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Medical Forum / General / Cardiology / February 2005Difference Between SVT and Afib
Surely there is somebody out htere who can give a good explanation of the difference between a SVT and AFIb. We all know that anything above the ventricle is by definition an SVT but Cardio definately do distinguish between these two terms. Surely it cannot be that difficult to get an eductation explanation. Thanks, Ken "ken" <schw9883@bellsouth.net> wrote in part: > Surely there is somebody out htere who can give a good explanation of the >difference between a SVT and AFIb. [quoted text clipped - 3 lines] > > Thanks, Ken AFib is a more chaotic, disorganized pattern. -- Jim Chinnis Warrenton, Virginia, USA Yes. Though A-fib is a subset of SVT's (ie, one of many SVTs), in practice the term "SVT" is somes lazily and incorrectly used for any old narrow-complex tachycardia that is NOT A-fib. This is a bastardization, and is be discouraged. An SVT is any rapid heart rate which originates in the atria or AV node (ie, not in the ventricle). There are half a dozen common SVTs. > Surely there is somebody out htere who can give a good explanation of the > difference between a SVT and AFIb. > We all know that anything above the ventricle is by definition an SVT but > Cardio definately do distinguish between these two terms. Surely it cannot > be that difficult to get an eductation explanation. SVTs is not associated with increased risk of cardioembolic strokes (clots to the brain that arise from the heart) whereas AFib is. The latter is addressed with warfarin anticoagulation when indicated. > Thanks, Ken You are welcome. All praises belong to my heavenly Father, Whom I love with all my heart, soul, mind and strength :-) At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 >>SVTs is not associated with increased risk of cardioembolic strokes (clots to the brain that arise from the heart) whereas AFib is. The latter is addressed with warfarin anticoagulation when indicated. << A-fib is an SVT, Mr. Board Certified Cardiologist. Just FYI. SBH > >>SVTs is not associated with increased risk of cardioembolic strokes > (clots to the brain that arise from the heart) whereas AFib is. The [quoted text clipped - 5 lines] > > SBH When a cardiologist discusses the differences in risks for cardioembolic events between an SVT and Afib, the latter are two distinct clinical entities with *no* overlap. Just an FYI, Dr. Steven B. Harris. Fwiw, you remain in my prayers, dear Dr. Harris, whom I love, in Lord Christ's holy name. May you accept Him as your personal Lord and Savior, someday, so that you too will have eternal life and the unimaginable riches of His everlasting kingdom. Here's how: http://makeashorterlink.com/?I22222129 At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 >>When a cardiologist discusses the differences in risks for cardioembolic events between an SVT and Afib, the latter are two distinct clinical entities with *no* overlap. Just an FYI, Dr. Steven B. Harris. << When a cardiologist discusses the differences in risks for cardioembolic events between an SVT and A-fib, indeed treating them as distinct clinical entities with no overlap, then the cardiologist is misusing standard medical terminology. End of story. Dr. Chung, you need to get out your books. These terms do have standard meanings. If you persist in this, I'll be glad to rub your nose in it. Is that what you want? Or would you rather go look it up first and save yourself further embarrassment? SBH > >>When a cardiologist discusses the differences in risks for > cardioembolic [quoted text clipped - 7 lines] > distinct clinical entities with no overlap, then the cardiologist is > misusing standard medical terminology. End of story. If you were to refer a patient to me (or any other cardiologist for that matter) stating that the reason for the consultation was to evaluate and treat an SVT and I (or any other cardiologist) were to find out that your patient has Afib, my impression about you would be that you are unable to discern an irregularly irregular rhythm. > Dr. Chung, you need to get out your books. My books are out. Actually, I am writing one at the moment. > These terms do have standard > meanings. Would suggest you reread what the OP is asking and come back with me about the real issue at hand here. > If you persist in this, I'll be glad to rub your nose in it. And, I would be more than happy to give you the other side of my nose. > Is that what you want? This is not about my wants. > Or would you rather go look it up first and > save yourself further embarrassment? I would rather get back to the book that God is having me write if it is all the same to you. > SBH