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 ... #differential #
Inverted P Waves:
(A) Ectopic atrial rhythm
(B) Junctional rhythm 

#Inverted #PWaves #cardiology #diagnosis #ekg #ecg #electrocardiogram #differential
: (A) Ectopic atrial ... rhythm (B) Junctional ... rhythm #Inverted ... #PWaves #cardiology ... electrocardiogram #differential
Ectopic atrial rhythm
 • The atrial rate is less than 100 bpm.
 • PR interval within
Ectopic atrial rhythm ... compared with the P wave ... • P wave morphology ... • Inverted P waves ... pacemaker is in
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 ... by a junctional pacemaker ... an infra-Hisian pacemaker ... slowing of sinus rhythm ... electrocardiogram #classification
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Rhythm vs Wandering ... Atrial Pacemaker ... Rhythm / Multifocal ... of a variable P-wave ... #Rhythm #tachycardia
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial ... pacemaker - ECG ... The change in P wave ... appreciate this rhythm ... wap #Wandering #atrial
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: •
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