اولین اقدام؟
- Amiodarone injection16%
- Calcium gluconate injection62%
- D/C cardioversion19%
- Oral asa and clopidogrel3%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
❤18👍1
Signed S Ansari

Channel
@step_by_step_ekg
On this record: Topic · Growth · Engagement · What this channel posts · Reactions · Posts · Polls · Citations · Telegram's recommendations · Cite this entry
8,576subscribers
+457 since we began measuring on 7 August 2026
Risers and fallers across the register · movement among entries of 3,162–10,000.
| Telegram ID | -1001598442718 |
|---|---|
| Type | Channel |
| Username | @step_by_step_ekg |
| Description | هدف این گروه آموزش قدم به قدم قلب است برای آموزش بهتر از کیس اول شروع کنید اگر سوالی دارید یا نقدی دارید ، خوشحال میشم بگید By : @Dr_nasimi استادیار دانشگاه و ۱۰ درصد بورد تخصصی قلب @Sansariii متخصص قلب و عروق ، رتبه ی ۵ بورد تخصصی |
| Created | Between 1 August 2021 and 31 January 2023 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 7 August 2026 |
| Last confirmed live | 5 November 2026 |
| Measurements held | 25 |
| Confirmed unchanged | 1 time, most recently 5 November 2026 |
| On Telegram | t.me/step_by_step_ekg |
Education — a classification, not a measurement. An on-box language model (Qwen3.6-35B-A3B-FP8, prompt version 1) read this channel’s own recent posts on 12 September 2026 and assigned it the closest of 31 fixed categories, at 53% confidence. This is a model’s judgement about what the channel is likely to be about, not a fact this register measured the way a subscriber count or a view count is measured — it can be revised on a later pass, and it carries no weight anywhere else on this page. How this classification works, and the other topics.
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 5 Nov 2026, 00:46 | 8,576 | +34 |
| 1 Nov 2026, 15:40 | 8,542 | +53 |
| 29 Oct 2026, 13:36 | 8,489 | +72 |
| 26 Oct 2026, 18:20 | 8,417 | +91 |
| 23 Oct 2026, 17:45 | 8,326 | +29 |
| 20 Oct 2026, 12:28 | 8,297 | +7 |
| 17 Oct 2026, 17:31 | 8,290 | +6 |
| 14 Oct 2026, 18:18 | 8,284 | +3 |
| 11 Oct 2026, 15:54 | 8,281 | +14 |
| 5 Oct 2026, 02:16 | 8,267 | +11 |
| 25 Sept 2026, 22:18 | 8,256 | +27 |
| 16 Sept 2026, 23:16 | 8,229 | +6 |
| 13 Sept 2026, 03:16 | 8,223 | +14 |
| 8 Sept 2026, 23:18 | 8,209 | +5 |
| 4 Sept 2026, 01:22 | 8,204 | +3 |
| 31 Aug 2026, 13:43 | 8,201 | -1 |
| 28 Aug 2026, 20:22 | 8,202 | -4 |
| 25 Aug 2026, 14:48 | 8,206 | +9 |
| 22 Aug 2026, 22:27 | 8,197 | +28 |
| 19 Aug 2026, 14:44 | 8,169 | first reading |
40 posts held, back to 14 November 2025 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 29 pages of Telegram’s post history, 20 posts per page.
ERR is average views per post over the last 30 days divided by subscribers, the definition TGStat uses, so this figure is comparable with the one you will see elsewhere. It falls structurally as a channel grows: a high ERR on a small channel and a low one on a large channel describe reach mathematics, not quality. We publish the figure and the sample it came from and pass no verdict on it.
ER is defined industry-wide as (forwards + reactions + comments) ÷ views — note the denominator is views, not subscribers. Telegram’s public web preview carries views and reactions but not forward or comment counts, so the reaction rate above is the reactions term only and is therefore a floor: the true ER for this channel is higher by an amount we have not measured and will not estimate. It is computed over the 13 of 15 measured posts that carry a reaction reading, and over those same posts' views.
| Window | Rolling 30 days · latest post in window 30 October 2026 |
|---|---|
| Posts held | 40 (14 November 2025 – 30 October 2026) |
| Views total | 23,720 |
| Reactions total | 130 |
| Forwards / comments | not exposed by the public surface — not measured, not estimated |
| Readings taken | 6 Nov 2026, 23:13 UTC |
Views are a single reading per post, taken at the time above. A post published in the last day or two is still accumulating views, which pulls the 30-day average down slightly. That is a property of the standard definition rather than a fault in it, so we keep the definition rather than “correcting” the number into something nobody can reproduce.