Meanwhile, you will remain in my prayers, dear Dr. Steve B. Harris, whom I love, in Lord Christ's holy name. May you accept Him as your personal Lord and Savior, someday, so that you too will have eternal life and the unimaginable riches of His infinite kingdom. Here's how: http://makeashorterlink.com/?I22222129 Please note that God truly made this special link describing that He is the great "I am" and that His message is as simple as the number 2 which is a number between 1 to 9 and reminds us of His 2 commandments, the 2 arms of the cross, the 2nd part of the Trinity, the 2 finger sign of the Prince of Peace [who remains *V*ictorious over death and satan], and the 2PD Approach. Let it not ever be written that Christ did not make His presence known here on Usenet :-) Also, note that Exodus 16:16 reminds us that 16 oz plus 16 oz makes 2 pounds, which is "a certain measure of weight," which is what "omer" literally means in Hebrew. Enter the 2PD-OMER Approach: http://www.heartmdphd.com/wtloss.asp At His service, Andrew  SignatureAndrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 SVT is usually a re-entry problem kind of bouncing back electrical signals from the av node to sa node again thus resulting a pacemaker that is essentially over firing, it is usually a very rapid >150 beats/min rate and the problem comes in with the atria and ventricals being paced to contract so quickly that neither are able to fill with enough blood and you wind up with a horrible vicious circle of reduced pre-load and after load. Blood pressure drops and one is at risk for worsening cardiac dysrythmias such a V- Tach or V-Fib. Atrial fibrilliation is just what it says, the ventricular rate is either just a bit higher than normal or normal. The ventricals are contracting at a slow enough rate to make sure that there is adequate ejection fraction but an increased risk of embolism. Please understand, this is a lay persons description and the processes are much more complicated than I am describing. From what I know, a new and early detected atrial fibrillation can be fairly easily converted with medication such as digitalis or if need be a low joule cardioversion. If it has gone on a while in a bad heart it can either be converted after the patient has been properly anti-coagulated for several days or can be managed with medication as a chronic condition if it does not respond to the above in a sick electrical system. SVT if indeed a re-entry problem can be an acute risk to the patient and if symptomatic can be managed with adenosine rapid IV push, amiodorone, valsva maneuvers to stimulate the vagus nerve, or if none of the above are successfull, once again cardioversion can be utililized. If recurrent, patients may be put on digitalis, beta or calcium channel blockers etc. like Diltiazem, atenolol, verapamil etc. Some more experienced and professionally trained specialists can indeed provide a much better explanation than I can, although I sure can tell the difference. A-Fib is an irregular heart rate and SVT is a regular extremely rapid rate. See a cardiologist who is willing to discuss things INTELLIGENTLY with you and not treat like a kindergartener. And by the way, while most on this newsgroup don't give Dr. Chung much credit, as far as I know, his post was right on the money. -- Patrick H. Mason M.S. OHST, EMT-I > > >>When a cardiologist discusses the differences in risks for > > cardioembolic [quoted text clipped - 84 lines] > (6) http://makeashorterlink.com/?I24E5151A > (7) http://makeashorterlink.com/?I22222129 > SVT is usually a re-entry problem kind of bouncing back > electrical signals from the av node to sa node again thus [quoted text clipped - 40 lines] > And by the way, while most on this newsgroup don't give Dr. Chung > much credit, as far as I know, his post was right on the money. There are many who are terribly bothered by the fact that I truly serve my Lord, Who is the Christ. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 >>And by the way, while most on this newsgroup don't give Dr. Chung much credit, as far as I know, his post was right on the money. << But alas, you don't know anything. Look, just GOOGLE the damned term and educate yourself. Okay? SBH > >>And by the way, while most on this newsgroup don't give Dr. Chung > much credit, as far as I know, his post was right on the money. << [quoted text clipped - 5 lines] > > SBH It would seem that if you were judged by your own measure, one would reach the same conclusion about you. