A wandering atrial pacemaker quizlet

178 bpm. When performing a stress test on a 42-year-old patient, the earliest the test can be concluded is when the patient reaches a heart rate of. Put both the right and left on the torso, below the clavicle. An ECG technician is preparing to perform an ECG on a patient with a total left arm amputation. How should the technician place the arm ...

A wandering atrial pacemaker quizlet. Study with Quizlet and memorize flashcards containing terms like What are the complications of having a thrombus formed in the atria as a result of atrial fibrillation?, ... Wandering atrial pacemaker (WAP) Which atrial dysrhythmia has a clearly changing P wave and a heart rate of 101-150?

Wandering Atrial Pacemaker is aptly named due to the electrical impulses causing the atrial activity are moving or wandering. These changes in the locus of …

Study with Quizlet and memorize flashcards containing terms like Wandering Atrial Pacemaker, Wandering Atrial Pacemaker causes & clinical significance, premature atrial complex (PAC) and more. a ventricular rate faster than 180 beats/min. True. Identify the following rhythm (lead Il). Wolff-Parkinson-White syndrome. Multifocal atrial tachycardia is another name for atrial fibrillation. False. P waves in this rhythm strip___. Are not identifiable. The most common type of supraventricular tachycardia (SVT) is. Study with Quizlet and memorize flashcards containing terms like Rhythm may begin then shift from which locations, Rate, Regularity and more.Study with Quizlet and memorize flashcards containing terms like Myocardial infarction, valvular problems, neurological influences, Ectopic, the waveform has both positive and negative deflections on the ECG tracing. and more. ... How many different P wave configurations in the same lead indicate a wandering atrial pacemaker (WAP)? organic ...Study with Quizlet and memorize flashcards containing terms like What are atrial dysrhythmias caused by?, ... Wandering Atrial Pacemaker. About us. About Quizlet; How Quizlet works; Careers; Advertise with us; Get the app; For students. Flashcards; Test; Learn; Solutions; Q-Chat: AI Tutor;Study with Quizlet and memorize flashcards containing terms like A first-degree heart block has a PR interval greater than 0.20 seconds because: A) impulses generated by the SA mode traverse the AV node at an accelerated rate B) the primary pacemaker is not the SA node, but rather an ectopic atrial pacemaker C) depolarization of the atria occurs at a slightly slower rate than one would expect ...250 to 350 beats per minute. What is the atrial rate in atrial flutter? Study with Quizlet and memorize flashcards containing terms like Myocardial infarction, valvular problems, neurological influences, Ectopic, the waveform has both positive and negative deflections on the ECG tracing. and more.Identify the hallmark characteristic of a wandering atrial pacemaker rhythm. atrial flutter. Looking at an ECG strip, you see a regular rhythm with leaning ...

ECG Chapter 4. Get a hint. What is meant by "controlled" a-fib? Click the card to flip πŸ‘†. The overall ventricular rate is smaller than 100 BPM. Click the card to flip πŸ‘†. 1 / 40. Start studying Wandering Atrial Pacemaker. Learn vocabulary, terms, and more with flashcards, games, and other study tools.Rhythms, Arrhythmias and Pacemaker Studies CATD130 Part 5. Wandering Atrial Pacemaker (1) Click the card to flip πŸ‘†. β€’ Multiple pacemaker sites conducting in the atrium "wandering" from sinus node to atrial ectopic sites creating varied P wave morphologies. - Rate 60 - 100 BPM, may vary. - Irregular R-R intervals. - 1 P wave for every QRS ...A wandering atrial pacemaker rhythm with a ventricular rate of 60-100/min may also be referred to as ____. Multiformed atrial rhythm. To determine whether ...Which of the following statements is correct regarding multifocal atrial tachycardia (MAT)? A) It has the same characteristics as wandering atrial pacemaker (WAP) and a heart rate of 60 to 100 beats per minute. B) The MAT P waves remain the same from heart beat to heart beat. C) It can be distinguished from WAP by looking for visibly changing P ...atrial rhythm (atrial dysrhythmias) when SA node fails to generate impulse, so atrial tissues or internal pathways initiate the pulse. wandering atrial pacemaker rhythm. occurs when pacemakers sites wander or travel from the SA node to other pacemaker sites in atria, internal pathways or AV node. Wandering Atrial Pacemaker Rhythm: Regular or irregular Rate:Usually normal (60 to 100 beats/minute) but may be slow (less than 60 beats/minute) P waves:Vary in size, shape, and direction across rhythm strip; one P wave precedes each QRS complex PR interval:Usually normal duration, but may be abnormal depending on changing pacemaker location ...

