Atrial pacemaker https://www.ecgguru.com/taxonomy/term/354/all en Atrial Pacing https://www.ecgguru.com/ecg/atrial-pacing-0 <div class="field field-name-field-ecg field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><a href="/ecg/atrial-pacing-0"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/PM100.jpg" width="1400" height="814" alt="" /></a></div></div></div><div class="field field-name-field-ecg-interpretation field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p style="margin: 0in 0in 15pt; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;"><span style="font-size: 10pt; font-family: Verdana, sans-serif;">This is a good example of an <strong>AV Sequential pacemaker</strong> in a patient with an intact AV conduction system.&nbsp; The pacemaker is <strong>pacing the right atrium</strong>, and the impulse is being transmitted normally down through the AV node and the interventricular conduction system. &nbsp;The pacer spike is seen before the P waves, and the QRS complex is narrow, reflecting normal conduction through the ventricles.</span></p><p style="margin: 0in 0in 15pt; outline: 0px; font-stretch: inherit; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;"><span style="font-size: 10pt; font-family: Verdana, sans-serif;">If you are teaching about ST elevation MI, this patient has no ST elevation M.I., but this type of pacing does not affect the ST segments, and an M.I. will still show as ST elevation.</span></p></div></div></div> Wed, 29 Apr 2015 02:22:19 +0000 Dawn 636 at https://www.ecgguru.com ECG Basics: Atrial Pacing https://www.ecgguru.com/ecg/basic-ecg-week-june-21-2013-atrial-pacing-0 <div class="field field-name-field-ecg field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><a href="/ecg/basic-ecg-week-june-21-2013-atrial-pacing-0"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/106%20Atrial%20Pacing_0.jpg" width="1800" height="299" alt="" /></a></div></div></div><div class="field field-name-field-ecg-interpretation field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p>This strip for your basic students is a nice example of atrial pacing in a patient with an intact interventricular conduction system. &nbsp;Generally, the pacemaker will behave this way when the sinus node is not functioning well enough to provide adequate rate for the patient, and the conduction system from the AV node down is functioning properly.</p><p>Pacemakers in the modern age are very complicated to understand for the beginner, and pacemaker programming and malfunctions often cannot be determined from a simple rhythm strip. &nbsp;It can be a challenge to teach beginning students about the programming options available today. &nbsp;This strip is nice because it is clear, and the pacer spikes are readily seen. &nbsp;The patient is being paced 100% of the time in this strip.</p><p>&nbsp;</p></div></div></div> Fri, 21 Jun 2013 04:37:39 +0000 Dawn 458 at https://www.ecgguru.com