Precision. Telegram publishes view counts on its public widget in short form — 8.12K, 3.7M — so any reading at or above 1,000 reaches us rounded to three significant figures, and only counts below 1,000 are exact. Averages and rates derived from them are shown to the same precision rather than to the unit: a figure like 3,701,250 would assert digits nobody measured.
Reaction counts are published per emoji and rounded the same way, so a total below 1,000 is exact and a larger one is a sum that may carry a rounded component from each emoji above 1,000. Because it is a sum, it does not look rounded — read a large reaction total as three significant figures per contributing emoji rather than as the figure it prints.
Lifetime counters from Telegram’s own channel header, read 6 November 2026 — not the date at the top of this page, which is when the subscriber count was last read. Below Telegram’s rounding threshold, so these counts are exact.
Measured directly from 1 video with a duration reading, out of the posts we hold for this channel — not this channel’s whole posting history, only the sample this register has actually read. An exact reading to the second, taken from the post itself rather than from Telegram’s own rounded chrome, so it carries no ≈ mark.
639 reactions across 38 posts, in 12 distinct kinds. The most used accounts for 72.5% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 463 | 72.5% | |
| 🤯 | 71 | 11.1% | |
| 🔥 | 28 | 4.38% | |
| 🙏 | 18 | 2.82% | |
| 👍 | 14 | 2.19% | |
| 🤔 | 14 | 2.19% | |
| 👏 | 9 | 1.41% | |
| 👌 | 8 | 1.25% | |
| 💔 | 6 | 0.939% | |
| 👀 | 5 | 0.782% | |
| 🥰 | 2 | 0.313% | |
| 🤓 | 1 | 0.156% |
No sentiment is inferred, and none should be read in. This table is ordered by count and by nothing else. Emoji do not carry stable meaning across languages or communities — 🙏 is thanks in one channel and mourning in another — so we publish which ones were pressed and how often, and pass no judgement on what an audience meant by them.
Precision. Telegram publishes reaction counts per emoji and short-forms each one — 4.34K, 1.2M — so any single kind at or above 1,000 reaches us at three significant figures, and only counts below 1,000 are exact. The shares above are ratios of those figures and carry the same error. This is also why the total here can differ slightly from a reaction total printed elsewhere on the page: both are sums of the same rounded parts, taken over samples with different edges.
Coverage. Reactions were read on 38 of the 40 sampled posts in this sample. Summed by Telegram’s own count on each post — not by adding up the per-emoji breakdown above — those same posts carry 639 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 40 most recent posts we hold, published 14 November 2025 to 30 October 2026, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.
Telegram’s own ‘edited’ marker: 5 of 15 posts held from the last 30 days (33.3%) carried it when this register last read them. The marker says a post was changed after publishing, not what it said before — this register holds the earlier wording only where an edit fell between two of its own reads (see the edit ledger and how it is measured).
اولین اقدام؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
❤18👍1
Signed S Ansari
بیمار آقای ۴۰ ساله addict با ضعف و بی حالی از حدود ۳ روز قبل مراجعه کرده است. بیمار همکاری لازم جهت شرح حال ندارد و drowsiness دارد. فشار خون بیمار ۱۰۰ به ۸۰ می باشد. در معاینه اولیه اثار کبودی روی ران و ساق پای بیمار مشاهده می شود .در سمع قلب و ریه یافته ی پاتولوژیکی سمع نشد. نبض ها قرینه است. با توجه به نوار قلب بالا اولین اقدام شما چیست؟
❤17
Signed S Ansari
Case 1⃣3⃣0⃣ ⭐️⭐️⭐️
❤6
Signed S Ansari
با درود خدمت همه دوستان اگر علاقه مند به کیس های جالب اکو مثل PTE و Clot و ... میتونید در یوتیوب این کانال را دنبال کنید که توسط استاد دهقان و استاد فرهنگ از اساتید دانشگاه ایجاد شده استفاده کنید https://www.youtube.com/channel/UCZfb2U_QuP-jh9K7vtKxGSA
❤15
Signed Dr .h nasimi
در مورد کیس نیز یه توضیح کوتاه بدیم که علایم بیمار در بدو ورود بیشتر به نفع بیماری حاد تنفسی بود که با درمان بهتر شد ولی در کنار اون با تفسیر ecg مسیر درمان بیماری تغییر کرد و بیمار نجات پیدا کرد هم چین کیس هایی در بالین زیاد دیده میشه بیماران مادرزادی که تا سنین بزرگسالی میرسن حتی درمان های متعدد قلبی هم بعضا دریافت میکنن ولی در آخر ممکنه با یه اکوی دقیق 😌 کیفیت و طول عمرشون تغییر کنه امیدوارم مفید بوده باشه @step_…
👏9❤2
Signed S Ansari
این هم نوار قلب بیمار بعد از بستن ASD در فالوآپ های بعدی که همون طور که میبینید crochetage sign از بین رفته @step_by_step_ekg🌱🫀
❤14
Signed S Ansari
