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
Sinus Arrhythmia ... encompassing a QRS complex ... intervening QRS complex ... presence of AV block ... Sinus #Arrhythmia
Second degree AV Block type II (aka Mobitz II)
 • There is constant PR interval (normal
Second degree AV ... Block type II ( ... • The QRS complex ... #Second #Degree ... #AVBlock #TypeII
Premature atrial complex (PAC) - ECG Recognition
 • Prematurity and altered P wave morphology.
 • P
Premature atrial complex ... look like the sinus ... interval of > 0.12 seconds ... premature junctional complex ... which will be 0.12 seconds
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Sinus Arrhythmia ... encompassing a QRS complex ... intervening QRS complex ... presence of AV block ... Sinus #Arrhythmia
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
Second Degree AV ... usually on the second ... Second degree AV ... • During sinus ... Block • In sinus
Ventriculophasic Sinus Arrhythmia - ECG Diagnosis
 • The P to P interval encompassing a QRS complex
Ventriculophasic Sinus ... Arrhythmia - ECG ... encompassing a QRS complex ... intervening QRS complex ... presence of AV block
Second degree AV Block 2:1
 • During sinus rhythm, 2 to 1 AV block manifest as
Second degree AV ... sinus rhythm, 2 ... is a subtype of second ... could either be second ... #Second #degree
A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
Sinoatrial Rhythms • Sinus ... Rhythm • Sinus ... Arrhythmia ... Multifocal Atrial Arrhythmia ... Premature Atrial Complexes
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 ... may progress to complete ... #Highgrade #AVBlock
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
aka Complete Heart ... Block • In sinus ... rhythm with complete ... ThirdDegree #3rd #AVBlock ... #Complete #cardiology