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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Premature atrial complex (PAC) - ECG Recognition
 • Prematurity and altered P wave morphology.
 • P
look like the sinus ... interval of > 0.12 seconds ... which will be 0.12 seconds ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
encompassing a QRS complex ... intervening QRS complex ... Wandering Atrial Pacemaker ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial pacemaker ... several cycle the pacemaker ... shifts back to the sinus ... • Variant of sinus ... #ecg #electrocardiogram
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
encompassing a QRS complex ... intervening QRS complex ... Wandering Atrial Pacemaker ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram
Second degree AV Block type II (aka Mobitz II)
 • There is constant PR interval (normal
Second degree AV ... • The QRS complex ... #Second #Degree ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
Second Degree AV ... by a junctional pacemaker ... an infra-Hisian pacemaker ... AVBlock #cardiology #ekg ... #electrocardiogram
A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
Sinoatrial Rhythms • Sinus ... Rhythm • Sinus ... Wandering Atrial Pacemaker ... Premature Atrial Complexes ... diagnosis #cardiology #ekg
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
Heart Block • In sinus ... by a junctional pacemaker ... an infra-Hisian pacemaker ... #cardiology #ekg ... #electrocardiogram
Ventriculophasic Sinus Arrhythmia - ECG Diagnosis
 • The P to P interval encompassing a QRS complex
Ventriculophasic Sinus ... encompassing a QRS complex ... intervening QRS complex ... Ventriculophasic sinus ... #ecg #electrocardiogram
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Wandering Atrial Pacemaker ... : VARIANT OF SINUS ... focus from the sinus ... diagnosis #cardiology #ekg ... #ecg #electrocardiogram