Tag Brian Olshansky MD

Tachycardia

Tachycardia mechanisms Automaticity The rate at which the sinus node discharges usually is faster than other latent or subsidiary automatic cardiac pacemakers. Subsidiary pacemakers can become dominant in the settings of acidosis, ischemia, sympathetic stimulation, and use of certain drugs.…

Ectopic Complexes and Rhythms

Premature atrial complexes Description Premature atrial complexes (PACs) are supraventricular ectopic depolarizations originating in or near the atria or in the pulmonary veins that supersede activation from the sinus node. The most common sites of origin appear to be in…