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
of Sinoatrial Rhythms ... • Sinus Rhythm ... Pacemaker • Multifocal ... Atrial Complexes ... • Sinoatrial Blocks
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
• The QRS complex ... may progress to complete ... aka Complete Heart ... rhythm with complete ... by a junctional pacemaker
Comparison between Wandering atrial pacemaker (A) vs multifocal atrial arrhythmia (B)

#WAP #MAR #wandering #atrial #pacemaker #comparison
Comparison between ... Wandering atrial ... pacemaker (A) vs ... #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
The 3 Fates of a Premature Atrial Complex
 • PAC can be conducted with normal QRS
of a Premature Atrial ... Complex • PAC ... • PAC can be blocked ... electrocardiogram #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
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 ... #3rd #AVBlock #Complete
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Rhythm vs Wandering ... Atrial Pacemaker ... Rhythm / Multifocal ... #Rhythm #tachycardia ... electrocardiogram #comparison
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 ... high-grade AV block ... may progress to complete
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal Atrial ... rhythm & Multifocal ... Some P waves are blocked ... #rhythm #tachycardia ... electrocardiogram #clinical #comparison