Chapter 4 - Atrial Rhythms

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Last updated 3:12 PM on 7/18/26
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8 Terms

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What does PACS stand for?

Premature Atrial Complexes

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What are PACS?

When an irritable site within the atria discharges before the next SA node impulse

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How is PACS recognized?

  • Atrial and ventricular rate usually normal (60-100)

  • P waves - premature

  • PR interval - Normal or prolonged

  • QRS - 0.11 sec or less

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What are Aberrantly Conducted PACS?

PACs associated with a wide-QRS complex

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What causes PACS?

  • Stimulants: caffeine, tobacco, cocaine

  • sympathomimetic medications, like epinephrine

  • Electrolyte imbalance

  • Stress

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What is done with PACS?

  • Usually doesn’t require treatment

  • If frequent, treat the underlying cause: Correct e

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What is a non-conducting PAC?

Only a P wave may be seen with no QRS after the pulse

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