Posted without readable text
🤯16🤔13❤8🔥4
Signed Dr .h nasimi

Channel
@step_by_step_ekg
On this record: Growth · Engagement · What this channel posts · Reactions · Posts · Polls · Citations · Cite this entry
8,149subscribers
+30 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 |
| Created | Between 1 August 2021 and 28 February 2023— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 7 August 2026 |
| Last confirmed live | 12 August 2026 |
| Measurements held | 4 |
| Confirmed unchanged | 1 time, most recently 12 August 2026 |
| On Telegram | t.me/step_by_step_ekg |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 12 Aug 2026, 21:58 | 8,149 | +11 |
| 10 Aug 2026, 03:03 | 8,138 | +19 |
| 7 Aug 2026, 08:48 | 8,119 | no change |
| 7 Aug 2026, 08:16 | 8,119 | first reading |
20 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 11 pagesof 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 20 June 2026. An engagement rate over an empty window would be a number about nothing.
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.
367 reactions across 20 posts, in 11 distinct kinds. The most used accounts for 63.5% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 233 | 63.5% | |
| 🤯 | 51 | 13.9% | |
| 🔥 | 27 | 7.36% | |
| 🙏 | 17 | 4.63% | |
| 🤔 | 14 | 3.81% | |
| 👌 | 8 | 2.18% | |
| 💔 | 6 | 1.63% | |
| 👀 | 5 | 1.36% | |
| 👍 | 3 | 0.817% | |
| 🥰 | 2 | 0.545% | |
| 🤓 | 1 | 0.272% |
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 20 of the 20 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 367reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 20 most recent posts we hold, published 14 November 2025 to 20 June 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.
Posted without readable text
🤯16🤔13❤8🔥4
Signed Dr .h nasimi
بیمار اقای ۴۶ ساله ، مورد سکته قلبی ۴ هفته قبل که EF حدود ۳۵ درصد پیدا کرده است در حال حاضر با تپش قلب و تنگی نفس مراجعه کرده است فشار بیمار = ۱۰/۷۰ است ۱/۳ ریه رال دارد ضربان قلب ۱۰۸ دارد اقدام شما چیست ؟
❤14
Signed Dr .h nasimi
Case 1⃣2⃣8⃣ ⭐️⭐️⭐️⭐️⭐️ مدت زیادی کیس نذاشتیم ، بخاطر اتفاقات اخیر بخاطر قطعی اینترنت ولی فقط برای آموزش که شاید جان یک نفری نجات پیدا کنه مجدد شروع کردیم این کیس چالشی بود برای بنده و نزدیک بود فوت بشن که ...
❤26
Signed Dr .h nasimi
امیدورام که براتون مفید بوده باشه🖤
❤23💔6
Signed S Ansari
در بررسی سایر گزینه ها به موارد زیر لطفا توجه کنید: در تنگی دریچه آئورت شواهد LVH دیده می شود(البته به شرطی که اختلالات کاهنده ی لود بطنی همزمان مانند MS وجود نداشته باشد که در این صورت نوار قلب میتواند کاملا نرمال باشد) در تنگی دریچه میترال شواهد بزرگی دهلیز چپ دیده میشود در آمیلوییدوز قلبی شواهد ولتاژ پایین و امواج pseudo q دیده می شود هم چنین در بیماران با bi fasicular block(RBBB+lphb) باید به درگیری کرونر فکر کنی…
❤17
Signed S Ansari
در مجموع یافته های مهم نوار قلب شامل موارد زیر می باشد؛ سینوس تاکی کاردی همراه با شواهد اختلال دهلیز راست و بطن راست که با توجه به شرح حال، اختلال بطن راست و دهلیز راست به دنبال مشکلات ریوی بهترین تشخیص هست @step_by_step_ekg🌱🫀
❤12
Signed S Ansari
با سلام و احترام 💔🖤 با جواب کیس ۱۲۷ در خدمتتون هستم ابتدا نوار قلب رو به صورت کلاسیک تفسیر کنیم: ریتم :سینوسی ریت در حد ۱۱۰ >> سینوس تاکی کاردی محور: به سمت راست چرخیده که می تواند با Lphb همراه باشد موج p: ارتفاع افزایش در لید ۲ دارد که به p pulmunale معروف است میزانPR: نرمال و در حد ۱۶۰ msec موج qrs: پهنای افزایش یافته با نمای RBBB موج q واضح دیده نمی شدد موج R در v1 حدود 15 میلی متر و افزایش یافته به نفع RVH قطعه …
❤8🥰2
Signed S Ansari
Chapter 32 braunwald's heart disease(2026) Approach to the patient with chest pain
❤3
Signed Dr .h nasimi
🌱
Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.
🔥7🤯6❤4👍2👌1
Signed S Ansari
با سلام و احترام بیمار اقای ۷۰ ساله از خانه سالمندان با تنگی نفس به اورژانس مراجعه کرده است. شرح حال بیشتری در دسترس نیست در معاینه فشارخون ۱۲۰ روی ۸۰ و ضربان قلب حدود ۱۰۰ می باشد. در معاینه سمع قلب تاکی کارد، سمع ریه کراکل می باشد. شکم کمی دیستنت است. ادم +2 اندام های تحتانی بدون اختلاف سایز مشاهده شد. نوار قلب به کدام یک از گزینه های زیر ارتباط بیشتری دارد؟
❤10👍1
Signed S Ansari
Case 1⃣2⃣7⃣ ⭐️⭐️⭐️⭐️
❤8🤓1
Signed S Ansari
نکته خیلی مهم اگر میخواستم فقط بر اساس heart score بیمار را قضاوت کنیم قطعا مریضو مرخص میکردیم و الان بیمار پیش ما نبود پس heart score فقط برای بیماران ACS کاربرد دارند و PTE و دایسکشن و ... را میس میکند خدا رو شکر با تشخیص به موقع دوستان همکارمون برای بیمار چست تیوب گذاشته شد و حال بیمار بهتر شد امیدوارم براتون مفید بوده باشه @step_by_step_ekg 🏩❤️🩹
🙏17🔥7❤6
Signed Dr .h nasimi
Showing the 12 most recent of 20 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 2 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.
🌱
Shares as published, totalling 99%. 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 20 most recent posts we hold, published 14 November 2025 to 20 June 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.
Citation-graph rank — 678,887 of 1,480,688entries in the measured graph. A weighted position computed from the forward and mention edges below — republished posts weigh more than named mentions — and recomputed periodically, over the whole graph. Published only as this ordinal position, never as a score: a position is a fact, and a score printed beside one channel’s name would read as a verdict this register does not make. The two counts beneath stay separate for the same reason mentions are never summed with forwards anywhere else on this page — a named-by count costs nothing to manufacture. The top 100 by this measure, or how it is computed.
Named by 1 registered channel — 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.
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 12 August 2026 — this entry's latest reading, not the date you are reading this.
“Ekg learning 🏥” (@step_by_step_ekg), 8,149 subscribers as measured 12 August 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.