Benign Early Repolarization On Actual 12 Lead ECG - Identifying, Diagnostic Criteria, And More!

Рет қаралды 10,563

4 жыл бұрын

Benign Early Repolarization (BER) can be a tricky diagnosis given the ST segment elevation and similarity to STEMI. In this video we go through a patient's 12 lead electrocardiogram (ECG) and talk about how to identify benign early depolarization, it's diagnostic criteria on the actual 12 lead ECG, and more!
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#ecg #electrocardiogram #benignearlyrepol #medicaleducation #foamed #teaching

Пікірлер: 44

@WhiteboardMedicine Жыл бұрын

Playlist on all things ECG! kzfaq.info/sun/PLf5bMa9_tvRisUhHX_V5UdQjNk5hhkOuO Left Bundle Branch Block on 12 Lead ECG kzfaq.info/get/bejne/ec2peb1izeCYpYU.html Right Bundle Branch Block on 12 Lead ECG kzfaq.info/get/bejne/ot-efNOiu9CyZoU.html Hypothermia (Osborn Waves) on 12 Lead ECG kzfaq.info/get/bejne/a9ipn5hmp7bLlac.html **Additional Related Videos Linked Below*** Acute Respiratory Distress Syndrome (ARDS) - Diagnosis, Management, And Major Trials To Date kzfaq.info/get/bejne/qtBmbJx8yqu9YWg.html Cardiac Output And The Fick Equation Explained: Deriving, Applying, And Understanding The FICK! kzfaq.info/get/bejne/Zq1llNCrurOYdI0.html Oxygen Content And Oxygen Delivery - Concepts and Equations Explained Clearly kzfaq.info/get/bejne/a6qElqp9lsCqpo0.html Intra-Aortic Balloon Pump (IABP): Placement, Waveforms, Hemodynamics, Indications, And Complications kzfaq.info/get/bejne/e9qEqbCb1dzIYIk.html Extracorporeal Membrane Oxygenation (ECMO): Principles, Types, Anatomy, Indications, Complications. kzfaq.info/get/bejne/jbaWaKxhqLbDqXk.html Everything you need to know on Acid-Base Disorders: kzfaq.info/sun/PLf5bMa9_tvRjj4NDR0eq6M6TqKiZQZChX Playlist containing all of our videos to date on topics in Critical Care Medicine: kzfaq.info/sun/PLf5bMa9_tvRiZ85NNUGwk91YpqDWdIGvA 5 Minute ECG Videos: kzfaq.info/sun/PLf5bMa9_tvRisUhHX_V5UdQjNk5hhkOuO Playlist containing all of our videos to date on topics in Cardiology: kzfaq.info/sun/PLf5bMa9_tvRh2JoODgpLapjGDYXSW1q0h Playlist containing all of our COVID-19 educational videos to date: kzfaq.info/sun/PLf5bMa9_tvRjDwCpaD06b6fMOt1FEBki1 Playlist with our Medical, Science, and Healthcare News videos: kzfaq.info/sun/PLf5bMa9_tvRhsj4rBQzF7YOtboBoHL2u9

@Ruostesieni 2 жыл бұрын

I'm currently in the midst of preparing for my cardiology exams and this video helped a lot in clarifying the specifics of a benign early repolarization. Cheers!

@WhiteboardMedicine 2 жыл бұрын

We are glad that you found value in it! Thanks for checking it out and best of luck!

@fitscapepodcast 4 жыл бұрын

The video is great. Deep information there. Very clear

@WhiteboardMedicine 4 жыл бұрын

Thanks for checking out the video and for the kind words! We have a handful of EKG videos out in our 5 minute EKG playlist if you're interested!

@carolinamonteiro1179 4 жыл бұрын

Great video and teaching! Thank you so much!

@WhiteboardMedicine 4 жыл бұрын

Thanks for checking out the video and for the kind words! Let us know if there are any other educational videos that you would like us to put together!

@eglantinalan1 Жыл бұрын

This was great!! Thank you

@WhiteboardMedicine Жыл бұрын

So glad to hear that! If interested, we have a handful of additional ECG videos in the playlist linked below! kzfaq.info/sun/PLf5bMa9_tvRh2JoODgpLapjGDYXSW1q0h

@truthteller3024 Жыл бұрын

3 doctors were shocked after seeing my st elevations. My h beats climbed to 120 after seeing their body language of stress. But in midst of my last testing tonight after midnight, I googled "st elevation without symptoms" and BER showed up. Fortunately this young forth doctor was smart enough to diagnose BER. Thank God. I imagined death today. I'm 31, male, totally healthy. No smoke no alchohol.

@graememcauslan7023 Жыл бұрын

I’m 17, today in my EMS class I got a ECG reading. I believe it’s BER.

@agentbobbarkerify Жыл бұрын

@@graememcauslan7023 very common in teenagers. Was told most children who participate in sports will have BER if there is "st elevation" on their ECG. I'm 27 and have had BER on every ECG for the last 17 years

@nithin1477 Жыл бұрын

@@graememcauslan7023is it serious or pose any problem in the future? I too have BER

@Thetruth00008 11 ай бұрын

@@agentbobbarkerifyI’m here because a 16 year old athlete that I know had this today. Mom wants a referral to cardiology. I think parents should advocate for further evaluation even with benign asymptomatic findings.

@AYoungDoctorsJourney 2 жыл бұрын

thank you! great video :)

@WhiteboardMedicine 2 жыл бұрын

Always our pleasure! Thanks for checking out the video! Let us know if there are any other topics you’re interested in us covering!

