{"id":22481,"date":"2017-11-09T19:46:14","date_gmt":"2017-11-09T14:16:14","guid":{"rendered":"https:\/\/cardiophile.org\/?p=22481"},"modified":"2022-11-30T13:22:15","modified_gmt":"2022-11-30T07:52:15","slug":"left-atrial-rhythm","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/left-atrial-rhythm\/","title":{"rendered":"Left atrial rhythm"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/wHu5FX9E1s0\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Left atrial rhythm &#8211; ECG<\/span><\/h2>\n<figure id=\"attachment_22482\" aria-describedby=\"caption-attachment-22482\" style=\"width: 2000px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2017\/11\/ECGL.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-22482 size-full\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2017\/11\/ECGL.png\" alt=\"Left atrial rhythm\" width=\"2000\" height=\"918\"><\/a><figcaption id=\"caption-attachment-22482\" class=\"wp-caption-text\">Left atrial rhythm<\/figcaption><\/figure>\n<p><span style=\"color: #000000;\">In this ECG, heart rate is 60\/min and the P waves are inverted in inferior and lateral leads. These findings suggest left atrial rhythm. <\/span><\/p>\n<p><span style=\"color: #000000;\">Additional findings are right axis deviation suggestive of left posterior hemiblock and T wave inversion in leads I, aVL, V2-V5. qr pattern is noted in V1. <\/span><\/p>\n<p><span style=\"color: #000000;\">Another finding which may be seen in left atrial rhythm is &#8216;dome and dart&#8217; P waves (not seen here). <\/span><\/p>\n<p><span style=\"color: #000000;\">But dome and dart pattern of P wave could be seen only in 2 of the 11 persons in whom left atrial rhythm was experimentally produced by left atrial pacing [1].&nbsp;<\/span><\/p>\n<p><span style=\"color: #0000ff;\"><strong>Reference<\/strong><\/span><\/p>\n<ol>\n<li>Harris BC, Shaver JA, Gray S 3rd, Kroetz FW, Leonard JJ.&nbsp;Left atrial rhythm. Experimental production in man.&nbsp;Circulation. 1968 Jun;37(6):1000-14.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Left atrial rhythm: It is left atrial rhythm because of inverted P waves in inferior leads along with upright P waves in V1 and inverted P waves in lateral leads<\/p>\n","protected":false},"author":1,"featured_media":22482,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-22481","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Left atrial rhythm with inverted P waves in inferior and lateral leads<\/title>\n<meta name=\"description\" content=\"Left atrial rhythm: It is left atrial rhythm because of inverted P waves in inferior 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