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 >>>> And by the way, while most on this newsgroup don't give Dr. >>>> Chung much credit, as far as I know, his post was right on [quoted text clipped - 9 lines] > It would seem that if you were judged by your own measure, one > would reach the same conclusion about you. Chung is one of the slimiest pricks ever. Nasty innuendo, baseless inferences for the sheer sake of malice and insult. Not a fact to be seen in any of his vile vomits... A disgusting display of pure viciousness, redemption not possible. Bob > >>>> And by the way, while most on this newsgroup don't give Dr. > >>>> Chung much credit, as far as I know, his post was right on [quoted text clipped - 17 lines] > > Bob It seems you have lost your reading comprehension. My guess is premature senile dementia although many others here in SMC would guess that it may be from the statins. Nonetheless, you remain in my prayers, dear Bob, whom I love, in Christ's holy name. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 Here. Read. http://www.emedicine.com/med/topic1762.htm SBH >Here. Read. > >http://www.emedicine.com/med/topic1762.htm > >SBH Nice to see a real doctor confront this fool Chung. > >Here. Read. > > [quoted text clipped - 3 lines] > > Nice to see a real doctor confront this fool Chung. Real doctors typically sign as one (except those who have chosen to be untruthful). At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 >> >Here. Read. >> > [quoted text clipped - 6 lines] > Real doctors typically sign as one (except those who have chosen to be > untruthful). So where does that place me? <ducking for cover> - TC, md Pediatric cardiology, pacing & electrophysiology Depends on if you know what SVT means. ;) Truthfully, using the title on newsgroups usually just sets you up as a target. I've found it ever so much more pleasant since I quit. Chung doesn't care if he's a target. He likes it. Makes him feel persecuted for rightousness sake and thus deserving of the Kingdom of Heaven. SBH > Depends on if you know what SVT means. ;) > [quoted text clipped - 6 lines] > > SBH You've got it backwards. Those who are citizens of His kingdom are no longer of this world. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 >>Depends on if you know what SVT means. ;) >> [quoted text clipped - 9 lines] > You've got it backwards. Those who are citizens of His kingdom are no > longer of this world. <LOL> Right. Nothing like a coherent statement with factual content. But how would Chung know...? Bob > >>Depends on if you know what SVT means. ;) > >> [quoted text clipped - 14 lines] > > Bob It is the truth. You would have known it had you been able to discern it. Nonetheless, you remain in my prayers, dear Bob, whom I love, in Christ's holy name. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 >>>>Depends on if you know what SVT means. ;) >>>> [quoted text clipped - 17 lines] > It is the truth. You would have known it had you been able to discern > it. Oh, I discerned all the truth it had and nearly starved from its meager nourishment. And that was merely another of your auto-bot, macro-mind cliché replies. You continue to confuse what you believe with fact. I've read all the platitudes, homilies, bromides, commonplaces, factoids and fanciful, wishful assertions of the God-besotted like you. They all have a similar ring of loftiness with very bad staying-power upon examination. Like your posts. It's amazing what you're doing in your vast blindness. You're driving people away from the very idea you're trying to present. Your price will be terrible. Bob Truth trumps "facts." You would have known this had you been able to discern the truth. You will remain in my prayers, dear Bob, whom I love, in Christ's name. May you accept Him as your personal Lord and Savior, someday, so that you too will have eternal life and the limitlessly interesting riches of His everlasting kingdom. Here's how: http://makeashorterlink.com/?I22222129 Please note that God truly made this special link describing that He is the great "I am" and that His message is as simple as the number 2 which is a number between 1 to 9 and reminds us of His 2 commandments, the 2 arms of the cross, the 2nd part of the Trinity, the 2 finger sign of the Prince of Peace [who remains *V*ictorious over death and satan], and the 2PD Approach. Let it not ever be written that Christ did not make His presence known here on Usenet :-) Also, note that Exodus 16:16 continues to remind us that 16 oz plus 16 oz makes 2 pounds, which is "a certain measure of weight," which is what "omer" literally means in Hebrew. Enter the 2PD-OMER Approach: http://www.heartmdphd.com/wtloss.asp At His service, Andrew SignatureAndrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 > >>>>Depends on if you know what SVT means. ;) > >>>> [quoted text clipped - 31 lines] > > Bob > Truth trumps "facts." You would have known this had you been able to > discern the truth. Truth is defined as 1 .the quality of being in accordance with experience, facts or reality; conformity with fact... 2. that which is true; a fact; that which conforms to fact or reality; the real or true state of things. 