The presence of multiple P wave morphologies indicates multiple ectopic pacemakers within the atria and/or AV junction. If ≥ 3 different P wave morphologies are seen, then multifocal atrial rhythm is diagnosed:

The presence of multiple P wave morphologies indicates multiple ectopic pacemakers within the atria and/or AV junction. If ≥ 3 different P wave morphologies are seen, then multifocal atrial rhythm is diagnosed:

Every Organ Tells a Story 3 - A History of Anatomical Terms

Every Organ Tells a Story 3: A History of Anatomical Terms

An ocean wave, laden with oil & toxic dispersants, from the Deepwater Horizon disaster in the Gulf of Mexico. Is technology simultaneously improving our lives & destroying the planet? IS the solution to pollution, dilution, or, is it possible to break our planet's oceans? These are difficult questions to answer, but the direction the human race must swiftly move in, is painfully obvious when this image crosses ones vision for the future. NO OFFSHORE DRILLING, THE CONSEQUENCES ARE DIRE.

An ocean wave, laden with oil & toxic dispersants, from the Deepwater Horizon disaster in the Gulf of Mexico. Is technology simultaneously improving our lives & destroying the planet? IS the solution to pollution, dilution, or, is it possible to break our planet's oceans? These are difficult questions to answer, but the direction the human race must swiftly move in, is painfully obvious when this image crosses ones vision for the future. NO OFFSHORE DRILLING, THE CONSEQUENCES ARE DIRE.

Dry, damaged hair needs some serious TLC. Check out these miracle workers that readers promise will -- finally -- give you that gorgeous, healthy hair

Dry, damaged hair needs some serious TLC. Check out these miracle workers that readers promise will -- finally -- give you that gorgeous, healthy hair

Accelerated Junctional Rhythm: occurs when the rate of the AV junctional pacemaker exceeds that of the sinus node. This situation arises when there is increased automaticity in the AV node coupled with decreased automaticity in the sinus node. Causes include myocardial ischaemia, digoxin toxicity, cardiac surgery, myocarditis and beta-agonists (e.g. isoprenaline).  Looks familiar

Accelerated Junctional Rhythm: occurs when the rate of the AV junctional pacemaker exceeds that of the sinus node. This situation arises when there is increased automaticity in the AV node coupled with decreased automaticity in the sinus node. Causes include myocardial ischaemia, digoxin toxicity, cardiac surgery, myocarditis and beta-agonists (e.g. isoprenaline). Looks familiar

Shepard Fairey and Craig Stecyk III Limited Edition Serigraph "P. O. P Wave (Gold)"

Shepard Fairey and Craig Stecyk III Limited Edition Serigraph "P. O. P Wave (Gold)"

We therefore interpret this tracing as showing “AV dissociation” – since at least some P waves are unrelated to the QRS complexes that follow them. The term AV dissociation should never be used as a “diagnosis” per se.  Instead – it is the result of the underlying rhythm on the tracing.  In this case – the underlying rhythm is sinus bradycardia at a rate of 50/minute (the P-P interval is precisely 6 large boxes in duration for each of the P waves on this tracing). AV dissociation occurs by…

We therefore interpret this tracing as showing “AV dissociation” – since at least some P waves are unrelated to the QRS complexes that follow them. The term AV dissociation should never be used as a “diagnosis” per se. Instead – it is the result of the underlying rhythm on the tracing. In this case – the underlying rhythm is sinus bradycardia at a rate of 50/minute (the P-P interval is precisely 6 large boxes in duration for each of the P waves on this tracing). AV dissociation occurs by…

<p>Image by: <a href="http://www.michellechaplininteriors.com" rel="nofollow">Michelle Chaplin Interiors</a></p>

<p>Image by: <a href="http://www.michellechaplininteriors.com" rel="nofollow">Michelle Chaplin Interiors</a></p>

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