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
encompassing a QRS complex ... intervening QRS complex ... presence of AV block ... Wandering Atrial Pacemaker ... several cycle the pacemaker
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
encompassing a QRS complex ... intervening QRS complex ... presence of AV block ... Wandering Atrial Pacemaker ... several cycle the pacemaker
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
• The QRS complex ... clinically concerning variant ... aka Complete Heart ... by a junctional pacemaker ... an infra-Hisian pacemaker
A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
Rhythm • Sinus Arrhythmia ... Wandering Atrial Pacemaker ... Multifocal Atrial Arrhythmia ... Premature Atrial Complexes ... • Sinoatrial Blocks
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial pacemaker ... several cycle the pacemaker ... • Variant of ... sinus arrhythmia ... Wandering #atrial #pacemaker
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Wandering Atrial Pacemaker ... Multifocal Atrial Arrhythmia ... : VARIANT OF SINUS ... ARRHYTHMIA - involves ... of the dominant 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
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
Third Degree AV Block ... aka Complete Heart ... Block • In sinus ... by a junctional pacemaker ... an infra-Hisian pacemaker
High-grade AV Block aka Advanced AV Block
 • During sinus rhythm, when 2 or more P
High-grade AV Block ... aka Advanced AV Block ... high-grade AV block ... clinically concerning variant ... may progress to complete