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
Premature atrial complex ... (PAC) - ECG Recognition ... look like the sinus ... • A PAC will ... diagnosis #ekg #ecg #electrocardiogram
The 3 Fates of a Premature Atrial Complex
 • PAC can be conducted with normal QRS
Premature Atrial Complex ... • PAC can be ... • PAC can be ... diagnosis #ekg #ecg #electrocardiogram ... premature #atrial #complexes
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 ... several cycle the pacemaker ... 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 ... several cycle the pacemaker ... diagnosis #ekg #ecg #electrocardiogram
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
Block • During sinus ... by a junctional pacemaker ... an infra-Hisian pacemaker ... conducted or blocked PAC ... ecg #diagnosis #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 ... diagnosis #ekg #ecg #electrocardiogram
Premature Atrial Complexes and Bradycardia

ECG Tip: If there is a sudden onset of (V) bradycardia, check
Premature Atrial Complexes ... premature atrial complexes ... #PACs #bradycardia ... Premature #Atrial #Complexes ... #electrocardiogram
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
Heart Block • In sinus ... rhythm with complete ... by a junctional pacemaker ... an infra-Hisian pacemaker ... ecg #diagnosis #electrocardiogram
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Wandering Atrial Pacemaker ... : VARIANT OF SINUS ... of the dominant pacemaker ... focus from the sinus ... cardiology #ekg #ecg #electrocardiogram
A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
Sinoatrial Rhythms • Sinus ... Rhythm • Sinus ... Wandering Atrial Pacemaker ... Premature Atrial Complexes