An atrial myxoma is a noncancerous tumor in the upper left or right side of the heart. It most often grows on the wall that separates the two sides of the heart. This wall is calle...Terms in this set (28) Myocardial infarction, valvular problems, neurological influences. What medical conditions place pressure on the atria, causing atrial dysrhythmias to occur? the waveform has an equally positive and negative deflection on the ECG tracing. In a premature atrial complex (PAC), the P wave may be biphasic. Study with Quizlet and memorize flashcards containing terms like A first-degree heart block has a PR interval greater than 0.20 seconds because: A) impulses generated by the SA mode traverse the AV node at an accelerated rate B) the primary pacemaker is not the SA node, but rather an ectopic atrial pacemaker C) depolarization of the atria occurs at a slightly slower rate than one would expect ... Study with Quizlet and memorize flashcards containing terms like atrial dysrhythmia, ... wandering atrial pacemaker ... pathological condition. same characteristics of wandering pacemaker but with heart rate in range of 100-250. fast tachycardia arising from more than one site in the atria. changing pwaves preceding narrow qrs complexes.Study with Quizlet and memorize flashcards containing terms like A first-degree heart block has a PR interval greater than 0.20 seconds because: A) impulses generated by the SA mode traverse the AV node at an accelerated rate B) the primary pacemaker is not the SA node, but rather an ectopic atrial pacemaker C) depolarization of the atria occurs at a slightly slower rate than one would expect ...Unicorns are beautiful but fragile. Camels are survivors. The education technology industry is having a moment. When Covid-19 lockdowns sent 1.7 billion learners home, leaving teac...

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Study with Quizlet and memorize flashcards containing terms like Normal Sinus Rhythm, Sinus Arrest, ... Wandering atrial pacemaker. Hint: try never to pick this - impulse originate from varying points in atria - variation in P wave contour, PR-I, PP-I …Study with Quizlet and memorize flashcards containing terms like Which of the following correctly describes multifocal atrial tachycardia?, Identify the following rhythm (lead Il)., The ventricular rhythm in atrial fibrillation is usually "irregularly irregular." ... A wandering atrial pacemaker rhythm with a ventricular rate of 60 to 100/min ...Study with Quizlet and memorize flashcards containing terms like The rhythm most often associated with chronic lung disease is, A PAC is a, Atrial tachycardia is characterized by and more. ... Sinus arrhythmia has uniform P waves shapes ; wandering atrial pacemaker has at least three different shapes P waves. The rhythm in figure 7.A rapid, irregular atrial rhythm arising from multiple ectopic foci within the atria. Most commonly seen in patients with severe COPD or congestive heart failure. It is …

Nov 9, 2021 Β· 60-100 beats per minute. If ectopic impulses are occurring in the heart at a rate that is faster than the SA node, the ectopic beat overrides the SA node and causes the atria and ventricles to depolarize. Which of the following statements describes the PR interval in a wandering atrial pacemaker rhythm? A variant of wandering atrial pacemaker Occurs when the rate is 100 BPM or greater + 3 dif. P waves What is Premature Atrial Complexes (PACs)? A single electrical impulse that originates outside the SA node in the atria The premature beat is a complex that arises earlier than next expected beat Looks like normal complexes of underlying rhythmStudy with Quizlet and memorize flashcards containing terms like What is the rate of the wandering atrial pacemaker rhythm?, Atrial kick, What dysrhythmia is similar to WAP, but the rate exceeds 100 bpm? and more.Sinus arrhythmias are those abnormal rates or rhythms that originate in the sinus node (the natural pacemaker of the heart) Ex: - sinus bradycardia. - sinus tachycardia. - sinus arrhythmia. - sinus arrest. - sinus exit block. A sinus arrest is when a sinus impulse ... fails to occur at its usual time.Study with Quizlet and memorize flashcards containing terms like RATE, RHYTHM, P WAVE and more.Quizlet has study tools to help you learn anything. Improve your grades and reach your goals with flashcards, practice tests and expert-written solutions today. Match. Wandering Atrial Pacemaker. Log in. Sign up. Ready to play? Match all the terms with their definitions as fast as you can. Avoid wrong matches, they add extra time!Study with Quizlet and memorize flashcards containing terms like Ectopic, Trigeminy, Focus and more. ... What is the rate of the wandering atrial pacemaker rhythm? 60 ...Study with Quizlet and memorize flashcards containing terms like For a rhythm to be termed a wandering atrial pacemaker (WAP) there must be an observation of at least _____ different P waves., When every other beat is a premature ventricular contraction, it is known as:, The QRS complex of ventricular rhythms is usually equal or greater than _____ seconds. and more.Got some vocab words you need to learn? Try Quizlet, a free interactive learning tool. Got some vocab words you need to learn? Try Quizlet, a free interactive learning tool. Here's...... wandering atrial pacemaker is true? Sinus arrhythmia has uniform P waves shapes ; wandering atrial pacemaker has at least three different shapes P waves. The ...Study with Quizlet and memorize flashcards containing terms like atrial dysrhythmia, ... wandering atrial pacemaker ... pathological condition. same characteristics of wandering pacemaker but with heart rate in range of 100-250. fast tachycardia arising from more than one site in the atria. changing pwaves preceding narrow qrs complexes.

