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The most obvious abnormal finding will be abnormal P waves. One of three options can occur: [12] 1. There are no P waves. This is because of either failure of retrograde flow to the atria or the P wave is hidden in the QRS. If the P wave is hidden that implies the atria depolarize at the same time as the ventricles. 2.
The depolarization front is carried through the atria along semi-specialized conduction pathways including Bachmann's bundle resulting in uniform shaped waves. Depolarization originating elsewhere in the atria (atrial ectopics) result in P waves with a different morphology from normal.
In contrast, that same depolarization would produce minimal deflection in V 1 and V 2 because the vectors are perpendicular, and this phenomenon is called isoelectric. Normal rhythm produces four entities – a P wave, a QRS complex, a T wave, and a U wave – that each have a fairly unique pattern. The P wave represents atrial depolarization.
The two bundle branches taper out to produce numerous Purkinje fibers, which stimulate individual groups of myocardial cells to contract. [5] The spread of electrical activity through the ventricular myocardium produces the QRS complex on the ECG. Atrial repolarization occurs and is masked during the QRS complex by ventricular depolarization on ...
Now, normally the depolarization wave originates in the SA node and produces what’s called a P-wave. The normal firing rate from the SA node is 60-100 beats per minute. But in atrial flutter the electrical signals are coming from a reentrant circuit which moves much faster, let’s say 350 beats per minute. In this case, there are no normal P ...
Cardiac aberrancy is a type of disruption in the shape of the electrocardiogram signal, representing abnormal activation of the ventricular heart muscle via the electrical conduction system of the heart. Normal activation utilizes the bundle of His and Purkinje fibers to produce a narrow (QRS) electrical
Left atrial appendage closure (LAAC) is a procedure in which a plug is inserted in the area of the heart where blood clots could form and possibly cause strokes for patients with atrial ...
This is the property of the AV node that prevents rapid conduction to the ventricle in cases of rapid atrial rhythms, such as atrial fibrillation or atrial flutter. The AV node's normal intrinsic firing rate without stimulation (such as that from the SA node) is 40–60 times/minute. [ 13 ]
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