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El ritmo auricular bajo es un ritmo ectópico originado a en la parte inferior de la aurícula, próximo al nodo auriculoventricular, por lo que también se conoce como ritmo del seno coronario. Su trazado electrocardiográfico se caracteriza por ondas P negativas en cara inferior (DII, DIII y aVF) y PR corto (<<span class="elsevierStyleHsp" style=""></span>120<span class="elsevierStyleHsp" style=""></span>ms). Puede ser persistente o autolimitado, y puede alternarse con el ritmo sinusal mostrando ondas P de diferente morfología (fenómeno del marcapasos errante, <span class="elsevierStyleItalic">wandering pacemaker</span>). Suele aparecer como ritmo de escape durante la bradicardia sinusal y, por lo tanto, suele ser paroxístico. Es fisiológico en casos de aumento de tono vagal (jóvenes, deportistas) donde se considera una variante de la normalidad. Siempre es asintomático (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1251 "Ancho" => 1667 "Tamanyo" => 295291 ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00257753/0000014600000005/v1_201602210227/S0025775315003589/v1_201602210227/es/main.assets" "Apartado" => array:4 [ "identificador" => "64289" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes médicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00257753/0000014600000005/v1_201602210227/S0025775315003589/v1_201602210227/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775315003589?idApp=UINPBA00004N" ]