SVT is MOST accurately defined as: a tachycardic rhythm originating from a pacemaker site above the level of the ventricles. any tachycardia rhythm with a heart rate greater than 130BPM and absent P waves. a regular tachycardic rhythm between 150 and 180BPM with P waves buried in the QRS complexes.

Study with Quizlet and memorize flashcards containing terms like 1) When is a ventricular pacemaker used alone?, 2) When is an atrial pacemaker used alone?, 3) Which of the following statements best describes an atrioventricular pacemaker? and more.Study with Quizlet and memorize flashcards containing terms like A delta wave is identified on a cardiac rhythm strip as a(n): A - slurring of the upstroke of the first part of the QRS complex. B - apparent P wave that occurs at the end of the QRS complex. C - delay between the end of the P wave and the beginning of the R wave. D - acute widening of …Study with Quizlet and memorize flashcards containing terms like Rate, Rhythm, Pacemaker site and more.Unicorns are beautiful but fragile. Camels are survivors. The education technology industry is having a moment. When Covid-19 lockdowns sent 1.7 billion learners home, leaving teac...Study with Quizlet and memorize flashcards containing terms like Wandering Atrial Pacemaker, Wandering Atrial Pacemaker causes & clinical significance, premature atrial complex (PAC) and more.Study with Quizlet and memorize flashcards containing terms like Rhythm may begin then shift from which locations, Rate, Regularity and more.Sinus arrhythmia is lethal; wandering atrial pacemaker is benign. Sinus arrhythmia has a regular rhythm; wandering atrial pacemaker is irregular., Atrial fibrillation has _____. no P waves at all P waves with uniform shape sawtooth-shaped waves between the QRS complexes P waves of multiple shapes and more.Pacemaker B. Automatic external defibrillator (AED) C. Telemedicine monitor D. 12-lead ECG and more. Study with Quizlet and memorize flashcards containing terms like -CHAPTER 1-2 EXAM- The minimum amount of pressure that is exerted against the walls of blood vessels at all times is the: A.diastolic blood ... D. atrial depolarization and ...Atrial fibrillation or flutter is a common type of abnormal heartbeat. The heart rhythm is fast and irregular. You were in the hospital to treat this condition. Atrial fibrillation...We've all had a few genius ideas strike at random times, like when you're in the shower or making lunch. A new study from the University of California explains why this happens, an...

