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Cardiology Teaching Package

A Beginners Guide to Normal Heart Function, Sinus Rhythm & Common Cardiac Arrhythmias

Atrial Tachycardia

Image: Sinus Tachycardia (close up)

Sinus Tachycardia (close up)

Although the rate is 140 bpm, it is possible to clearly identify the P wave, QRS complex and T wave.

Image: Sinus Tachycardia (full strip)

Sinus Tachycardia (full strip)

Atrial Tachycardia

Image: Atrial Tachycardia (multi-focal)

Atrial Tachycardia (multi-focal)

Image: Atrial Tachycardia (full strip)

Atrial Tachycardia (full strip)

Note in this rhythm how the P wave is constantly changing shape. If the P wave is not a nice, rounded shape, often this will indicate an atrial rhythm, where the stimulus for depolarisation is coming from a focus other than the SA node.

In the example above there are at least 3 different areas (foci) stimulating the atria, as there are at least 3 different shaped P waves.

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