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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Comparison between Wandering atrial pacemaker (A) vs multifocal atrial arrhythmia (B)

#WAP #MAR #wandering #atrial #pacemaker #comparison
arrhythmia (B) ... #WAP #MAR #wandering ... #atrial #pacemaker ... #cardiology #diagnosis ... #clinical
A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
• Sinus Arrhythmia ... Pacemaker • Multifocal ... Atrial Arrhythmia ... RhythmPremature ... differential #diagnosis #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Arrhythmia (MAA ... includes both MAT ... #wap #diagnosis ... #cardiology #ekg ... #ecg #electrocardiogram
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Variant of sinus arrhythmia ... appreciate this rhythm ... #wap #Wandering ... #atrial #pacemaker ... #cardiology #diagnosis
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... Wandering Atrial ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram ... #variants #clinical
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
in contrast to WAP ... #MAT #Multifocal ... #atrial #rhythm ... #tachycardia #cardiology ... #clinical #comparison
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... Wandering Atrial ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram ... #variants #clinical
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
• This is a clinically ... by a junctional pacemaker ... an infra-Hisian pacemaker ... blocks #AVBlock #cardiology ... ecg #diagnosis #electrocardiogram
High-grade AV Block aka Advanced AV Block
 • During sinus rhythm, when 2 or more P
• During sinus rhythm ... • The QRS may ... • This is a clinically ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram