Image in medicine
Low atrial rhythm
Ritmo auricular bajo
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Low atrial rhythm is an ectopic rhythm originated at the bottom of the atrium near the atrioventricular node, which is also known as the coronary sinus rhythm. Its electrocardiographic tracing is characterized by negative P-waves in the lower portion (DII, DIII and aVF) and short PR segment (<120<span class="elsevierStyleHsp" style=""></span>ms). It can be persistent or self-limited, and can be alternated with sinus rhythm showing different morphology P-waves (<span class="elsevierStyleItalic">wandering pacemaker</span> phenomenon). It commonly appears as escape rhythm during sinus bradycardia and, therefore, it is usually paroxysmal. It is considered as a physiological expression in cases of increased vagal tone (young, athletes), which is considered a normal variant. It is always asymptomatic (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: de Pablo Márquez B, Oliveras Vilà T, Grange Sobe IP. Ritmo auricular bajo. Med Clin (Barc). 2016;146:237.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1238 "Ancho" => 1645 "Tamanyo" => 281128 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014600000005/v1_201606230528/S2387020616302200/v1_201606230528/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014600000005/v1_201606230528/S2387020616302200/v1_201606230528/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616302200?idApp=UINPBA00004N" ]
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