3. a verified fact; a true statement or proposition; an established principle, a fixed law, or the like. For anything to be true, it has, by definition, to be factual. Truth is a subset of factual. truthful 1. telling the truth; presenting the facts; veracious; honest. 2. corresponding with facts or reality truthless lacking truth; without foundation; faithless. Andrew, as you seem not to know, "Neologism is a marker of worsening cognitive deficits..." You might want to talk to a real doctor who can advise you on your medications and suggest a good treatment facility, preferably one from which you weren't fired. HTH Bob Just as those who have never had vision can never know color, those who have never discerned the truth can never know the truth. Definitions are not a substitute for this knowledge. I use the word "truth" as one who has been blessed with the ability to discern it. There is no neologism here. Meanwhile, you remain in my prayers, dear Bob, whom I love, in Christ's name. May you accept Him as your personal Lord and Savior, someday, so that you too will have eternal life and the limitlessly interesting riches of His everlasting kingdom. Here's how: http://makeashorterlink.com/?I22222129 Please note that God truly made this special link describing that He is the great "I am" and that His message is as simple as the number 2 which is a number between 1 to 9 and reminds us of His 2 commandments, the 2 arms of the cross, the 2nd part of the Trinity, the 2 finger sign of the Prince of Peace [who remains *V*ictorious over death and satan], and the 2PD Approach. Let it not ever be written that Christ did not make His presence known here on Usenet :-) Also, note that Exodus 16:16 continues to remind us that 16 oz plus 16 oz makes 2 pounds, which is "a certain measure of weight," which is what "omer" literally means in Hebrew. Enter the 2PD-OMER Approach: http://www.heartmdphd.com/wtloss.asp At His service, Andrew SignatureAndrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A > > Truth trumps "facts." You would have known this had you been able to > > discern the truth. [quoted text clipped - 26 lines] > > Bob > Just as those who have never had vision can never know color, those who > have never discerned the truth can never know the truth. Definitions > are not a substitute for this knowledge. Definitions are the result of God's gifts of rationality and sense of order that sane humans have. They describe the world of language and, therefore, communications so everyone can understand what's being transmitted. The same communications that are in the bible. Words. Words that need to have common meanings or there will be no communications. Do you think that God would have created a book full of words with arbitrary or changeable meanings? Do you belief that God would deliberately create havoc of understanding by making words mean different things for different people? That truth means one thing to everyone else but something different for you? How egotistical. How conceited. How presumptuous. How unbalanced. How insupportable. Definitions aren't a substitute for anything. They're descriptions. They describe the reality of the meanings. They describe the facts of the meanings. Truth is concordance with fact. Nothing else. > I use the word "truth" as one who has been blessed with the ability to > discern it. There is no neologism here. Truth undefined is a gossamer wisp of your wishful thinking. To convince yourself that you're one of the elect. There are no guarantees, sham shaman. You use the word "truth" as a weapon to try to discredit those with clearer vision than you. Without description, without fact, without reason and rational evaluation, there is no truth. You continue to claim this gift of truth discernment with nothing to either support it or prove it - no demonstrable truth to it - no facts to bear it out. There's no biblical support for it, nor is there theological precedent. It's a ghost of your terror since your near-death experience. It's a wish that you can't show has ever come true. Your continued use of the word to mean something you never can actually pin down shows all the evidence about it that needs to be seen. You keep talking about truth as an absolute. And you obviously have nothing to support that except your constant repetition. Sad little show. Bob The truth does not depend on the devices of men. You will remain in my prayers, dear Bob, whom I love, in Lord Christ's holy name. May you accept Him as your personal Lord