Wandering Atrial Pacemaker

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Questions and Answers

Where do atrial rhythms originate?

  • Within the AV node
  • Within the atria, outside the SA node (correct)
  • Within the ventricles
  • Within the Purkinje fibers

What is a key characteristic of Wandering Atrial Pacemaker (WAP)?

  • Fixed P-wave morphology
  • Varying P-wave morphology (correct)
  • Consistent PR interval
  • Rapid ventricular rate

What is the typical heart rate in Wandering Atrial Pacemaker (WAP)?

  • Usually less than 100 bpm (correct)
  • Usually between 100-120 bpm
  • Usually greater than 150 bpm
  • Always above 180 bpm

What is the typical rhythm associated with Wandering Atrial Pacemaker (WAP)?

<p>Slightly irregular (C)</p> Signup and view all the answers

What is a common cause of Wandering Atrial Pacemaker (WAP)?

<p>Increased vagal tone (D)</p> Signup and view all the answers

What defines ectopic atrial rhythms?

<p>Originating from an ectopic focus in the atria (C)</p> Signup and view all the answers

What is a typical characteristic of P waves in ectopic atrial rhythms?

<p>May be abnormal in shape (A)</p> Signup and view all the answers

What characterizes the rhythm in ectopic atrial rhythms?

<p>Can be regular or irregular (D)</p> Signup and view all the answers

From where does a Premature Atrial Complex (PAC) originate?

<p>Ectopic atrial focus (D)</p> Signup and view all the answers

What typically happens to the rhythm during Premature Atrial Complexes (PACs)?

<p>Becomes irregular (C)</p> Signup and view all the answers

What effect do stimulants have on Premature Atrial Complexes (PACs)?

<p>Increase frequency (D)</p> Signup and view all the answers

What is the rate range for Atrial Tachycardia?

<p>150-250 bpm (A)</p> Signup and view all the answers

What best describes the rhythm in Atrial Tachycardia?

<p>Regular (B)</p> Signup and view all the answers

What is a key characteristic of P waves in Atrial Tachycardia?

<p>May be hidden in preceding T waves (B)</p> Signup and view all the answers

Which of the following best describes Atrial Flutter?

<p>Rapid, regular atrial contractions (D)</p> Signup and view all the answers

What is the atrial rate range in Atrial Flutter?

<p>250-350 bpm (D)</p> Signup and view all the answers

What is a characteristic ECG feature of Atrial Flutter?

<p>Sawtooth pattern (B)</p> Signup and view all the answers

What best describes the atrial activity in Atrial Fibrillation (AFib)?

<p>Multiple ectopic foci firing chaotically (D)</p> Signup and view all the answers

What happens to the P waves in Atrial Fibrillation (AFib)?

<p>Are replaced by fibrillatory waves (A)</p> Signup and view all the answers

What is a significant clinical concern associated with Atrial Fibrillation (AFib)?

<p>High risk of stroke (C)</p> Signup and view all the answers

Flashcards

Atrial Rhythms

Rhythms originating outside the SA node, within the atria, caused by ectopic pacemakers or abnormal conduction pathways.

Wandering Atrial Pacemaker (WAP)

A rhythm where the pacemaker shifts between the SA node, atria, and/or AV junction, creating varying P-wave shapes.

Ectopic Atrial Rhythms

Atrial rhythms originating from an ectopic focus in the atria instead of the SA node.

Premature Atrial Complex (PAC)

A premature beat stemming from an ectopic atrial focus.

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Atrial Tachycardia

Rapid atrial rhythm caused by an ectopic focus overriding the SA node.

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Atrial Flutter

Atrial rhythm with a reentrant circuit causing rapid, regular atrial contractions.

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Atrial Fibrillation (AFib)

Atrial rhythm caused by multiple ectopic foci firing chaotically, resulting in an irregularly irregular ventricular response.

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Premature Atrial Complex (PAC)

Early atrial beat with an abnormal P wave.

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Atrial Tachycardia

Rapid, regular atrial rhythm (150-250 bpm).

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Atrial Flutter

ECG shows Sawtooth P waves - atrial rate 250-350 bpm.

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Atrial Fibrillation

Irregularly irregular rhythm with absent P waves, and atrial rate 350-600 bpm.

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Study Notes

  • Atrial rhythms originate outside the sinoatrial (SA) node, within the atria
  • These rhythms can stem from ectopic pacemakers or abnormal conduction pathways, affecting heart rate and rhythm
  • Identifying atrial rhythms is important for diagnosing cardiac conditions and managing arrhythmias

Wandering Atrial Pacemaker (WAP)

  • Pacemaker activity shifts between the SA node, atria, and/or AV junction
  • This results in varying P-wave morphology
  • Rate is usually <100 bpm
  • Rhythm is slightly irregular
  • P waves vary in shape and size (at least 3 different morphologies)
  • PR interval may vary
  • QRS duration is normal (<0.12 sec)

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