Graded phenomenon (Yasser's phenomenon): A novel electrocardiographic phenomenon change the arrhythmia directory; retrospective-observational study; research article in cardiology

Title : Graded phenomenon (Yasser's phenomenon): A novel electrocardiographic phenomenon change the arrhythmia directory; retrospective-observational study; research article in cardiology

Abstract:

Background: Arrhythmias are one of the most serious disorders in cardiovascular and clinical medicine. Understanding the pathogenesis and mechanisms of arrhythmias is very advantageous to the appropriate management and treatment of all arrhythmia types. The “Graded phenomenon” is a novel directory phenomenon for understanding arrhythmia. The principle of the “Graded phenomenon” is based on catching the graded changes in serial ECG tracings or even a single one regarding the arrhythmias.
Method of study and patients: My case study was an observational retrospective for a 30-case report series. The study was conducted in both Fraskour Central Hospital (Intensive Care Unit, and emergency room) and Physician Outpatient Clinic. The author reported the 30 cases thorough nearly 4 years, starting from Jan 13, 2016, and, ending on February 9, 2020. 
Results: The age mean is 58.3 years with male sex predominance (56.67%). The changes in graded phenomenon are classified into Up-grading; 20%, down-graded; 10%, changed to NSR; 43.33%, changed to AF; 3.33%, changed to sinus tachycardia; 3.33%, therapeutic reversal; 3.33%, fixed –change; 10%, and variable change; 6.67%. The risk in the graded phenomenon is either high (40%), non-risk (43.33%), or still-risk (16.67%). The course in the graded phenomenon is either progressive(43.33%), regressive; 10%, intermittent; 6.67%, constant; 16.67%, transient; 20%, and non-fixed variation; 3.33%. 
Conclusions: Graded phenomenon (Yasser's phenomenon) is a novel electrocardiographic phenomenon that changes the arrhythmia directory. It is a crucial step for understanding arrhythmia. The phenomenon is a new strong guide for monitoring and following up arrhythmic patients in cardiovascular patients.

Keywords: Graded phenomenon, Yasser's phenomenon, A novel Electrocardiographic Phenomenon Change the arrhythmia directory

Audience Take Away:

• Graded phenomenon (Yasser's phenomenon) is a novel electrocardiographic phenomenon that changes the arrhythmia directory.
• It is a crucial step for understanding arrhythmia.
• The phenomenon is a new strong guide for monitoring and following up arrhythmic patients in cardiovascular patients.
• Widening this research to expand their research or teaching is advisable.

Biography:

Dr. Yasser Mohammed Hassanain Elsayed is a distinguished scientist, critical care physician, and cardiologist affiliated with the Egyptian Ministry of Health. With an impressive publication record of 123 articles, he has contributed significantly to the scientific community. Notably, he has introduced innovative concepts such as the Wavy Triple Electrocardiographic Sign (Yasser’s Sign) associated with hypocalcemia and the Graded Phenomenon (Yasser’s Phenomenon). His research extends to various electrocardiographic signs, including the Connected Aircraft Squadron Electrocardiographic Sign and the Electrocardiographic Passing Phenomenon (Yasser’s Phenomenon or Flying Phenomenon). Dr. Elsayed has also delved into the realm of COVID-19, publishing 37 articles related to the pandemic. Beyond his research, he is an accomplished speaker at 20 international conferences, a diligent reviewer of 210 articles, and an editor for 187 journals. His expertise is further highlighted by his role as an OCM for seven international conferences and as an instructor for seven official and 77 non-official programs. Noteworthy are his proposed maneuvers and modifications, such as Yasser’s Maneuver for Regaining Consciousness in Psychogenic Coma and Yasser’s Modification for Oxygen Testing in Coronary Artery Spasms. Dr. Elsayed's Three and One Method (Yasser’s Method) addresses hypotension induced by Streptokinase in Acute Myocardial Infarction. His groundbreaking work has garnered him nominations for prestigious awards, including the Breakthrough Prize and Einstein Prize, and he holds an impressive 98 excellence certificates.