:

  1. Hello Ken!
    I cannot be more grateful for your sharing of countless cases of ECG on the Internet and your detailed explaination, and especially for these ECG pearls, which are extremely helpful to improve my understanding on the Art of ECG interpretation!

    ReplyDelete
    Replies
    1. THANK YOU so much for the kind words! My pleasure! — :)

      Delete