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What rhythm originates from "ectopic foci" in the atria?

Atrial premature contractions (APCs)

Atrial premature contractions (APCs) are characterized by the presence of ectopic foci in the atria. These ectopic foci are areas within the atrial tissue that generate impulses independently of the normal sinus node, leading to premature heartbeats. As a result, APCs occur before the next expected sinus beat, often resulting in a slightly longer pause following the early beat as the heart resets its rhythm.

The significance of APCs lies in their potential to disrupt normal atrial functionality and can sometimes lead to more serious arrhythmias, especially if they increase in frequency. Understanding the origin of these premature contractions is crucial for effective diagnosis and management in clinical settings.

Other rhythms mentioned, such as ventricular premature contractions, are associated primarily with ectopic foci in the ventricles and do not involve the atrial tissue. Sinus rhythm and sinus bradycardia both originate from the sinus node, so they do not involve ectopic foci at all. Thus, the selection of atrial premature contractions as the rhythm originating from ectopic foci in the atria is accurate.

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Ventricular premature contractions (VPCs)

Sinus rhythm

Sinus bradycardia

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