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CHAPTER 13

Premature Atrial Contraction

Objectives

At the end of this chapter, the student should be able to:

  1. Define the term premature atrial contraction (PAC) and describe its morphologic characteristics. (pp 201203)
  2. Discuss the need for calculating the P-wave axis and describe how it is obtained. (pp 203205)
  3. Describe how the location of an ectopic atrial focus would cause a change in the length of the PR interval. (pp 205206)
  4. Describe and compare compensatory and noncompensatory pauses. (p 208)
  5. Discuss the diagnostic usefulness of both a compensatory and a noncompensatory pause in the diagnosis of an arrhythmia. (pp 208209)
  6. Discuss how an aberrantly conducted PAC occurs and why. (pp 209210)
  7. Define the term buried P wave and discuss how fusion alters its morphologic appearance on a rhythm strip or ECG. (pp 210211)
  8. Accurately predict the appearance of the presence of a blocked PAC falling on the previous T wave on a rhythm strip or ECG. (p 212)
  9. List some clinical conditions or circumstances that are associated with the formation of a PAC. (p 213)
  10. Accurately identify PACs on a rhythm strip or ECG. (pp 213217)