Dr. Arnel Carmona @ecgrhythms
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Internal Medicine (IMG) , lover of the squiggly lines and all simplistic learning https://twitter.com/ecgrhythms - blogger @ - https://www.ekgrhythm.com/
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The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
4 Variants of Sinus ... increases (II, Ill and aVF ... the presence of AV ... Wandering Atrial Pacemaker ... several cycle the pacemaker
Normal Sinus Rhythm - ECG Diagnosis
Normal sinus rhythm (NSR) is an impulse that originates in the
Normal Sinus Rhythm ... Diagnosis Normal sinus ... originates in the sinus ... • inverted in aVR ... leads III and aVL
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
4 Variants of Sinus ... increases (II, Ill and aVF ... the presence of AV ... Wandering Atrial Pacemaker ... several cycle the pacemaker
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
Block • During sinus ... Heart Block • In sinus ... by a junctional pacemaker ... an infra-Hisian pacemaker ... or slowing of sinus
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Wandering Atrial Pacemaker ... : VARIANT OF SINUS ... focus from the sinus ... terminalis) or in AV ... sharp contrast to AV
Supraventricular Tachycardias - Pathophysiology
Conduction pathways through SA Node, Atrium, AV Node, Bundle of His, and Ventricle
Node, Atrium, AV ... Ventricle • Sinus ... Fibrillation • AV ... Tachycardia • AV
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
RWPT) • Lead aVR ... - Vereckie Algorithm ... #Algorithm #
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial pacemaker ... several cycle the pacemaker ... shifts back to the sinus ... • Variant of sinus ... Wandering #atrial #pacemaker
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm ... - Lead aVR - Ventricular ... #Vereckie #Algorithm ... Tachycardia #WCT #VTach #avr
Premature atrial complex (PAC) - ECG Recognition
 • Prematurity and altered P wave morphology.
 • P
look like the sinus ... in II, Ill and aVF