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ECG OF THE WEEK DR.Prof.K.H.Noorul Ameen’s unit(M4) Dr.S.Dhileepan
 
History ,[object Object],[object Object],[object Object]
ECG shows ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIAGNOSIS ATRIAL DISSOCIATION
Atrial dissociation ,[object Object],It has been suggested that in atrial dissociation each atrium beats separately and independently as a result of blockage or interruption of an interatrial pathway (Bachmann's bundle). The sinus pacemaker controls one atrium and the ectopic pacemaker controls the other atrium. The two pacemakers do not interfere with each other as a result of interatrial block or presence of preferential exit block
Differential diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Atrial dissociation in transplanted heart ,[object Object],[object Object],[object Object],[object Object],[object Object]
Orthotropic transplantation
Heterotropic transplantation
Heterotrophic transplantation
 
 
ECG shows ,[object Object],[object Object]
Wandering pacemaker
causes ,[object Object],[object Object],[object Object],[object Object]
WANDERING PACEMAKER.  ,[object Object],[object Object]
 
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ECG: Atrial Dissociation