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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A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
Sinus Rhythm ... • Sinus Arrhythmia ... Wandering Atrial Pacemaker ... Premature Atrial Complexes ... • Sinoatrial Blocks
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial ... Rhythm / Multifocal ... : VARIANT OF SINUS ... focus from the sinus ... #wap #diagnosis
Comparison between Wandering atrial pacemaker (A) vs multifocal atrial arrhythmia (B)

#WAP #MAR #wandering #atrial #pacemaker #comparison
Wandering atrial pacemaker ... (A) vs multifocal ... arrhythmia (B) #WAP ... #comparison #multifocal ... #rhythm #cardiology
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
Block • In sinus ... rhythm with complete ... by a junctional pacemaker ... an infra-Hisian pacemaker ... rhythm
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... encompassing a QRS complex ... intervening QRS complex ... presence of AV block ... Wandering Atrial Pacemaker
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... encompassing a QRS complex ... intervening QRS complex ... presence of AV block ... Wandering Atrial Pacemaker
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial pacemaker ... shifts back to the sinus ... • Variant of sinus ... appreciate this rhythm ... #wap #Wandering
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
Third Degree AV Block ... Block • In sinus ... rhythm with complete ... by a junctional pacemaker ... an infra-Hisian pacemaker
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal Atrial ... atrial rhythm & ... in contrast to WAP ... Some P waves are blocked ... #atrial #rhythm
High-grade AV Block aka Advanced AV Block
 • During sinus rhythm, when 2 or more P
High-grade AV Block ... aka Advanced AV Block ... • During sinus ... rhythm, when 2 ... may progress to complete