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While the sinoatrial node typically regulates the heartbeat during normal sinus rhythm, PACs occur when another region of the atria depolarizes before the sinoatrial node and thus triggers a premature heartbeat, [1] in contrast to escape beats, in which the normal sinoatrial node fails, leaving a non-nodal pacemaker to initiate a late beat.
A sinus rhythm is any cardiac rhythm in which depolarisation of the cardiac muscle begins at the sinus node. [1] It is necessary, but not sufficient, for normal electrical activity within the heart. [2] On the electrocardiogram (ECG), a sinus rhythm is characterised by the presence of P waves that are normal in morphology. [2]
Sinus arrhythmia is an irregular rhythm with a ventricular rate of 60 - 100 normally, however a slow rhythm can be distinguished when the rate is less than 60, the PR interval and QRS complex are normal. Sinus pause is a regular rhythm however a sudden pause occurs in the rhythm which makes it miss a few beats, if the rhythm resumes on time ...
Ectopic beat is a disturbance of the cardiac rhythm frequently related to the electrical conduction system of the heart, in which beats arise from fibers or group of fibers outside the region in the heart muscle ordinarily responsible for impulse formation (i.e., the sinoatrial node).
This is taken as evidence of multiple (i.e. at least two) ectopic foci, and is called multifocal (or more correctly, multiform) atrial rhythm if the rate is ≤100) or multifocal atrial tachycardia if the rate is over 100. [7] This appears particularly commonly in exacerbations of chronic obstructive lung disease. [8]
English: Normal sinus rhythm and ectopic beats - premature ventricular contractions / PVC and premature atrial contractions (PAC) with and without compensatory pauses shown on an ECG/EKG Date 29 October 2022
Normal sinus rhythm and ectopic beats - premature ventricular contractions (PVC) and premature atrial contractions (PAC) shown on an EKG. PVCs may be found incidentally on cardiac tests such as a 12-lead electrocardiogram (ECG/EKG) performed for another reason. In those with symptoms suggestive of premature ventricular complexes, the ECG/EKG is ...
Like PACs, they can be found in healthy hearts but are more likely to be found in bigeminy than PACs. Sick sinus syndrome, Bradycardia-tachycardia syndrome (BTS) – Disease of the SA node that results in irregular changes in heart rate and in the case of BTS the arrhythmia alternates between bradycardia and tachycardia.