and Savior, someday, so that you too will have eternal life and the unimaginable riches of His infinite kingdom. Here's how: http://makeashorterlink.com/?I22222129 Please note that God truly made this special link describing that He is the great "I am" and that His message is as simple as the number 2 which is a number between 1 to 9 and reminds us of His 2 commandments, the 2 arms of the cross, the 2nd part of the Trinity, the 2 finger sign of the Prince of Peace [who remains *V*ictorious over death and satan], and the 2PD Approach. Let it not ever be written that Christ did not make His presence known here on Usenet :-) Also, note that Exodus 16:16 continues to remind us that 16 oz plus 16 oz makes 2 pounds, which is "a certain measure of weight," which is what "omer" literally means in Hebrew. Enter the 2PD-OMER Approach: http://www.heartmdphd.com/wtloss.asp At His service, Andrew SignatureAndrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 > > Just as those who have never had vision can never know color, those who > > have never discerned the truth can never know the truth. Definitions [quoted text clipped - 41 lines] > > Bob > The truth does not depend on the devices of men. Perhaps... But until you say what truth is, there can be neither agreement nor disagreement about it. And all we're left with is your flaccid pronouncement. Meager stuff. But I note of all the things in the note to which you reply, you actually replied to none. Look this over again about facts and truth and definitions in language... > The same communications that are in the bible. Words. Words that > need to have common meanings or there will be no communications. Do [quoted text clipped - 4 lines] > to everyone else but something different for you? How egotistical. > How conceited. How presumptuous. How unbalanced. How insupportable. Is it your position that God has ordained one truth for you and a different one for everyone else? Where's the proof of that...? Not true? Then why so out of line with the reasonable people here? Bob There is no perhaps about it. Sorry. You will remain in my prayers, dear Bob, whom I love, in Lord Christ's holy name. May you accept Him as your personal Lord and Savior, someday, so that you too will have eternal life and the unimaginable riches of His infinite kingdom. Here's how: http://makeashorterlink.com/?I22222129 Please note that God truly made this special link describing that He is the great "I am" and that His message is as simple as the number 2 which is a number between 1 to 9 and reminds us of His 2 commandments, the 2 arms of the cross, the 2nd part of the Trinity, the 2 finger sign of the Prince of Peace [who remains *V*ictorious over death and satan], and the 2PD Approach. Let it not ever be written that Christ did not make His presence known here on Usenet :-) Also, note that Exodus 16:16 continues to remind us that 16 oz plus 16 oz makes 2 pounds, which is "a certain measure of weight," which is what "omer" literally means in Hebrew. Enter the 2PD-OMER Approach: http://www.heartmdphd.com/wtloss.asp At His service, Andrew SignatureAndrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 > > The truth does not depend on the devices of men. > [quoted text clipped - 20 lines] > > Bob > >> >Here. Read. > >> > [quoted text clipped - 13 lines] > - TC, md > Pediatric cardiology, pacing & electrophysiology A doctor that signs as one. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 >>>Here. Read. >>> [quoted text clipped - 6 lines] > Real doctors typically sign as one (except those who have chosen to be > untruthful). <LOL> And "real" doctors wave their egos around and sign themselves Dr. Andrew B. Chung MD/PHD just to make sure you know they're "real" doctors. Poor fool thinks that form is more important than content. No news, though, right? Notice the sly way that Chung has just called Steve a liar? What a fine, principled man. Notice how he's stopped doing that Dr.-MD/PHD thing? Perhaps someone managed to explain to him how much a Bozo that pompous self-flattery made him look... He didn't sign himself that way for the Governor or that seminar he pontificated at. Knew there would be real doctors there who would just point and laugh. Like we do. Bob > >>>Here. Read. > >>> [quoted text clipped - 24 lines] > > Bob Fyi, coveting is a sin, Bob. Nonetheless, you remain in my prayers, dear Bob, whom I love, in Christ's holy name. