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 ... Rhythm • Premature ... Atrial Complexes
Comparison between Wandering atrial pacemaker (A) vs multifocal atrial arrhythmia (B)

#WAP #MAR #wandering #atrial #pacemaker #comparison
pacemaker (A) vs ... multifocal atrial ... arrhythmia (B) #WAP ... #pacemaker #comparison ... #multifocal #rhythm
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Rhythm vs Wandering ... Rhythm / Multifocal ... time controls the rhythm ... #Rhythm #tachycardia ... #wap #diagnosis
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial ... pacemaker - ECG ... appreciate this rhythm ... #wap #Wandering ... #atrial #pacemaker
Ectopic atrial rhythm
 • The atrial rate is less than 100 bpm.
 • PR interval within
Ectopic atrial rhythm ... wave during sinus rhythm ... pacemaker is in ... AV junctional rhythm ... #rhythm #cardiology
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: •
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 ... slowing of sinus rhythm ... electrocardiogram #classification
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: •
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal Atrial ... rhythm & Multifocal ... atrial tachycardia ... in contrast to WAP ... #rhythm #tachycardia
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