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 ... Arrhythmia #cardiology #diagnosis
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
blocks) - ECG Diagnosis ... Block • In sinus ... by a junctional pacemaker ... an infra-Hisian pacemaker ... cardiology #ekg #ecg #diagnosis
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
Block • In sinus ... by a junctional pacemaker ... an infra-Hisian pacemaker ... ThirdDegree #3rd #AVBlock ... #ekg #ecg #diagnosis
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 ... Arrhythmia #cardiology #diagnosis
Premature atrial complex (PAC) - ECG Recognition
 • Prematurity and altered P wave morphology.
 • P
Premature atrial complex ... look like the sinus ... premature junctional complex ... premature #atrial #complexes ... #cardiology #diagnosis
Second degree AV Block type II (aka Mobitz II)
 • There is constant PR interval (normal
Second degree AV Block ... location of the block ... • The QRS complex ... Second #Degree #AVBlock ... MobitzII #Type2 #diagnosis
A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
Sinoatrial Rhythms • Sinus ... Rhythm • Sinus ... Wandering Atrial Pacemaker ... Premature Atrial Complexes ... #differential #diagnosis
Sinus pause/arrest vs Sinoatrial Block

#cardiology #diagnosis #ekg #ecg #electrocardiogram #sinuspause #sinoatrialblock
Sinus pause/arrest ... vs Sinoatrial Block ... #cardiology #diagnosis
High-grade AV Block aka Advanced AV Block
 • During sinus rhythm, when 2 or more P
High-grade AV Block ... • During sinus ... may progress to complete ... #Highgrade #AVBlock ... #Advanced #diagnosis
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Wandering Atrial Pacemaker ... criteria for the diagnosis ... : VARIANT OF SINUS ... focus from the sinus ... #wap #diagnosis