Uploaded December 2023 | Updated September 2026, 2 weeks ago
A discussion of how to measure and interpret the heart rate, including a deep dive on the evidence behind why the normal rate is *not* 60-100, despite widespread belief to the contrary.
@0:00 Introduction
@0:40 Heart rate vs. pulse rate
@2:52 Measurement of the heart rate
@4:06 Normal range of heart rate
@12:00 Etiologies of tachycardia
@13:16 Etiologies of bradycardia
@13:45 Pitfalls and mistakes
References:
Mason JW, et al. Electrocardiographic reference ranges derived from 79,743 ambulatory subjects. J Electrocardiol. 2007; 40:228-34.
Hjalmarson A, et al. Influence of heart rate on mortality after acute myocardial infarction. Am J Cardiol. 1990;65:547-53.
Aladin A, et al. Relation of resting heart rate to risk for all-cause mortality by gender after considering exercise capacity (the Henry Ford exercise testing project). Am J Cardiol. 2014; 114:1701-6.
Spodick DH. Survey of selected cardiologists for an operational definition of normal sinus heart rate. Am J Cardiol. 1993; 72:487-8.
Bainton JH, Levy RL, Munly WC, et al. Criteria for the Classification and Diagnosis of Heart Disease, 1st Ed. New York Tuberculosis and Health Association; 1928.
DeGraff AC, De La Chapelle CE, Eggleston C, et al. Nomenclature and Criteria for Diagnosis of Diseases of the Heart, 4th Ed. New York Heart Association; 1946.
Kossmann CE. The normal electrocardiogram. Circulation. 1953;920-36.
Dolgin M. Normal sinus rhythm. Am J Cardiol. 1993; 71:496-7.
Spodick DH. Redefinition of normal sinus heart rate. Chest. 1993; 104:939-41.
#physicalexam
A discussion of how to measure and interpret the heart rate, including a deep dive on the evidence behind why the normal rate is *not* 60-100, despite widespread belief to the contrary.
@0:00 Introduction
@0:40 Heart rate vs. pulse rate
@2:52 Measurement of the heart rate
@4:06 Normal range of heart rate
@12:00 Etiologies of tachycardia
@13:16 Etiologies of bradycardia
@13:45 Pitfalls and mistakes
References:
Mason JW, et al. Electrocardiographic reference ranges derived from 79,743 ambulatory subjects. J Electrocardiol. 2007; 40:228-34.
Hjalmarson A, et al. Influence of heart rate on mortality after acute myocardial infarction. Am J Cardiol. 1990;65:547-53.
Aladin A, et al. Relation of resting heart rate to risk for all-cause mortality by gender after considering exercise capacity (the Henry Ford exercise testing project). Am J Cardiol. 2014; 114:1701-6.
Spodick DH. Survey of selected cardiologists for an operational definition of normal sinus heart rate. Am J Cardiol. 1993; 72:487-8.
Bainton JH, Levy RL, Munly WC, et al. Criteria for the Classification and Diagnosis of Heart Disease, 1st Ed. New York Tuberculosis and Health Association; 1928.
DeGraff AC, De La Chapelle CE, Eggleston C, et al. Nomenclature and Criteria for Diagnosis of Diseases of the Heart, 4th Ed. New York Heart Association; 1946.
Kossmann CE. The normal electrocardiogram. Circulation. 1953;920-36.
Dolgin M. Normal sinus rhythm. Am J Cardiol. 1993; 71:496-7.
Spodick DH. Redefinition of normal sinus heart rate. Chest. 1993; 104:939-41.
#physicalexam




![COVID Vaccine Update: A Doctors Take
[UPDATE: The Pfizer/BioNTech vaccine data has been released and its been granted an EUA by the FDA. I discuss the data and my strong recommendation in favor of this vaccine here: https://www.youtube.com/watch?v=H1J-ORAZQZs]
A doctor explains the recent news regarding 3 of the most promising COVID vaccine candidates (Moderna, Pfizer/BioNTech, AstraZeneca/Oxford). All 3 of these are still weeks away from deployment anywhere, and 4-6 months away from having any appreciable impact on curtailing community spread. So please still socially distance, avoid crowded events, and wear masks - particularly while in indoor public places. The pandemic is actively getting worse every day at the moment, but at least now we know for sure there is a light at the end of the tunnel!
As always, respectful debate is welcome. But trolls, deliberately offensive comments, and the overt promotion of conspiracy theories and pseudoscience will all be removed.
The COVID Vaccine: When will it be ready (Strong Medicine): https://www.youtube.com/watch?v=iuRT1lglxic
Pfizer/BioNTech Press Release: https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-conclude-phase-3-study-covid-19-vaccine
Moderna Press Release: https://investors.modernatx.com/news-releases/news-release-details/modernas-covid-19-vaccine-candidate-meets-its-primary-efficacy
#COVID, #coronavirus, #COVIDvaccine COVID Vaccine Update: A Doctors Take](https://i.ytimg.com/vi/IKO4ag0Vxpc/mqdefault.jpg)





