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Atrial tachycardia is a type of heart rhythm problem in which the heart's electrical impulse comes from an ectopic pacemaker (that is, an abnormally located cardiac pacemaker) in the upper chambers of the heart, rather than from the sinoatrial node, the normal origin of the heart's electrical activity.
Multifocal atrial tachycardia is characterized by an electrocardiogram (ECG) strip with three or more discrete P wave morphologies in the same lead, not including that originating from the sinoatrial node, plus tachycardia, which is a heart rate exceeding 100 beats per minute (although some suggest using a threshold of 90 beats per minute ...
Atrial tachycardia with complete A-V block and resulting junctional escape. Many conditions can cause third-degree heart block, but the most common cause is coronary ischemia. Progressive degeneration of the electrical conduction system of the heart can lead to third-degree heart block.
When this happens, the heart's atrioventricular node or bundle of His can take over as the pacemaker, starting the electrical signal that causes the heart to beat. [ 1 ] [ 5 ] Depending on where the rhythm originates in the AV node, the atria can contract before ventricular contraction due to retrograde conduction , during ventricular ...
Another heart rhythm similar to wandering atrial pacemaker is multifocal atrial tachycardia. Both arrhythmias have at least 3 different P-wave morphologies in a single ECG lead, but the heart rate is different. When the heart rate is lower than 100 beats per minute, the heart rhythm is considered wandering atrial pacemaker.
This ECG from the same patient shows atrial fibrillation at around 126 beats per minute. The most common complication of sinus node dysfunction is the development of tachycardia-bradycardia syndrome with abnormal atrial rhythms such as atrial tachycardia, atrial fibrillation, and flutter.
Normal sinus rhythm and ectopic beats - premature ventricular contractions (PVC) and premature atrial contractions (PAC) shown on an EKG. Premature atrial contractions are typically diagnosed with an electrocardiogram, Holter monitor, long-term continuous monitor, cardiac event monitor, or with a smartwatch with an ECG functionality. [citation ...
It is a form of cardiac arrhythmia in which ectopic foci within either ventricular or atrial myocardium, or from finer branches of the electric transduction system, cause additional beats of the heart. Some medications may worsen the phenomenon. [citation needed] Ectopic beats are considered normal and are not indicative of cardiac pathology.