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 >>>>>Here. Read. >>>>>http://www.emedicine.com/med/topic1762.htm [quoted text clipped - 24 lines] > > Fyi, coveting is a sin, Bob. <LOL> And so is bearing false witness like you do above. And do every day. But do look up what coveting means. You seem to think it had something to do with what was posted above it. That means you either don't know and are sinking further into your "don't bother me with facts" Jesus-drunken miasma, or you think it's on-topic and that says you're even further out of touch with reality than you have been. Hard to imagine. But it's apparently not all that bad being a liar fraud and charlatan, Andrew, and it has an upside. Sorta. Look at all the amusement you've provided over the years. Like Ronald McDonald. Bob To observe a sin is not the same as judging the person who commits the sin. Though it remains my choice to refrain from judging, it is still painful to watch you judge yourself. Meanwhile, you will remain in my prayers, dear Bob, whom I love, in Christ's name. May you accept Him as your personal Lord and Savior, someday, so that you too will have eternal life and the limitlessly interesting riches of His everlasting kingdom. Here's how: http://makeashorterlink.com/?I22222129 Please note that God truly made this special link describing that He is the great "I am" and that His message is as simple as the number 2 which is a number between 1 to 9 and reminds us of His 2 commandments, the 2 arms of the cross, the 2nd part of the Trinity, the 2 finger sign of the Prince of Peace [who remains *V*ictorious over death and satan], and the 2PD Approach. Let it not ever be written that Christ did not make His presence known here on Usenet :-) Also, note that Exodus 16:16 continues to remind us that 16 oz plus 16 oz makes 2 pounds, which is "a certain measure of weight," which is what "omer" literally means in Hebrew. Enter the 2PD-OMER Approach: http://www.heartmdphd.com/wtloss.asp At His service, Andrew SignatureAndrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 > >>>>>Here. Read. > >>>>>http://www.emedicine.com/med/topic1762.htm [quoted text clipped - 38 lines] > > Bob > To observe a sin is not the same as judging the person who commits the > sin. To conclude that any behavior is a sin demands a judgement. Observe, contemplate, judge, assert. The process of rendering a conclusion. > Though it remains my choice to refrain from judging, it is still painful > to watch you judge yourself. The old, oh-so-adult, "I'm rubber; you're glue" repartee. <LOL> You grow more bizarre each day. More disconnected from reality and truth. More dislocated from logic. More immersed in the fluids of your fantasies and imaginings. YOu need to try to get your words closer to what the general usage of the language is. So you know, "Neologism is a marker of worsening cognitive deficits..." and you should take that to heart. Heart <snerk> a cardio joke... Bob It would seem that you have chosen to automatically judge what you observe. It remains my choice to refrain from judging. You will remain in my prayers, dear Bob, whom I love, in Christ's name. May you accept Him as your personal Lord and Savior, someday, so that you too will have eternal life and the limitlessly interesting riches of His everlasting kingdom. Here's how: http://makeashorterlink.com/?I22222129 Please note that God truly made this special link describing that He is the great "I am" and that His message is as simple as the number 2 which is a number between 1 to 9 and reminds us of His 2 commandments, the 2 arms of the cross, the 2nd part of the Trinity, the 2 finger sign of the Prince of Peace [who remains *V*ictorious over death and satan], and the 2PD Approach. Let it not ever be written that Christ did not make His presence known here on Usenet :-) Also, note that Exodus 16:16 continues to remind us that 16 oz plus 16 oz makes 2 pounds, which is "a certain measure of weight," which is what "omer" literally means in Hebrew. Enter the 2PD-OMER Approach: http://www.heartmdphd.com/wtloss.asp At His service, Andrew SignatureAndrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A > > To observe a sin is not the same as judging the person who commits the > > sin. [quoted text clipped - 18 lines] > > Bob > It would seem that you have chosen to automatically judge what you > observe. Of course I do. Like every other rational human and most animals. It's a pro-survival characteristic. And one decreed by God to be done. > It remains my choice to refrain from judging. <G> Like always. That first sentence above is a judgement. You'll call is an observation because you think that gets you off the hook of your own construction. Yet we're told in the bible to judge. We're to judge occasions of sin and to avoid them. We're told to judge other but be willing to be judged by the same criteria. Where you came up with this theological blunder is a puzzle. Why you keep insisting on it isn't. It's all part of your childishly insolent f.ck you attitude towards everyone who ever