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The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Sinus Arrhythmia ... is gradual and rhythmic ... Wandering Atrial ... #cardiology #diagnosis ... variants #clinical #comparison
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Sinus Arrhythmia ... is gradual and rhythmic ... Wandering Atrial ... #cardiology #diagnosis ... variants #clinical #comparison
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(3) SVTs - atrial ... (3) Multifocal atrial ... 3 different P waves ... arrest - escape rhythms ... #EKG #diagnosis
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ... atrial rhythm & ... #cardiology #diagnosis ... #ekg #electrocardiogram ... #clinical #comparison
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial ... Diagnosis • The ... change in P wave ... arrhythmia Note ... appreciate this rhythm
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Arrhythmia (MAA ... of a variable P-wave ... focus from the sinus ... #cardiology #ekg ... #comparison
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... in the chest or neck ... Palpitations Diagnosis ... Heart Rate and Rhythm ... and irregular rhythms
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Common Sustained Arrhythmia ... • Absence of P waves ... benefit of restoring sinus ... Fibrillation #AFib #diagnosis ... #management #cardiology
External Ventricular Drains (EVDs) & ICP waveform interpretation
An EVD is a temporary closed sterile system that
is increased (e.g ... CNS compliance LONGER ... - Rhythmic Spikes ... Nick Mark MD @nickmmark ... #neurosurgery #diagnosis