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Mechanisms
Automaticity: Spontaneous Phase 4 Depolarization (SA, AV,
Purkinje tissue)
rate dependent on:
Threshold potential
slope of phase 4 depolarization
resting membrane potential
Mechanisms of Arrhythmias
Altered automaticity
Normal, enhanced normal, abnormal
Triggered activity
Reentry
1. Altered Automaticity
Change slope,
change rate. 1o
sympathetic
mechanism;
Change threshold,
change rate.
Change RMP,
change rate
2. Triggered Activity
Example: WPW
Functional
Anisotropic:
Reflection
supraventricular tachycardia
Atrial Re-entry
atrial tachycardia
atrial fibrillation
atrial flutter
Atrio-Ventricular Re-entry
Ventricular Re-entry
ventricular tachycardia
Clinical Application
No rhythms precisely regular
P-wave morphology
PR interval
QRS morphology
QTc interval
Clinical Application
Eight basic rhythm disturbances