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Atrial fibrillation with rapid ventricular response; Atrial flutter with rapid ventricular response (Without rapid ventricular response, fibrillation and flutter are usually not classified as SVT) Atrioventricular origin: [22] AV nodal reentrant tachycardia (AVNRT) or junctional reciprocating tachycardia (JRT)
Wide QRS complexes are worrisome for ventricular tachycardia, although, in cases where there is a disease of the conduction system, wide complexes may be present in A-fib with a rapid ventricular response.
Ashman phenomenon, also known as Ashman beats, describes a particular type of wide QRS complex that is typically, but not always seen in atrial fibrillation.It is a type of cardiac aberrancy and it is more often misinterpreted as a premature ventricular complex.
[29] [30] [31] The distinction is that tachycardia be reserved for the rapid heart rate itself, regardless of cause, physiologic or pathologic (that is, from healthy response to exercise or from cardiac arrhythmia), and that tachyarrhythmia be reserved for the pathologic form (that is, an arrhythmia of the rapid rate type).
The rapid depolarization of the cell, during phase 0, causes the membrane potential to approach sodium's equilibrium potential (i.e. the membrane potential at which sodium is no longer drawn into or out of the cell). As the membrane potential becomes more positive, the sodium channels then close and lock, this is known as the "inactivated" state.
Rapid heart rates may produce significant symptoms in patients with pre-existing heart disease and can lead to inadequate blood flow to the heart muscle and even a heart attack. [ 1 ] In rare situations, atrial flutter associated with a fast heart rate persists for an extended period of time without being corrected to a normal heart rhythm and ...