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
Wandering atrial pacemaker ... arrhythmia (B) #WAP ... wandering #atrial #pacemaker ... comparison #multifocal #rhythm ... electrocardiogram #clinical
A Summary slide of Sinoatrial Rhythms 
 • Sinus Rhythm
 • Sinus Arrhythmia
of Sinoatrial Rhythms ... • Sinus Rhythm ... Wandering Atrial Pacemaker ... Multifocal atrial rhythm ... Ectopic Atrial Rhythm
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 ... Multifocal #Atrial #Rhythm ... #wap #diagnosis
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial pacemaker ... several cycle the pacemaker ... appreciate this rhythm ... #wap #Wandering ... #atrial #pacemaker
Inverted P Waves:
(A) Ectopic atrial rhythm
(B) Junctional rhythm 

#Inverted #PWaves #cardiology #diagnosis #ekg #ecg #electrocardiogram #differential
Ectopic atrial rhythm ... (B) Junctional rhythm ... #differential #clinical
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... Wandering Atrial Pacemaker ... several cycle the pacemaker ... electrocardiogram #variants #clinical
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
• During sinus rhythm ... • This is a clinically ... by a junctional pacemaker ... an infra-Hisian pacemaker ... slowing of sinus rhythm
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... Wandering Atrial Pacemaker ... several cycle the pacemaker ... electrocardiogram #variants #clinical
Ectopic atrial rhythm
 • The atrial rate is less than 100 bpm.
 • PR interval within
Ectopic atrial rhythm ... wave during sinus rhythm ... ectopic atrial pacemaker ... AV junctional rhythm ... AV junctional rhythm
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
Block • In sinus rhythm ... by a junctional pacemaker ... an infra-Hisian pacemaker