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 ... comparison #multifocal #rhythm ... #cardiology #diagnosis ... electrocardiogram #clinical
Inverted P Waves:
(A) Ectopic atrial rhythm
(B) Junctional rhythm 

#Inverted #PWaves #cardiology #diagnosis #ekg #ecg #electrocardiogram #differential
Ectopic atrial rhythm ... (B) Junctional rhythm ... Inverted #PWaves #cardiology ... #differential #clinical
Ventricular Standstill on ECG Strip
A rare ecg strip of a pt s/p heart transplant. 
Ventricular standstill
Atrial
Ventricular Standstill ... Ventricular standstill ... #Ventricular #Standstill ... ecg #telemetry #clinical ... #cardiology #rhythmstrip
Paroxysmal AV Block aka Ventricular Standstill
 • Abrupt and persistent AV block ( multiple P waves
aka Ventricular Standstill ... slowing of sinus rhythm ... #Ventricular #Standstill ... #diagnosis #cardiology
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
• During sinus rhythm ... • This is a clinically ... aka Ventricular Standstill ... slowing of sinus rhythm ... blocks #AVBlock #cardiology
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... Sinus #Arrhythmia #cardiology ... electrocardiogram #variants #clinical
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
appreciate this rhythm ... #wap #Wandering ... atrial #pacemaker #cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal atrial rhythm ... in contrast to WAP ... Multifocal #atrial #rhythm ... #tachycardia #cardiology ... electrocardiogram #clinical
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial Rhythm ... Mutifocal Atrial Rhythm ... time controls the rhythm ... Wandering #Pacemaker #wap ... #diagnosis #cardiology
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... Sinus #Arrhythmia #cardiology ... electrocardiogram #variants #clinical