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ECG library

Marked sinus arrhythmia

intro

A 19-year-old medical student practising on their own tracing.

25 mm/s · 10 mm/mV · synthetic tracing
100%
IIIIIIaVRaVLaVFV1V2V3V4V5V6
II (rhythm)
Calipers:2000 ms50.0 small boxes30 bpm if R-RDrag the orange markers. One small box = 40 ms.

Key findings

  • Irregular RR with preserved P-before-every-QRS
  • PR interval constant

Learning points

  • Irregular does not mean fibrillation: the P waves are the tiebreaker.
  • Phasic variation with breathing is vagal tone at work, most prominent in the young.

Connected