boss
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š Analytical overview of Telegram channel boss
Channel boss (@severalgang) in the English language segment is an active participant. Currently, the community unites 11 574 subscribers, ranking 2 390 in the Medicine category and 3 402 in the USA region.
š Audience metrics and dynamics
Since its creation on Š½ŠµŠ²ŃŠ“Š¾Š¼Š¾, the project has demonstrated rapid growth, gathering an audience of 11 574 subscribers.
According to the latest data from 09 March, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by -273 over the last 30 days and by 0 over the last 24 hours, overall reach remains high.
- Verification status: Not verified
- Engagement rate (ER): The average audience engagement rate is 0%. Within the first 24 hours after publication, content typically collects N/A% reactions from the total number of subscribers.
- Post reach: On average, each post receives 0 views. Within the first day, a publication typically gains 0 views.
- Reactions and interaction: The audience actively supports content: the average number of reactions per post is 0.
- Thematic interests: Content is focused on key topics such as ecg, stent, ppcm, thrombosis, patient.
š Description and content policy
The author describes the resource as a platform for expressing subjective opinions:
āsoundcloud.com/chrome
@flstudioā
Thanks to the high frequency of updates (latest data received on 10 March, 2026), the channel maintains relevance and a high level of publication reach. Analytics show that the audience actively interacts with content, making it an important point of influence in the Medicine category.
11 574
Subscribers
No data24 hours
-717 days
-27330 days
Posts Archive
11 574
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Coronary perforations are best classified according to location, as location has important implications regarding management . There are three main perforation locations:
(1) large vessel perforation
(2) distal vessel perforation
(3) collateral vessel perforation, in either a septal or an epicardial collateral
Most coronary perforations (75% in one series) were large vessel perforations, followed by distal vessel perforation (25%)
The severity of coronary perforations has traditionally been graded using the š¬šššš šššššššššššššš
1. Class I: A crater extending outside the lumen only, in the absence of linear staining angiographically suggestive of
dissection.
2. Class II: Pericardial or myocardial blush without a more then 1 mm exit hole.
3. Class III: Frank streaming of contrast through a more then 1 mm exit hole.
4. Class III-cavity spilling: Perforation into an anatomic cavity chamber, such as the coronary sinus , theright ventricle, the left ventricle, etc.
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Repost from Exokardiografiya_Uz
+2
Bemor 1957-yil.
Exokardiografiya tekshiruvi vaqtida mitral klapan orqa tabaqasi P2 soxasida 8mm prolaps va orqa tabaqa xordalarining uzilishi aniqlandi.
Chap qorincha axamiyatli kengaygan (ogāir daraja), ekssentrik mitral yetishmovchilik II-III daraja.
Eslatma: Mitral yetishmovchilik birlamchi va ikkilamchi sabablarga ko'ra kelib chiqadi.
Bu bemorda ikkilamchi ya'ni chap qorincha dilatatsiyasi asorati sifatida klapan yetishmovchiligi va xordalarning uzilishi kelib chiqqan
Qolganlar ma'lumotlar
ššš
Exokardiografiya_Uz
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š¹ECG Findings (as in the image):
A. Type A BBRT with LBBB morphology ā indicates antegrade conduction through the right bundle.
B. Type C BBRT with RBBB morphology + left axis deviation ā indicates antegrade conduction through the left posterior fascicle.
š¹Clinical Significance:
- Can present as sustained monomorphic VT
- Often inducible during EP study
- May cause syncope, presyncope, or palpitations
- Frequently seen in patients with baseline bundle branch block and cardiomyopathy
š¹Treatment:
- Catheter ablation (typically of the RBB) is highly effective
- ICD may be considered if underlying cardiomyopathy is present
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ā¤ļøBundle Branch Reentrant Tachycardia (BBRT) ā A Rare but Important Ventricular Tachycardiaā¤µļø
š¹Seen in patients with structural heart disease, especially dilated cardiomyopathy or post-surgical hearts.
š¹What is BBRT?
A macroreentrant VT that utilizes the His-Purkinje system as part of the reentry circuit.
Itās a form of ventricular tachycardia that mimics supraventricular origin on ECG due to its relatively narrow QRS (compared to other VTs).
š¹Mechanism:
- One bundle branch acts as the antegrade limb
- The other as the retrograde limb
- The circuit involves the interventricular septum
- Often associated with prolonged HV
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šļ»æInflammation in coronary atherosclerosis: diagnosis and treatmentš½
šhttps://t.me/cardiology
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ā£ļøECG Findings in Digoxin Toxicityā¬ļø
ā”ļøThere is no specific arrhythmia for digoxin toxicity rather a range of arrhythmias can be present such as various degrees of AV block, premature ventricular contractions, bradycardia, and even ventricular tachycardia. Cardiac arrhythmias are the main cause of death for those with digoxin toxicity.
ā”ļøCertain ECG changes with digoxin may purely indicate a therapeutic effect (such as the ST depression and T wave flattening), while other changes (such as T wave inversion and arrhythmias) indicate toxicity.
š«ST depression - down-sloping or scooped
š«T wave changes - flattening, inversion or biphasic T waves
ā”ļøMechanisms of Cardiac Toxicity:
1. Due to Increased Automaticity
š«QT shortening (due to reduced ventricular repolarisation time)
š«Premature beats - atrial, junctional or ventricular
š«Tachyarrhythmias - atrial tachycardia, accelerated junctional tachycardia
2.Due to Reduced Conduction
š«Prolonged PR interval
š«Bradyarrhythmias - sinus bradycardia, bundle branch block, AV block
ā”ļøDIGOXIN-INDUCED ARRHYTHMIAS
š«Sinus bradycardia, tachycardia, block, and arrest
š«Ectopic atrial tachycardia with block
š«Atrial fibrillation and flutter
š«Atrioventricular nodal block
š«Junctional rhythm, tachycardia, and bradycardia
š«Ventricular arrhythmias
ā¢ Premature ventricular complexes
ā¢ Ventricular tachycardia
ā¢ Ventricular fibrillation
ā¢ Bidirectional ventricular tachycardia
NB:These ECG changes can arise with digoxin within normal therapeutic levels.
šhttps://t.me/cardiology
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šIt is important to differentiate
J wave from J point.
ST/T ratio (more T wave height and lower ratio (<0.25) seen in early repolarization), a helpful ECG cue to differentiate it from acute pericarditis.
šhttps://t.me/cardiology
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šPosterior Wall STEMI
š¢Quick recognition of STEMI via ECG is vital! Remember, "Time is muscle."
š¢Posterior STEMI typically present on ECG with tall R waves V1-2
š¢Downsloping ST depression V1-4 and upright T waves.
šØRapid intervention can save myocardium and lives. ST elevations of posterior STEMI are located in leads 7, 8, or 9.
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Acute Coronary Syndromes (ACS) encompass a range of conditions caused by sudden, reduced blood flow to the heart. This guide covers everything from the types of ACS (STEMI, NSTEMI, and Unstable Angina) to diagnosis, management, and prevention. Learn about the importance of early intervention, thrombolysis, and primary angioplasty in saving lives. Whether you're a healthcare professional or someone looking to understand heart health better, this post is a must-read!
