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Premature ventricular contraction usually originates from an area of Ectopic focus. In this illustration ectopic area is near papillary muscles in the left ventricle. Most commonly in healthy hearts PVCs occur near right ventricular outflow tract (RVOT). A premature ventricular contraction on an EKG, marked by the arrow: Specialty: Cardiology
Ventricular arrhythmias include ventricular fibrillation and ventricular tachycardia. [3] [7] Bradyarrhythmias are due to sinus node dysfunction or atrioventricular conduction disturbances. [8] Arrhythmias are due to problems with the electrical conduction system of the heart. [2]
The fibres often conduct slowly and in one direction only - from the atria to the ventricles (antegrade conduction); not from the ventricles to the atria (retrograde conduction). Unlike most atrio-ventricular accessory pathways which conduct electrical impulses at a relatively fixed speed, conduction through a Mahaim pathway varies according to ...
The conduction system consists of specialized heart muscle cells, situated within the myocardium. [3] There is a skeleton of fibrous tissue that surrounds the conduction system which can be seen on an ECG. Dysfunction of the conduction system can cause irregular heart rhythms including rhythms that are too fast or too slow.
Bradycardia, also called bradyarrhythmia, is a resting heart rate under 60 beats per minute (BPM). [1] While bradycardia can result from various pathological processes, it is commonly a physiological response to cardiovascular conditioning or due to asymptomatic type 1 atrioventricular block.
Intraventricular conduction delays (IVCD) are conduction disorders seen in intraventricular propagation of supraventricular impulses resulting in changes in the QRS complex duration or morphology, or both. IVCD can be caused by abnormalities in the structures of bundle of His, Purkinje fibers or ventricular myocardium.
The study of the conduction system of the heart is called cardiac electrophysiology (EP). An EP study is performed via a right-sided cardiac catheterization : a wire with an electrode at its tip is inserted into the right heart chambers from a peripheral vein, and placed in various positions in close proximity to the conduction system so that ...
The term "concealed" is in reference to that the conduction is not observable by electrocardiogram. A common example would be an interpolated PVC (a type of premature ventricular contraction) during normal sinus rhythm; the PVC does not cause an atrial contraction, because the retrograde impulse from the PVC does not completely penetrate the AV ...