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The rhythm most often associated w/ chronic lung disease is. Multifocal atrial tachycardia. A PAC is a. Premature beat from the atrium. Atrial tachycardia is characterized by. Abnormal P waves preceding the regular QRS complexes. Atrial flutter has an atrial rate. Between 250 and 350. Wandering atrial pacemaker has at least 3 different shapes of.Study with Quizlet and memorize flashcards containing terms like What are the complications of having a thrombus formed in the atria as a result of atrial fibrillation?, ... Wandering atrial pacemaker (WAP) Which atrial dysrhythmia has a clearly changing P wave and a heart rate of 101-150?Study with Quizlet and memorize flashcards containing terms like Wandering Atrial Pacemaker (WAP), Rate of WAP, Rhythm of WAP and more.Study with Quizlet and memorize flashcards containing terms like Which of the following rhythms is characterized by a narrow QRS, presence of multiple P wave shapes, irregularly irregular rhythm, variable PR interval, and a ventricular rate of 84 beats per minute? A. Atrial fibrillation B. Wandering atrial pacemaker C. Multifocal atrial tachycardia D. Complete heart block, The rhythm most ...Atrial fibrillation (AF or AFib) is the most common type of arrhythmia (irregular heartbeat). Read about symptoms and treatment. An arrhythmia is a problem with the speed or rhythm...Third Degree Heart Block. Third Degree Heart Block. Atrial Pacing. Single Chamber Ventricular Pacing. AV Sequential Pacing. Failure to sense. Failure to capture. Failure to pace/ output. Study with Quizlet and memorize flashcards containing terms like Normal Sinus, Normal Sinus, Normal Sinus and more.Got some vocab words you need to learn? Try Quizlet, a free interactive learning tool. Got some vocab words you need to learn? Try Quizlet, a free interactive learning tool. Here's...EKG Chapter 6 Atrial Dysrhythmias. Get a hint. atrial dysrhythmias. Click the card to flip πŸ‘†. caused by ectopic impulse in right or left atrium. occur from conditions that cause pressure on the atria. Click the card to flip πŸ‘†. 1 / 54.Study with Quizlet and memorize flashcards containing terms like What is the rate of the wandering atrial pacemaker rhythm?, Atrial kick, What dysrhythmia is similar to WAP, but the rate exceeds 100 bpm? and more.Study with Quizlet and memorize flashcards containing terms like A 33 year old male presents with chest pain that is alleviated when he sits forward. The 12-lead ECG shows ST elevation of 2 to 3 mm in multiple leads. ... A wandering atrial pacemaker: A- may have variable PR intervals B- has consistent P-wave shapes C- is generally treated with ... Study with Quizlet and memorize flashcards containing terms like Wandering Atrial Pacemaker, Wandering atrial pacemaker identifying futures:, Wandering Atrial Pacemaker (WAP) treatment: and more. ….

