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 ... Wandering Atrial Pacemaker ... several cycle the pacemaker ... #ecg #electrocardiogram
Premature atrial complex (PAC) - ECG Recognition
 • Prematurity and altered P wave morphology.
 • P
Premature atrial complex ... (PAC) - ECG Recognition ... interval of > 0.12 seconds ... which will be 0.12 seconds ... #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 ... #ecg #electrocardiogram
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial pacemaker ... - ECG Diagnosis ... several cycle the pacemaker ... • Variant of ... #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
clinically concerning variant ... by a junctional pacemaker ... an infra-Hisian pacemaker ... #electrocardiogram ... #classification
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 ... diagnosis #cardiology #ekg ... #ecg #electrocardiogram
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
by a junctional pacemaker ... an infra-Hisian pacemaker ... #cardiology #ekg ... #ecg #diagnosis ... #electrocardiogram
Ectopic atrial rhythm
 • The atrial rate is less than 100 bpm.
 • PR interval within
ectopic atrial pacemaker ... PRI is < 0.12 seconds ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram
High-grade AV Block aka Advanced AV Block
 • During sinus rhythm, when 2 or more P
clinically concerning variant ... may progress to complete ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram