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: •
A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
Rhythm • Sinus ... Ventriculophasic - Wandering ... Atrial Pacemaker ... Premature Atrial Complexes ... • Sinoatrial Blocks
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial ... shifts back to the sinus ... • Variant of sinus ... this rhythm #wap ... #Wandering #atrial
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
• During sinus ... Block • In sinus ... by a junctional pacemaker ... an infra-Hisian pacemaker ... or slowing of sinus
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: •
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Atrial Rhythm vs Wandering ... and PR interval Wandering ... : VARIANT OF SINUS ... focus from the sinus ... #Pacemaker #wap
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
Third Degree AV Block ... aka Complete Heart ... Block • In sinus ... by a junctional pacemaker ... an infra-Hisian pacemaker