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
of Sinoatrial Rhythms ... • Sinus Rhythm ... Wandering Atrial Pacemaker ... Premature Atrial Complexes ... • Sinoatrial Blocks
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
rhythm, when 2 ... Block • In sinus ... rhythm with complete ... rhythm ... electrocardiogram #classification
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
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 Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial Rhythm ... Mutifocal Atrial Rhythm ... : VARIANT OF SINUS ... time controls the rhythm ... Multifocal #Atrial #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
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial pacemaker ... several cycle the pacemaker ... shifts back to the sinus ... • Variant of sinus ... appreciate this rhythm
Ectopic atrial rhythm
 • The atrial rate is less than 100 bpm.
 • PR interval within
Ectopic atrial rhythm ... P wave during sinus ... rhythm ... ectopic atrial pacemaker ... AV junctional 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
Paroxysmal AV Block on ECG
 - Characterized by an abrupt and persistent AV block in the
Paroxysmal AV Block ... persistent AV block ... or slowing of sinus ... rhythm - Once ... , the block will