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The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
The heart rate change ... : • The change ... #Arrhythmia #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
• The change ... shifts back to the sinus ... • Variant of sinus ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
The heart rate change ... : • The change ... #Arrhythmia #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
block (lower AV cells ... - ventricular pacemaker ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
: VARIANT OF SINUS ... focus from the sinus ... The change occurs ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
Ectopic atrial rhythm
 • The atrial rate is less than 100 bpm.
 • PR interval within
P wave during sinus ... ectopic atrial pacemaker ... • Customary to call ... atrial #rhythm #cardiology ... #ecg #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
bundle-branch block; and sinus ... Disorders: • Hyperkalemia ... no P waves • Hypercalcemia ... dissection • Sodium-channel ... #ecg #ekg #electrocardiogram
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
no pulse OR not sinus ... pulse present AND sinus ... known drug causes (eg ... digoxin; calcium channel ... myocardial infarction, hyperkalaemia
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
vessels, harms heart cells ... including giant-cell ... • Nonspecific: sinus ... tachycardia on the electrocardiogram ... neurohormonal changes