Atrial flutter = macroreentrant atrial tachycardia, classically seen as sawtooth flutter waves on ECG (best in inferior leads). It’s driven by large circuits, often in the RA, but LA circuits are also common post-surgery or ablation. ⬇️ Types of atrial flutter in the image: ⬇️ A. Typical RA flutter: Circuit loops counterclockwise around the tricuspid annulus, dependent on the cavo-tricuspid isthmus. B. Lower loop re…

Channel
Medicine Made Simple!
@MDmedicinesimple
On this record: Topic · Growth · Engagement · Posts · Telegram's recommendations · Cite this entry
1,753subscribers
+6 since we began measuring on 26 August 2026
Risers and fallers across the register · movement among entries of 1,000–3,162.
Register entry
| Telegram ID | -1001434181943 |
|---|---|
| Type | Channel |
| Username | @MDmedicinesimple |
| Created | Between 1 April 2019 and 31 October 2021 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 26 August 2026 |
| Last confirmed live | 6 November 2026 |
| Measurements held | 18 |
| Confirmed unchanged | 1 time, most recently 6 November 2026 |
| On Telegram | t.me/MDmedicinesimple |
Topic
Health & wellness — 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 16 September 2026 and assigned it the closest of 31 fixed categories, at 80% 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.
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 6 Nov 2026, 13:30 | 1,753 | -2 |
| 3 Nov 2026, 11:05 | 1,755 | +1 |
| 31 Oct 2026, 05:11 | 1,754 | +2 |
| 28 Oct 2026, 13:56 | 1,752 | +1 |
| 25 Oct 2026, 17:50 | 1,751 | -2 |
| 22 Oct 2026, 19:39 | 1,753 | -3 |
| 19 Oct 2026, 07:35 | 1,756 | -1 |
| 16 Oct 2026, 02:01 | 1,757 | -3 |
| 12 Oct 2026, 22:40 | 1,760 | +1 |
| 6 Oct 2026, 18:21 | 1,759 | +1 |
| 29 Sept 2026, 13:19 | 1,758 | -1 |
| 14 Sept 2026, 16:39 | 1,759 | +8 |
| 11 Sept 2026, 05:59 | 1,751 | +2 |
| 6 Sept 2026, 20:18 | 1,749 | -1 |
| 2 Sept 2026, 05:38 | 1,750 | -1 |
| 30 Aug 2026, 04:53 | 1,751 | +4 |
| 27 Aug 2026, 06:36 | 1,747 | no change |
| 26 Aug 2026, 17:31 | 1,747 | first reading |
Engagement
20 posts held, back to 7 August 2026 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 1 page of Telegram’s post history, 20 posts per page.
Nothing published in the last 30 days. ERR and ER are rolling 30-day measures, so there is nothing to compute — we hold 20 posts for this entry, the most recent from 26 August 2026. An engagement rate over an empty window would be a number about nothing.
Recent posts
Atrial MR ⬇️ ✔ Large LA ✔ Normal LV size ✔ Normal EF ✔ Dilated annulus ✔ Small tethering angle ✔ Central MR jet ✔ AF frequently present Ventricular MR ⬇️ ✔ Dilated LV ✔ Reduced EF ✔ Increased tenting height ✔ Increased tenting area ✔ Posterior leaflet tethering ✔ Papillary displacement ✔ Often eccentric jet #Cardiology #Echocardiogram
Cooing Dove Murmur is a high-pitched musical manifestation of severe aortic regurgitation, whereas Austin Flint Murmur is a low-pitched apical rumble caused by functional mitral stenosis from the regurgitant jet striking the anterior mitral leaflet. #Cardiology
“A new continuous murmur in acute chest pain is a hemodynamic lesion until proven otherwise.” ⬇️ Ruptured sinus of Valsalva aneurysm must be excluded urgently. ⬇️ Sinus of Valsalva aneurysm ↓ Rupture ↓ Aorta → RA/RV shunt ↓ Continuous murmur ↓ Acute HF / shock #Cardiology #CVICU
SESAME (Septal Scoring Along the Midline Endocardium) is a minimally invasive electrosurgical catheter procedure that creates a slice in a thickened heart septum to improve blood flow. ⬇️ It is specifically used as an adjunct to Transcatheter Mitral Valve Replacement (TMVR) to prevent the replacement valve from blocking the heart's main exit pathway (LVOT). #Cardiology #Interventional_cardiology
