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Sinus pause/arrest vs Sinoatrial Block

#cardiology #diagnosis #ekg #ecg #electrocardiogram #sinuspause #sinoatrialblock
Sinus pause/arrest ... vs Sinoatrial Block ... #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
presence of AV block ... Wandering Atrial Pacemaker ... #Arrhythmia #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
- ECG Diagnosis ... shifts back to the sinus ... • Variant of sinus ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
- ventricular pacemaker ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Second Degree AV Block Type I aka Mobitz I / Wenckebach 
 • Normal P waves.
Second Degree AV Block ... Second #Degree #AVBlock ... Type1 #Wenckebach #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
presence of AV block ... Wandering Atrial Pacemaker ... #Arrhythmia #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
Pacemaker Placement ... compromise • Bi/Tri-fascicular ... unclear origin • Sinus ... Indications #PPM #cardiology ... #management
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
• In sinus rhythm ... by a junctional pacemaker ... #Complete #cardiology ... #ekg #ecg #diagnosis ... #electrocardiogram
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
Diagnosis Summary ... atrioventricular #blocks #AVBlock ... #cardiology #ekg ... #ecg #diagnosis ... #electrocardiogram
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on EKG ... QRS widening • Sinus ... of conduction block ... #ECG #electrocardiogram ... #cardiology #diagnosis