Multifocal Atrial Tachycardia treatment. Premature Atrial Contractions. Premature Atrial Contractions etiology. Study with Quizlet and memorize flashcards containing terms like Wandering Atrial Pacemaker, Wandering Pacemaker Etiology, Wandering Pacemaker Clinical Significance and more.... wandering atrial pacemaker is true? Sinus arrhythmia has uniform P waves shapes ; wandering atrial pacemaker has at least three different shapes P waves. The ...The rhythm most often associated w/ chronic lung disease is. Multifocal atrial tachycardia. A PAC is a. Premature beat from the atrium. Atrial tachycardia is characterized by. Abnormal P waves preceding the regular QRS complexes. Atrial flutter has an atrial rate. Between 250 and 350. Wandering atrial pacemaker has at least 3 different shapes of.Wandering atrial pacemaker (WAP) is a benign cardiac arrhythmia that occurs when impulses are not generated only in the SA node, but in at least two more sources nearby the SA node. This means an ECG of a patient with WAP will show at least three different shapes of P waves .Students also viewed · 1. Pathologic condition with same characteristics of Wandering Atrial Pacemaker EXCEPT rate of 100-250 bpm · 2. Rare in healthy patients, ... Study with Quizlet and memorize flashcards containing terms like A wandering Atrial pacemaker has a mean rate, A multifocal atrial tachycardia has a mean rate, Cause of Wandering atrial pacemaker and more. Quizlet has study tools to help you learn anything. Improve your grades and reach your goals with flashcards, practice tests and expert-written solutions today.Study with Quizlet and memorize flashcards containing terms like A first-degree heart block has a PR interval greater than 0.20 seconds because: A) impulses generated by the SA mode traverse the AV node at an accelerated rate B) the primary pacemaker is not the SA node, but rather an ectopic atrial pacemaker C) depolarization of the atria occurs at a … A wandering atrial pacemaker quizlet, Rhythms, Arrhythmias and Pacemaker Studies CATD130 Part 5. Wandering Atrial Pacemaker (1) Click the card to flip πŸ‘†. β€’ Multiple pacemaker sites conducting in the atrium "wandering" from sinus node to atrial ectopic sites creating varied P wave morphologies. - Rate 60 - 100 BPM, may vary. - Irregular R-R intervals. - 1 P wave for every QRS ..., For a rhythm to be termed a wandering atrial pacemaker (WAP) there must be an observation of at least _____ different P waves. 7. 3. 40. 8. 1 of 50. Term. When every other beat is a premature ventricular contraction, it is known as: …, Study with Quizlet and memorize flashcards containing terms like Which of the following statements is incorrect with regard to atrial dysrhythmias? A) Also known as arrhythmias. ... Wandering atrial pacemaker is a: A) normal finding in older adults and diabetics and generally cause clinical signs and symptoms. B) normal finding in children ..., We know that it's important to walk away from work every now and then. Taking a break can help you regain focus and make you more productive. But it also matters how you take a bre..., Third Degree Heart Block. Third Degree Heart Block. Atrial Pacing. Single Chamber Ventricular Pacing. AV Sequential Pacing. Failure to sense. Failure to capture. Failure to pace/ output. Study with Quizlet and memorize flashcards containing terms like Normal Sinus, Normal Sinus, Normal Sinus and more., Study with Quizlet and memorize flashcards containing terms like A wandering Atrial pacemaker has a mean rate, A multifocal atrial tachycardia has a mean rate, Cause of Wandering atrial pacemaker and more., Not measurable. Which of the following dysrhythmias is most likely to be associated with a reduction in cardiac output and loss of atrial kick? A. Afib. B. Sinus tachycardia. C. PACs. D. Wandering atrial pacemaker. A. Afib. Atrial rhythms Learn with flashcards, games, and more β€” for free. , What is a Wandering Atrial Pacemaker? When the pacemaker site shifts back and forth between the SA node and ectopic atrial sites. P Wave morphologies will "wander" between the multiple sites., a ventricular rate faster than 180 beats/min. True. Identify the following rhythm (lead Il). Wolff-Parkinson-White syndrome. Multifocal atrial tachycardia is another name for atrial fibrillation. False. P waves in this rhythm strip___. Are not identifiable. The most common type of supraventricular tachycardia (SVT) is. , Study with Quizlet and memorize flashcards containing terms like Rhythm: Regular Rate: Atrial: 332 Ventricular: 83 P wave: Absent "F" waves PR interval: Absent QRS: 0.06 second Interpretation: Atrial flutter, Rhythm: Regular Rate: Atrial: Unable to determine Ventricular: 100 P wave: Absent "F" waves PR interval: Absent QRS: 0.08 second Interpretation: …, Study with Quizlet and memorize flashcards containing terms like Rhythm may begin then shift from which locations, Rate, Regularity and more., Wandering atrial pacemaker (195101003) Definition. An electrocardiographic finding of a supraventricular arrhythmia characterized by 3 or more distinct P wave …, 250 to 350 beats per minute. What is the atrial rate in atrial flutter? Study with Quizlet and memorize flashcards containing terms like Myocardial infarction, valvular problems, neurological influences, Ectopic, the waveform has both positive and negative deflections on the ECG tracing. and more. , Quizlet has study tools to help you learn anything. Improve your grades and reach your goals with flashcards, practice