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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A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
• Sinus Arrhythmia ... Wandering Atrial Pacemaker ... • Multifocal ... Atrial Arrhythmia ... Premature Atrial Complexes
Comparison between Wandering atrial pacemaker (A) vs multifocal atrial arrhythmia (B)

#WAP #MAR #wandering #atrial #pacemaker #comparison
Wandering atrial pacemaker ... (A) vs multifocal ... atrial arrhythmia ... #comparison #multifocal ... #rhythm #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Rhythm vs Wandering ... Rhythm / Multifocal ... Atrial Arrhythmia ... VARIANT OF SINUS ARRHYTHMIA ... #Atrial #Rhythm
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... encompassing a QRS complex ... intervening QRS complex ... Wandering Atrial Pacemaker ... several cycle the pacemaker
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... encompassing a QRS complex ... intervening QRS complex ... Wandering Atrial Pacemaker ... several cycle the pacemaker
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal Atrial ... Arrhythmias on ... atrial rhythm & ... #atrial #rhythm ... clinical #comparison #Arrhythmias
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial pacemaker ... several cycle the pacemaker ... Variant of sinus arrhythmia ... appreciate this rhythm ... Wandering #atrial #pacemaker
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
• During sinus rhythm ... Block • In sinus rhythm ... by a junctional pacemaker ... an infra-Hisian pacemaker ... slowing of sinus rhythm
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
Degree AV Block aka Complete ... Block • In sinus rhythm ... with complete AV ... by a junctional pacemaker ... an infra-Hisian pacemaker