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Understanding the Electrocardiogram

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  2. Understanding the Electrocardiogram In Health & Disease
  3. 7.0.0 Tachycardias- Introduction
  4. 7.4.0 Wide Complex Beats and Rhythms (frame 122)

7.4.5 (127)

The atrial premature beat labeled P’ (arrow) depolarizes the sinus node and resets it. For this reason, the duration of the P’-P interval will equal the sum of the time required for the premature atrial impulse to travel to the sinus node and depolarize it plus the normal sinus P-P interval. If the premature focus is in close proximity to the sinus node, the time required for the impulse to travel to the sinus node will be short and the interval between the premature P wave and the following sinus node discharge, the P’-P interval, will approximate the sinus P-P interval. The longer the time for the premature impulse to travel to reset the sinus node, the longer the P’-P interval. In this example, the sinus (PP) interval is 0.72 seconds, the P’-P interval is 0.88 seconds and the interval between the QRS complexes that precede and follow the premature complex measures 1.24 seconds. This is less than twice the sinus interval of 1.42 seconds, and indicates the absence of a fully compensatory pause.

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  • Introduction to First Edition
  • 1.0.0 Generation of the ECG
  • 2.0.0 The Normal Electrocardiogram
  • 3.0.0 Inter and intra-ventricular Conduction Disturbances
  • 4.0.0 Ventricular Hypertrophy
  • 5.0.0 ELECTROLYTE ABNORMALITIES, DRUG EFFECTS AND THE LONG QT SYNDROMES
  • 6.0.0 Ischemia and Infarction - Introduction (frame i and ii)
  • 7.0.0 Tachycardias- Introduction
    • 7.1.0 Mechanisms of arrhythmias-frame 1
    • 7.2.0 Narrow Complex Rhythms (frame 38)
    • 7.3.0 Atrial Flutter and Fibrillation (frame 93)
    • 7.4.0 Wide Complex Beats and Rhythms (frame 122)
      • 7.4.1 (123)
      • 7.4.2 (124)
      • 7.4.3 (125)
      • 7.4.4 (126)
      • 7.4.5 (127)
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      • 7.4.10 (frame 132)
      • 7.4.20 (frame 142)
      • 7.4.30 (frame 154)
      • 7.4.40 (frame 163)
  • 8.0.0 The Bradycardias frame i-introduction
  • 9.0.0 The ECG of Heart Murmurs-introduction
  • 10.0.0 The Electrocardiogram in the Emergency Department-Introduction
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