یافته های نوار قلب در مجموع شامل موارد زیر هست چرخش محور عمودی تغییرات موج p به نفع درگیری دهلیز ها مخصوصا دهلیز راست فاصله ی pr در حد بالای نرمال وجود crochetage sign و incomplete RBBB, RVH و تغییرات ST-T که با تشخیص ASD secundum مطابقت دارد که پس از آن با اکو تایید شد @step_by_step_ekg🌱🫀
❤8👍1
Signed S Ansari
در نهایت تغییرات ST -T به صورت تغییرات ST dep در لید V2 الی V6 و invert T در لید v1 الی v3 و biphasic T در لید V4 الی V6 دیده میشه که میتواند تغییرات ثانویه به تغییرات QRS می باشد @step_by_step_ekg🌱🫀
❤8👍2
Signed S Ansari
Photo, posted without a caption
❤3
Signed S Ansari
در ادامه با دقت بیشتر در نوار قلب یک فرورفتگی در موج R نزدیک موج QRS در لید های inferior دیده می شود این یافته با نام crochetage signاختصاصی secundum ASD شناخته می شود @step_by_step_ekg🌱🫀
❤7
Signed S Ansari
Photo, posted without a caption
Signed S Ansari
موج QRS دارای پهنای حدود ۱۰۰ الی ۱۲۰ میلی ثانیه با پترن 'rSR به نفع incomplete RBBB می باشد از طرفی ارتفاع R درV1 حدود ۸ میلی متر که در متون علمی به نفع RVH طبقه بندی می شود جدول زیر کریتریایRVH را به صورت کامل بیان میکند @step_by_step_ekg🌱🫀
❤6
Signed S Ansari
Showing the 12 most recent of 40 posts we hold for @step_by_step_ekg. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.
The 3 polls we hold for this entry, as Telegram rendered them when we read the post. A poll’s figures keep moving after that, so each one is dated.
اولین اقدام؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
🌱
Shares as published. No per-option vote count is published by Telegram, so none is shown.
اولین اقدام اورژانسی شما چیست
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Percentages only — there are no per-option vote counts here, because Telegram publishes none. The public post preview gives each option’s share and a single voter total, and nothing else. Multiplying one by the other would produce a per-option tally that looks measured and is not: the shares are rounded to whole numbers before we ever see them. We print what was published and leave the column that does not exist empty.
The shares need not add up to 100. Rounding alone puts many polls at 99 or 101. A poll that allows more than one answer per voter runs well past 100 by design, and several here do. The bars are drawn against a fixed 100% track at each option’s own percentage rather than normalised to the total, so a poll that exceeds it shows that it does instead of being quietly rescaled.
Read from the 40 most recent posts we hold, published 14 November 2025 to 30 October 2026. Telegram labels each poll by kind — an anonymous poll, a quiz, a closed set of final results — and that label is reproduced rather than paraphrased.
Named by 2 registered channels — every channel on the register whose own posts have named this one, by its current username or any other username it currently holds, merged from two separately captured readings of the same fact so a namer caught by only one of them is not missed and a namer both caught is not counted twice. A username this channel has since dropped is not matched — that handle may belong to someone else now, and crediting today’s namer to yesterday’s owner would misattribute it.
Named by
Channels on the register whose posts name this channel's handle.
A mention is a weaker signal than a forward and is counted separately for that reason — naming a channel is not republishing it, and a handle in a post body is easy to place deliberately. The post counts beside each row below are distinct posts in which the handle appeared, from posts we have read on both sides — the “Named by N registered channels” figure above is a different count, of distinct NAMING CHANNELS rather than posts, and is not the sum of the rows under it.
The reverse of the list above, and a different kind of signal. This does not require this channel to have ever been asked about directly — each row below is a channel we DID ask Telegram about, whose Telegram-generated list happened to include this one. A channel can appear here with an empty list above it, because being named by someone else’s query is independent of having been queried itself.
This channel appears in 17 seed channels' Telegram-generated recommendation lists in total. Each is Telegram’s list for THAT channel, not this one — see how this is measured.
A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 5 November 2026 — this entry's latest reading, not the date you are reading this.
“Ekg learning 🏥” (@step_by_step_ekg), 8,576 subscribers as measured 5 November 2026. Telegram Register, tgregister.com/channel/step_by_step_ekg.
Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.