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Appendix 1-A
...,
..
Table 1-A. 1. Electrocardiographic (ECC) Characteristics and Causes of Atrial Rhythms
§ g
Name
ECG Characteristics
Common Causes
PT Consideration
'"
m
Supraventricular
Regular rhythm, rate 1 60-250,
�
Rheumatoid heart
May produce palpitations, chest tight
=
Z
tachycatdia
may originate from any location
disease (RHD),
ness, dizziness, anxiety, apprehension,
c
�
above atrioventricular node, can be
mitral valve proweakness; PT would not treat if in
o
paroxysmal (comes and goes withlapse, cor pulmosupraventricular tachycardia until
"
out reason).
nale, digitalis
controlled.
o
'"
wxicity.
�
Atrial flutter
Rhythm can be regular or irregular,
Mitral stenosis,
Signs and sympwms depend on presence or
;;;
atrial rate of 250--350, ventricular
CAD, hyperabsence of heart disease but can lead to
§ r
rate is variable and depends on the
tension.
CHF, palpitations, angina, and syncope
:i!
conduction ratio (atrial:ventricuif cardiac output decreases far enough w
E
lar-i.e., atrial rate 250, ventric
=
reduce myocardial and cerebral blood
ular rate 125; 2:1 classic saw
�
=
flow; PT treatment would depend on toltooth P waves.)
erance to the rhythm.
Atrial fibrilla
Irregular rhythm, atrial has no rate
One of most com
Can produce CHF, syncope secondary to no
tion (A F)
(just quivers) ventricular varies.
monly encoun
"atrial kick"; if new diagnosis, hold PT
tered rhythms,
until medical treatment; if chronic and
CHF, CAD,
Dr. David Clarke
Ranko Marinkovic
Michael Pearce
Armistead Maupin
Amy Kyle
Najim al-Khafaji
Katherine Sparrow
Esri Allbritten
James Lecesne
Clover Autrey