calls you on your bullshit. The same bullshit mentioned in that New York Times article that so keenly skewered you and your actions. Pity you're not honest enough to look into yourself. That's a judgement based on your behavior. A recognition of your patterns. The same kind of patterns you referred to in a post yesterday, IIRC. Bob Sorry my choice to refrain from judging bothers you. You will remain in my prayers, dear Bob, whom I love, in Lord Christ's holy name. May you accept Him as your personal Lord and Savior, someday, so that you too will have eternal life and the unimaginable riches of His infinite kingdom. Here's how: http://makeashorterlink.com/?I22222129 Please note that God truly made this special link describing that He is the great "I am" and that His message is as simple as the number 2 which is a number between 1 to 9 and reminds us of His 2 commandments, the 2 arms of the cross, the 2nd part of the Trinity, the 2 finger sign of the Prince of Peace [who remains *V*ictorious over death and satan], and the 2PD Approach. Let it not ever be written that Christ did not make His presence known here on Usenet :-) Also, note that Exodus 16:16 continues to remind us that 16 oz plus 16 oz makes 2 pounds, which is "a certain measure of weight," which is what "omer" literally means in Hebrew. Enter the 2PD-OMER Approach: http://www.heartmdphd.com/wtloss.asp At His service, Andrew SignatureAndrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 > > It would seem that you have chosen to automatically judge what you > > observe. [quoted text clipped - 20 lines] > > Bob > Here. Read. > > http://www.emedicine.com/med/topic1762.htm > > SBH Better would be to read the OP, Steve, so you would understand the question that was actually asked. At His service, Andrew -- Andrew B. Chung, MD/PhD Board-Certified Cardiologist ** Suggested Reading: (1) http://makeashorterlink.com/?L26062048 (2) http://makeashorterlink.com/?O2F325D1A (3) http://makeashorterlink.com/?X1C62661A (4) http://makeashorterlink.com/?U1E13130A (5) http://makeashorterlink.com/?K6F72510A (6) http://makeashorterlink.com/?I24E5151A (7) http://makeashorterlink.com/?I22222129 >>Better would be to read the OP, Steve, so you would understand the question that was actually asked. << COMMENT: Here is the what the original poster (OP) asked: >>Surely there is somebody out htere who can give a good explanation of the difference between a SVT and AFIb. We all know that anything above the ventricle is by definition an SVT but Cardio definately do distinguish between these two terms. Surely it cannot be that difficult to get an eductation explanation.<< COMMENT: The answer I gave is correct, and consistent with the reference. Here it is. >>Yes. Though A-fib is a subset of SVT's (ie, one of many SVTs), in practice the term "SVT" is somes lazily and incorrectly used for any old narrow-complex tachycardia that is NOT A-fib. This is a bastardization, and is be discouraged. An SVT is any rapid heart rate which originates in the atria or AV node (ie, not in the ventricle). There are half a dozen common SVTs. << COMMENT: After this, YOUR answer to the OP was that "SVTs is not associated with increased risk of cardioembolic strokes". To which I objected that this explanation incorrectly differentiates the two entities. A fib is an SVT which predisposes to stroke. To which you said essentially have if a cardiologist defines them in terms of their embolic stroke risk, then that's how they're being defined, QED. To which I reply bullshit. It's not up to you to privately define the terms. They already have definitions. Then the next howler: you say: >>If you were to refer a patient to me (or any other cardiologist for that matter) stating that the reason for the consultation was to evaluate and treat an SVT and I (or any other cardiologist) were to find out that your patient has Afib, my impression about you would be that you are unable to discern an irregularly irregular rhythm. << COMMENT: My comment is that we weren't talking about me or any other doctor referring a patient to you or any other cardiologist. YOU need to read the OP question again. As a matter of fact, I can think of cases where "SVT" is all you can say about a rhythm which presents as a short run of narrow complex rapid tachycardia on a single lead (say in an ICU), and that's all the record of it you have. If it's not perfectly regular you can't rule out A fib from that because a fast A fib can be surprisingly regular. All you know is it's a short run of narrow complex tachycardia. This is why the terms PSVT and SVT were invented in the first place. They are narrow complex tachycardias, paroxysmal or not. SBH |
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