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 Rhythm ... • Sinus Arrhythmia ... Wandering Atrial Pacemaker ... Multifocal Atrial Arrhythmia ... Premature Atrial Complexes
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 ... presence of AV block ... Wandering Atrial Pacemaker
Comparison between Wandering atrial pacemaker (A) vs multifocal atrial arrhythmia (B)

#WAP #MAR #wandering #atrial #pacemaker #comparison
Wandering atrial pacemaker ... multifocal atrial arrhythmia ... wandering #atrial #pacemaker ... comparison #multifocal #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 ... presence of AV block ... Wandering Atrial Pacemaker
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
• During sinus rhythm ... rhythm with complete ... 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,
aka Complete Heart ... rhythm with complete ... by a junctional pacemaker ... an infra-Hisian pacemaker ... ThirdDegree #3rd #AVBlock
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial Rhythm ... Mutifocal Atrial Rhythm ... Multifocal Atrial Arrhythmia ... VARIANT OF SINUS ARRHYTHMIA ... time controls the rhythm
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
Ventriculophasic Sinus Arrhythmia - ECG Diagnosis
 • The P to P interval encompassing a QRS complex
Ventriculophasic Sinus Arrhythmia ... encompassing a QRS complex ... intervening QRS complex ... Ventriculophasic sinus arrhythmia ... presence of AV block
High-grade AV Block aka Advanced AV Block
 • During sinus rhythm, when 2 or more P
High-grade AV Block ... aka Advanced AV Block ... • During sinus rhythm ... may progress to complete ... #Highgrade #AVBlock