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| * ''Ventricular ectopic pacemaker'' frequency 30-40bpm | | * ''Ventricular ectopic pacemaker'' frequency 30-40bpm |
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| ===Atrial rhythm=== | | ===Examples=== |
| {{Arrhythmias|
| | *[[Atrial rhythm]] |
| | name = Atrial Rhythm
| | *[[Wandering Pacemaker]] |
| | locatieImage = [[Image:ECG_atrial_rhythm_now_sr.png|250px]]
| | *[[Premature Atrial Complex]] |
| | atrial_frequency = 50-100 bpm
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| | ventricular_frequency = 1:1
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| | regularity = regular
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| | origin = atrial
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| | p_wave = present, but different from sinus rhythm
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| | adenosine = slows down
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| | example = [[Image:ECG_atrial_rhythm_now_sr.png |250px| Atrial rhythm. In this example the sinus node stopped pacing due to ischemia during an atrial infarction. The p-wave is positive in I, negative in III and AVF. The atrial pacemaker is thus situated at the bottom of the right atrium, close to the AV node.]]
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| }}
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| Atrial rhythm resembles sinusrhythm, but origins from a different atrial focus. It can be recognised by the abnormal configuration of the p-wave. Often the p-wave is negative in AVF, as is seen in the example.
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| {{clr}}
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| ===Wandering Pacemaker===
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| [[Image:Rhythm_WAP.png|thumb| Wandering pacemaker. Every p-wave is different and thus has a different origin.]] | |
| When several pacemakers are competing, p-waves with different origins and thus configurations occur. The rhythm is slightly different from beat to beat.
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| '''note''' If the heart rate increases to above 100bpm, it is called ''Multifocal Atrial Tachycardia''. Possible causes are hypoxia, COPD and medication such as digoxin.
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| {{clr}}
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| ===Premature atrial complex / atrial extrasystole===
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| {{: Premature Atrial Complexes}}
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| ===AV-nodal complexes=== | | ===AV-nodal complexes=== |