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 ... #clinical #comparison
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
• The QRS complex ... clinically concerning variant ... may progress to complete ... aka Complete Heart ... rhythm with complete
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 ... #clinical #comparison
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
A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
- Wandering Atrial ... • Multifocal Atrial ... • Premature Atrial ... Complexes • Sinoatrial ... Blocks - SAB
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
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial ... Rhythm vs Wandering Atrial ... Pacemaker Mutifocal Atrial ... Pacemaker: VARIANT ... electrocardiogram #comparison
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal Atrial ... ECG Multifocal atrial ... rhythm & Multifocal atrial ... Some P waves are blocked ... electrocardiogram #clinical #comparison