Pressure Half-Time is: The time required for the transmitral pressure gradient to fall by 50%. Since pressure and velocity are related by the Bernoulli equation: ⬇️ P = 4V^2 ⬇️ A 50% pressure reduction corresponds to velocity decreasing to: ⬇️ 0.707 * Peak Velocity. ⬇️ Pressure Half-Time is excellent for native rheumatic mitral stenosis. #Cardiology #Echocardiogram
Cooing Dove Murmur is a high-pitched musical manifestation of severe aortic regurgitation, whereas Austin Flint Murmur is a low-pitched apical rumble caused by functional mitral stenosis from the regurgitant jet striking the anterior mitral leaflet. #Cardiology #Echocardiogram
AA interval = atrial cycle length (P-to-P or flutter wave-to-flutter wave). VV interval = ventricular cycle length (QRS-to-QRS). Sinus rhythm: AA regular, VV regular, AA = VV. Atrial fibrillation: no true AA interval, VV irregularly irregular. Atrial flutter: AA regular (~200 ms cycle), VV may be regular or irregular depending on AV block. Complete AV block: AA regular, VV regular, but AA and VV are independent. ⬇️ I…
Dobutamine stress echocardiography is fundamentally a test of contractile reserve. ⬇️ A biphasic response (improvement at low dose followed by deterioration at high dose) is the classic and most powerful marker of viable hibernating myocardium that is likely to recover after revascularization. ⬇️ Low-dose Dobutamine. ↓ Tests contractile reserve. ↓ Improvement = viability. Improvement then worsening. ↓ Biphasic respo…
Minoxidil-induced pericardial effusion is primarily thought to result from profound arteriolar vasodilation causing sympathetic and renin–angiotensin–aldosterone system activation, leading to marked sodium and water retention. ⬇️ ESRD and CKD patients are particularly vulnerable, and large effusions may occasionally progress to cardiac tamponade. #Cardiology #Pharmacology
Flecainide should usually be co-prescribed with an AV nodal blocking agent (most commonly a beta-blocker) because flecainide slows atrial conduction without adequately slowing AV nodal conduction. ⬇️ This can organize atrial fibrillation into atrial flutter and permit dangerous 1:1 AV conduction with very rapid ventricular rates. #Cardiology #Electrophysiology
FAST HEART RATE ↑↑↑ ⬇️ Class IC: MORE blockade MORE QRS widening ⬇️ = USE DEPENDENCE SLOW HEART RATE ↓↓↓ ⬇️ Class III: MORE QT prolongation ⬇️ = REVERSE USE DEPENDENCE #Cardiology #Electrophysiology
Showing the 12 most recent of 20 posts we hold for @MDmedicinesimple. 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.
Appears in Telegram’s recommendations for other channels
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.
@mbbs2nd_YearNotes · 223
Telegram ranks this channel #18 of 55 here — alongside 54 others — read 11 September 2026
@Dr_Najeeb_Videos_Free · 52,986
Telegram ranks this channel #37 of 62 here — alongside 61 others — read 26 August 2026
@medallbooks · 45,802
Telegram ranks this channel #45 of 62 here — alongside 61 others — read 28 August 2026
@Internal_medicine_material · 20,835
Telegram ranks this channel #62 of 80 here — alongside 79 others — read 26 September 2026
@Obs_gynee · 25,631
Telegram ranks this channel #63 of 70 here — alongside 69 others — read 26 September 2026
@Kibreet · 37,864
Telegram ranks this channel #81 of 87 here — alongside 86 others — read 1 September 2026
This channel appears in 6 seed channels' Telegram-generated recommendation lists in total. Each is Telegram’s list for THAT channel, not this one — see how this is measured.
Cite this entry
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 6 November 2026 — this entry's latest reading, not the date you are reading this.
“Medicine Made Simple!” (@MDmedicinesimple), 1,753 subscribers as measured 6 November 2026. Telegram Register, tgregister.com/channel/MDmedicinesimple.
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.