tests and expert-written solutions today. Match. Wandering Atrial Pacemaker. Log in. Sign up. Ready to play? Match all the terms with their definitions as fast as you can. Avoid wrong matches, they add extra time!, Study with Quizlet and memorize flashcards containing terms like wandering atrial pacemaker, P' waves, usually irregular and more., "Wandering atrial pacemaker" and "multifocal atrial tachycardia" are two irregular heart rhythms that differ in their underlying mechanisms and clinical significance. Wandering atrial pacemaker describes a condition in which the pacemaker activity shifts between various regions of the atria, typically without causing significant symptoms or …, Study with Quizlet and memorize flashcards containing terms like What common complication of atrial fibrillation be prevented by the use of anticoagulant medications?, The rhythm that is the same as wandering atrial pacemaker except for the heart rate is _____, The rhythm that is the produces V-shaped waves between QRS complexes is _____ and …, Study with Quizlet and memorize flashcards containing terms like Sinus Bradycardia, ... Wandering Atrial Pacemaker. Passive transfer of pacemaker sites from the sinus node to other latent pacemaker sites in the atria and AV junction. (Rate: usually normal) (Rhythm: slightly irregular), Study with Quizlet and memorize flashcards containing terms like A 33 year old male presents with chest pain that is alleviated when he sits forward. The 12-lead ECG shows ST elevation of 2 to 3 mm in multiple leads. ... A wandering atrial pacemaker: A- may have variable PR intervals B- has consistent P-wave shapes C- is generally treated with ..., A) Extrinsic B) Augmented C) Ectopic D) Inferior, 3) In a premature atrial complex (PAC), the P wave may be biphasic. This means that: A) the waveform has both positive and negative deflections on the ECG tracing. B) the P wave is hidden within the T wave. C) every third complex is a premature beat. D) a changing P wave configuration with at ..., Electrocardiography ch 6. 48 terms. kristen_rowell. EKG Chapter 7. 73 terms. ashley_paylor6. 1 / 4. Study with Quizlet and memorize flashcards containing terms like What are the complications of having a thrombus formed in the atria as a result of atrial fibrillation?, What patients that have new onset of atrial fibrillation complain of?, Why ... , A wandering atrial pacemaker rhythm with a ventricular rate of 60-100/min may also be referred to as ____. Multiformed atrial rhythm. To determine whether ..., A variant of wandering atrial pacemaker Occurs when the rate is 100 BPM or greater + 3 dif. P waves What is Premature Atrial Complexes (PACs)? A single electrical impulse that originates outside the SA node in the atria The premature beat is a complex that arises earlier than next expected beat Looks like normal complexes of underlying rhythm , QRS: 0.10 second. Interpretation: Atrial fibrillation. 19 of 19. Quiz yourself with questions and answers for Chapter 6 Quiz, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material., Electrocardiography ch 6. 48 terms. kristen_rowell. EKG Chapter 7. 73 terms. ashley_paylor6. 1 / 4. Study with Quizlet and memorize flashcards containing terms like What are the complications of having a thrombus formed in the atria as a result of atrial fibrillation?, What patients that have new onset of atrial fibrillation complain of?, Why ..., Multifocal Atrial Tachycardia treatment. Premature Atrial Contractions. Premature Atrial Contractions etiology. Study with Quizlet and memorize flashcards containing terms like Wandering Atrial Pacemaker, Wandering Pacemaker Etiology, Wandering Pacemaker Clinical Significance and more. , Atrial flutter. What dysrhythmia has "f" waves at 350-450 BPM. Atrial fibrillation. Study with Quizlet and memorize flashcards containing terms like Wandering atrial pacemaker (WAP) has a heart rate, Characteristics of atrial dysrhythmias include, In wandering atrial pacemaker, the pacemaker site shifts between the and more. , The rhythm most often associated w/ chronic lung disease is. Multifocal atrial tachycardia. A PAC is a. Premature beat from the atrium. Atrial tachycardia is characterized by. Abnormal P waves preceding the regular QRS complexes. Atrial flutter has an atrial rate. Between 250 and 350. Wandering atrial pacemaker has at least 3 different shapes of. , Students also viewed · 1. Pathologic condition with same characteristics of Wandering Atrial Pacemaker EXCEPT rate of 100-250 bpm · 2. Rare in healthy patients, ..., 2nd degree type 1, wenckebach 1, mobtiz 1. Going, going, gone. CPR or shock. what needs to be done if the patient is in asystole? Study with Quizlet and memorize flashcards containing terms like , Wandering Atrial Pacemaker, Premature Atrial Complex and more. , Multiform Atrial Rhythm (Wandering Atrial Pacemaker). The rate and rhythm ... Atrial tachycardia (Atrial flutter or atrial fibrillation) AV nodal reentrant ..., Wandering atrial pacemaker Flashcards | Quizlet. Rate. Click the card to flip πŸ‘†. Variable depending on the site of the pacemaker; usually 45-100/ bpm. Click the card to flip πŸ‘†. 1 / 5. …, Study with Quizlet and memorize flashcards containing terms like What common complication of atrial fibrillation be prevented by the use of anticoagulant medications?, The rhythm that is the same as wandering atrial pacemaker except for the heart rate is _____, The rhythm that is the produces V-shaped waves between QRS complexes is _____ and …