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
is gradual and rhythmic ... encompassing a QRS complex ... intervening QRS complex ... presence of AV block ... Wandering Atrial Pacemaker
A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
Sinus Rhythm ... Wandering Atrial Pacemaker ... Premature Atrial Complexes ... • Sinoatrial Blocks ... #differential #
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
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
clinically concerning variant ... Block • In sinus ... rhythm with complete ... by a junctional pacemaker ... an infra-Hisian 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 arrhythmia ... appreciate this rhythm
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 ... focus from the sinus ... time controls the rhythm
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
High-grade AV Block aka Advanced AV Block
 • During sinus rhythm, when 2 or more P
High-grade AV Block ... • During sinus ... rhythm, when 2 ... clinically concerning variant ... may progress to complete