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 Pacemaker ... several cycle the pacemaker
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 Pacemaker ... several cycle the pacemaker
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
clinically concerning variant ... Block aka Complete ... In sinus rhythm ... by a junctional pacemaker ... an infra-Hisian pacemaker
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
Third Degree AV ... Block aka Complete ... In sinus rhythm ... by a junctional pacemaker ... ThirdDegree #3rd #AVBlock
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 ... the next highest degree
High-grade AV Block aka Advanced AV Block
 • During sinus rhythm, when 2 or more P
High-grade AV Block ... • During sinus ... clinically concerning variant ... may progress to complete ... #Highgrade #AVBlock