tnd'lWou taotl AV danlo nilotaab detyrso to cmtruhthyyaiito of the emakpaecr? athT dowlu eman thta wlboe eth VA neod the mtyhhr luwdo be poridved by a ecvtluranir foi,c adn othse alsuuly eeract edwi RQS mplxeose.c
For het GEC, I yiitnilal tgouhth it was 2nd edeerg pTye 1 beaescu ti medese atth eht RP eaintlvsr eerw gianesricn lntui a bate asw pderpdo, btu fi oyu lkoo at ti l,yeolsc semo of eth P sewav wree dendih ni eht QRS mepeoxc.ls fI ouy otiecn t,aht tehn uoy nac see hatt hetre were lrgurae P svaew nda eagrrul QRS ec,plxmoes but herte saw a mpcolete odcnsoaisiit eetewnb hemt which manes ti aws d3r rgedee rhaet kbolc, so hte sanewr saw bioatnal rane het VA .doen
UW seouitnQ :dI tgen6s T17i9 a rvye msliria eoccntp adn vipsoerd a rateg noxaaietnlp orf hits!
Tshi toeqinsu is giksan awht luwdo cusea tsih! RP vnieltra ssinemg up is an uesis ta eht VA .ndeo So tlaniabg eht AV dnoe dwolu aesuc rtahe l.obkc
nI sdroab adn bndo,ye tI is iasd ahtt irdth gderee terah oblck si eud ot bockl in hte HSI Pjiekneru emstys. So hyw dluwo blatoina fo VA eodn saeuc htis see?aisd
lduonWt nitsutcdero fo trap of eflt reevnltci eb a etebtr wesanr ?
Rgauelr hmthry noctu( teh obxs,e tyhee'r ,as)me 1 dcunteoucnd p weva tihw augrerl hhtymr &--t;g airat nad ltercvneis tanbegi ndpedinytlene il(yelk ircsnvleet ctrl by keP)H-sjnriui -&-;tg emltecop ()r3d hraet kocbl &-gt;- NVA aanitblo sih(t is yalultac enod for pts whti Afbi s)iemmsteo
I utogthh aonabtil fo eth av neod asw a xt fro a ibf nto erhat ?lkbco
I hitkn the qotuisen reerfs to a coineasr ascdeu by loiaanbt fo a aiuatrplcr rngioe fo eht eraht.
If ouy kool yaclefrul erthe rae emos mr-eaturpe elucnivratr abset ro( thrrea sutj ).1 aeePrrm-tu iatclreuvnr etsba anc be udaces by libanoat of hte AV node nsice eth AV noed si sopielerbsn ofr thrhym clrtono yb tlolicnnrgo eht mbnuer fo AS edno messpuil htat aer indtatrmets ot eth eiulavrtcrn ltcaceeilr kr.toenw
Pteitnas hwo rgdenou na VA endo aaltbnio are aosl eatpinldm wtih a eempkcara ot lhpe tnnaimai a lnrmao erhta ae.tr .xT rof loetecmp kcBol
Teh EGC sohsw a iMotzb pyeT 1 clbko noloipg(gnr RP dwoleflo by a eopdrdp .aThveews e kclosb uysalul israe sa a oyudptbcr of a lynduinasfcot VA ,done so oabnltia at hte AV enod is teh mots eoaipatpprr awsren in shit eacs
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$379$49CGE cTsiarng. hTe aedntsci neebtwe QSR oxpsmcele si snnuoiluyoct toabu 6 ,sxoeb so taer si ntd.acTiehuefsf is a dr3 egeerd block ehwre het raati dna erelctvsin are abegint lienednytdepn of htecearho dan hte RR si elneutvqia lal genaT ohl. 2dn QRS xlcmpoe si PRESU wornar, dna terohs era lsoa ,nrowar wihch nmeas ytrhee iegpzailrnod hksant to enblud of isH.
$379$49