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 ... Ectopic Atrial Rhythm ... • Premature Atrial ... • Sinoatrial Blocks
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
• During sinus rhythm ... • This is a clinically ... concerning variant ... • In sinus rhythm ... slowing of sinus rhythm
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
The 4 Variants of ... is gradual and rhythmic ... presence of AV block ... • Variant of ... #clinical #comparison
Comparison between Wandering atrial pacemaker (A) vs multifocal atrial arrhythmia (B)

#WAP #MAR #wandering #atrial #pacemaker #comparison
arrhythmia (B) #WAP ... comparison #multifocal #rhythm ... electrocardiogram #clinical
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
The 4 Variants of ... is gradual and rhythmic ... presence of AV block ... • Variant of ... #clinical #comparison
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 ... • This is a clinically ... concerning variant
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Variant of ... appreciate this rhythm ... #wap #Wandering
Paroxysmal AV Block on ECG
 - Characterized by an abrupt and persistent AV block in the
Paroxysmal AV Block ... persistent AV block ... slowing of sinus rhythm ... - Once the block ... electrocardiogram #clinical
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal atrial rhythm ... in contrast to WAP ... Some P waves are blocked ... Multifocal #atrial #rhythm ... 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 ... Atrial Pacemaker: VARIANT ... time controls the rhythm ... Wandering #Pacemaker #wap