Atrial Flutter Pathway
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.+Five+possible+arrhythmias+are+commonly+encountered.+First%2C+in+atrial+fibrillation%2C+multiple+microreentrant+circuits+can+lead+to+chaotic+activation+of+the+atrium.+Because+impulses+are+reaching+the+AV+node+at+irregular+intervals%2C+ventricular+depolarization+is+irregular.+Second%2C+in+atrial+flutter%2C+a+macroreentrant+circuit%2C+traveling+up+the+interatrial+septum+and+down+the+lateral+walls%2C+can+activate+the+atria+in+a+regular+fashion+at+approximately+300+bpm.+The+AV+node+can+conduct+only+every+other+or+every+third+beat%2C+so+that+the+ventricles+are+depolarized+at+150+or+100+bpm.+In+AV+nodal+reentrant+tachycardia%2C+slow+and+fast+pathways+exist+in+the+region+of+the+AV+node+and+a+microreentrant+circuit+can+be+formed.+Fourth%2C+in+atrioventricular+reentry%2C+an+abnormal+connection+between+the+atrium+and+ventricle+exists+so+that+a+macroreentrant+circuit+can+be+formed+with+the+AV+node+forming+the+slow+pathway%2C+and+the+abnormal+atrioventricular+connection%2C+the+fast+pathway.+Finally%2C+in+atrial+tachycardia+an+abnormal+focus+of+atrial+activity+as+a+result+of+either+reentry%2C+triggered+activity%2C+or+abnormal+automaticity+can+activate+the+atria+in+a+regular+fashion..jpg)
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