From the ECG to the Diagnosis: How to Squeeze Out All the Information Contained-SVT vs. VT — How Can the Surface ECG Help? (Presenter: Melvin M. Scheinman, MD, FHRS)

SVT vs. VT — How Can the Surface ECG Help? (Presenter: Melvin M. Scheinman, MD, FHRS)

Video Transcription

Video Summary

The speaker discusses different types of arrhythmias and their characteristics. They start by explaining nodal tachycardias, specifically AV nodal re-entry tachycardia. They discuss the EKG features of AV nodal re-entry, such as marked prolongation of the PR interval and pathognomonic changes like the pseudo R prime. They also highlight AV nodal re-entry with anegraded block to the ventricle and retrograde block to the atrium. The next topic discussed is accessory pathway type tachycardias, where the speaker emphasizes the importance of bundle branch block in identifying the location of the pathway. They explain the morphological differences between left bundle and right bundle arrhythmias and how they can help in diagnosing the location of the pathway. They also mention wide complex tachycardias that terminate with a narrow QRS, indicating a left-sided accessory pathway. The speaker concludes by discussing fascicular tachycardias and how they can mimic SVT. They mention the importance of the EKG in diagnosing these arrhythmias.

Meta Tag

Lecture ID 4027

Location Room 201

Presenter Melvin M. Scheinman, MD, FHRS

Role Invited Speaker

Session Date and Time May 09, 2019 10:30 AM - 12:00 PM

Session Number S-010

Keywords

arrhythmias

AV nodal re-entry tachycardia

EKG features

accessory pathway type tachycardias

bundle branch block

fascicular tachycardias