@chrispeters5194 Жыл бұрын

What if it is only in v2

@BrittanyBaltazor-zo8fw 2 ай бұрын

I had a borderline repolarization at first it went away then acouple wks I had really bad chest pain went to the hospital and got a EKG which said i have T wave inversion now evident in inferior leads and and a nonspecific T wav abnormalty noŵ evident in inferior leads. Im following up with my doctor but am still have axiety it means something bad.

@jakewoodisgood1 Жыл бұрын

i have this syndrome, luckily all the signs that indicate a possible increase in unexplained ideopathic v-fib are not present. i am very active and in my early 30's. in leads v4, v5, and v6 the J notch is clearly the fish hook pattern with the upward sloping t wave (downward sloping is higher risk). in leads 2, 3 and aVF i have slurred R waves on the down slope towards the bottom. I have had this for at least 7 years from the time i took my own EKG, but recently when i started back on Adderall and dropped off two copies of my 12 leads (1 taken on adderall, and one taken not on adderall) which showed no change from my norm. my psychologist is now requiring me to see a cardiologist before resuming my medication prescription refills. every thing i have read about this pretty much says a 12 lead with absent signs and symptoms and no medical concerns does not warrant further testing. sorry about the lengthy comment. i can't find anything saying adderall would be contraindicated with this abnormal ekg finding. and now it will probably take weeks, maybe even longer to get in to see a specialist.

@Sommys.Vision Жыл бұрын

please I need help on this question, so you said a widespread ST segment elevation on V2-5...can you also see it on V6? because I do

@WhiteboardMedicine Жыл бұрын

Thanks for checking out the video and for asking! Yes it can also be seen in V6

@chrispeters5194 Жыл бұрын

@@WhiteboardMedicine what if it is only in v2. Then on another ecg it isn’t on v2 but it is on v3

@WhiteboardMedicine Жыл бұрын

@@chrispeters5194 Typically BER is more diffuse in the precordial leads rather than in a single lead!

@agentbobbarkerify Жыл бұрын

I dont get the concavity part. I have looked at 10 STEMIs and 9 of them have the concave pattern. Only STEMIs I can find that are convex are the tombstone ones, as you mentioned, shark fin and lambda sign STEMIs. I guess I should focus on the 5 step check list, and not just focus on concavity.

@soulman7552 Жыл бұрын

My ECG just showed early repolarization, currently I'm experiencing left side chest pain that feels like sqeezing.

@Leorairaheta3 9 ай бұрын

how long did you have pain? feels like its been on going on and off for me for like 2 weeks

@hollymayjones12345 5 ай бұрын

hello, i am healthy 23 female, but these changes were shown in lead II, III and aVF. i am very symptomatic and get lots of chest pain, but my doctor doesn't seem worried?

@whitelullaby4615 3 ай бұрын

Hey! We are in the same boat. Same age, male and also got some changes in the inferior leads yet they told me it was a normal pattern and not to worry about it. I also get chest pain every now and then, but I believe it mostly comes from anxiety. I'm not sure if you're going through some stressful moments in your life but that could be the reason also!

@blondspike74 3 жыл бұрын

Thanks for the video. What does it mean if someone has BER; should he feel chest pain?

@WhiteboardMedicine 3 жыл бұрын

Thanks for checking out the video! Benign Early Repolarization (or BER) is just an electrical phenomenon seen on EKG that is benign and a normal variant. The patient will not have any symptoms related to it. It can look similar and can be mistaken for more severe pathologies like pericarditis or a heart attack. Let us know if that makes sense and/or what additional questions you may have!

@blondspike74 3 жыл бұрын

@@WhiteboardMedicine 😊 thank you so much. I had massive chest pain at work last Thursday morning and was taken to hospital by ambulance. Part of the diagnosis is BER; I have a stress ECG this coming Wednesday. The pain hasn’t been explained yet. I have also recently been diagnosed with having GORD...it could have been that, however intense exercise seems to be a little problematic these days. Oh, and my gastro thinks I also have EOE. We’ll see; but strange when most of my life I’ve been healthy, apart from the last 2 years I’ve put on 8kg and recently returned to training. Unfortunately most of this year I’ve had extreme insomnia...5-5:30hrs sleep a night; the basis I think is GORD, but it’s all slowly being sorted out...male, 46, 178cm, 82kg...if any of those stats have any influence.

@truthteller3024 Жыл бұрын

@@blondspike74 bro what's the update? did you find coping mechanism orvsolutions for heart and sleep?

@blondspike74 Жыл бұрын

@@truthteller3024 thanks for asking. The cardiologist said I have an extremely strong heart but I needed to improve my sleep. We bought a better bed, I took a mild sleeping pill for a while and got back into weight training and bootcamps. Never been better 😁.

@alxzndrmusic5971 Жыл бұрын

@@blondspike74 I’m 28 going through the same thing and the doctor told me not to worry but the pain keeps coming back like someone squeezing my heart

@eacalimkhan8497 6 ай бұрын

whats the treatment for this

@WhiteboardMedicine 6 ай бұрын

This is most typically a benign condition that does not require treatment, but as always make sure to discuss all things with your doctor as the channel isn't intended to be medical advice

@LosoRedd Жыл бұрын

so what are the chances of this turning in a cardiac arrest?? I’ve recently discovered I have a cardiac arrest phobia & I’ve had early repolarization since 2016 when I got my first EKG done for a panic attack.. my EKGs look exactly the same as they did then.. I just can’t seem to shake this fear 😢

@Yourmom.com202 5 ай бұрын

How are you doing? You still suffer from it?

@Yourmom.com202 5 ай бұрын

I hope everything is alright

@LosoRedd 5 ай бұрын

@@Yourmom.com202 hey I’m still chugging along! yeah, I got the most extensive cardiac work up & everything came back great!