239
7454147819011156112
Table3309595012886148218257320
5.3663595012870106
Complex3803595012894164274341381444513
rhythm4351595012848118188225296406
disturbances.4790595012870109165204274321390453522585647700736
Ciliary25608590126101140179219288351420
arrhythmia3014859012670133195274343390468585622693
Atrial144613720126101148210249320358
fibrillation1840137201264685163225264303341412459497566645
The8511621012878148211
SA109716210128104190
node132116210128105175244307
fails16631621012872143181221275
to19731621012873142
function21511621012873143213275313353422493
as267816210128105159
the28731621012872142205
pacemaker8511794012870141203265366436499560615
and15011794012871141211
many174817940128102171241304
ectopic20861794012863125164234304343405
excitation25271794012863125186225264334373411482552
foci8511968012839110172210
(to10971968012868106175
600-80013081968012890161230279348418488
per18311968012890153207
min)207219680128123161232279
arise23851968012891146185239302
in27221968012859129
the28861968012859130193
atrial8512142012870110164203273311
myocardium,119821420128125187257320389444513552622724759
each19922142012886155217286
of23142142012894132
them24822142012862133195296
only28132142012893164203265
excites8512316012862125187226265327381
and12672316012871140211
causes15132316012862131201256318372
contraction19212316012862131201240294364427466504574644
of25992316012871110
separate8512569012855117188257311382420483
muscular136925690128143212267329398437507562
fibres19662569012879118188243305359
rather23602569012896166205275338391
than27872569012879150220289
the8512743012839110172
entire10592743012860131169209263325
atrium.14182743012870110164203273375409
As18622743012886140
a20362743012870
result,21412743012855117171241280319354
minor253027430128101139210280334
contractions8512997012862133202242296366428467506576646700
develop158629970128145207270332370440509
in213129970128113184
the234929970128114184247
atrium263029970128145183237277347448
(atrial8513171012847117157211249320358
fibrillation)1245317101283977147201240279318388427465536606653
instead19333171012838108162202264334403
of23723171012870108
adequate25163171012870139202271342411450512
atrial8513425012870110164203273311
systole.11983425012854117171210280318381416
Depending85136780128101163233296366436475545615
on15013678012879149
the16863678012847116179
conductability19003678012872141211281351414451522592630670708748809
of27443678012880118
the28983678012847118180
AV8513852012886171
node10573852012870140211274
and13643852012871140211
according16093852012870133195264319389427497568
to22123852012838108
rate23563852012853123162225
of8514106012870110
ventricular9954106012875138207246300340401472510580635
contractions16654106012874145215253309378440479518588658713
three24124106012852122177239301
forms27484106012851121175277331
of8514280012870110
atrial9954280012870109163202272311
fibrillation1341428001283977148202241280319389428466537606
are19834280012870124187
distinguished:22054280012870108163202240311380450489544614676746793
-8514533012847
normasystolic9334533012876146200302372426489542582651690729792
form17604533012843113168270
-20644533012853
60-10021524533012876147193263333403
per25904533012876139192
min;282345330128102140210257
-8514707012847
tachysystolic9334707012839109172241304357420474513583621661723
form16914707012838109163265
->10019904707012848142212281352
per23764707012870133187
min;259847070128101140210256
-8514961012847
bradysystolic9334961012870125194264327381443498536607645684747
form17154961012839108163265
-20154961012847
<6020964961012894165235
per23654961012870133187
min.258749610128102140209245
Fibrillation8515469012886124195249288327366436474514584654
is15405469012867121
characteristic16975469012889159229283354415454517571610664704742805
of25365469012898137
mitral270854690128130167207261331370
heart8515642012870133202257296
diseases118256420128137175230292362416479533
(especially175056420128114176230300362424463533572611674
of245956420128135175
mitral266956420128171210248302373411
stenosis),851581601285594157226296351389444490525
coronary141158160128177246301371441511565628
atherosclerosis,2073581601281852242943574104805355986366997528228779159701006
thyrotoxicosis,8515990012839110172226296335405467505568637692731786821
etc.17075990012862100163198
Atrial391413720126101148210249320358
flutter4308137201264685163209256319381
The31871621012878148211
number34331621012870140241310373427
of38941621012871110
impulses40401621012837139208278318372433488
arising45641621012870124163217256326396
in49951621012839109
fluttering3187179401283978148188226289342382451521
atria37441794012870108163201271
does40511794012870139202255
not43421794012870139179
usually45551794012870125195264304342405
exceed49951794012863125186248311380
250-30031871968012870141210258327398467
per36881968012870133188
min,391119680128102139209245
and41891968012870141211
their44341968012839109172210265
conduction47351968012861131201271341404441480551620
through31872142012839110164233304374444
the36672142012837107170
AV38722142012886170
node40772142012870140211273
is4385214201283893
usually45122142012870125195264304342405
rhythmic.31872316012855125188226296397436499534
As37552316012886140
a39292316012870
rule,40352316012854124163225260
not43292316012871140180
all45432316012870109148
atrial47262316012871109163204274313
impulses31872489012839141210280320374436490
are37122489012871124187
conducted39342489012863131202272341404443505575
to45452489012839108
the46882489012839109171
ventricles31872663012862125195233288327390428490545
and37672663012870139210
they40132663012837108169232
contract42802663012862132202241295365428467
arrhythmically.31872837012870125179249312351420522561622693731771832867
Flutter31873345012886124195233273336389
occurs36123345012870131194263318372
in40193345012839109
mitral416333450128101140178233303342
defects,45393345012870133171234296334389425
coronary31873519012862133188257327398452514
atherosclerosis,37353519012870110179242296366420483521584637707762800855891
and46593519012870141211
thyrotoxicosis;31873691012839110172226296335405467505568637692731786832
flutter4054369101283977148186226288342
sometimes44313691012854124227288326366467529583
develops31873866012870133195258296365436490
in37133866012839108
poisoning38563866012870140178233303373412482552
with44433866012894133172242
quinine47203866012870140178249287358420
or51753866012870124
digitalis.31874120012870110179219257327366405460495
-8516248012847
P9336248012878
wave104662480128101162233296
disappears,13776248012870108163225295365427490535590626
-8516503012847
multiple93465030128109177216256294365403466
small14356503012854163223262302
irregular1772650301283986133195264334373436482
f22896503012847
waves,237065030128102163234297350386
-8516756012847
QRS93367560128151244323
ventricular129167560128119181250290337375438507546608655
complexes198167560128111181291359398461531594648
follow26636756012897167206244315416
are8516930012862109171
irregular,105869300128109156203265335404444505552587
their168069300128110179242281328
shape204269300128125196259328390
does246769300128140211273327
not282969300128143213251
change.8517104012862133195265335397432
-31876248012847
high32696248012896135204275
F357862480128105
waves371862480128127189258320374
instead41276248012864135189227289351422
of45836248012896144
the47616248012865134197
normal49926248012896166213322382421
atrial31876422012862101149186249288
P35116422012878
waves;362364220128102163232295349388
-31876677012847
the32696677012885155218
number352266770128115185295362425472
of402966770128117164
F422866770128123
waves438566770128148210280343396
preceding481766770128115162225287348418457527597
each31876850012862125187257
ventricular34786850012871133203242289327390459498560607
complex41206850012862131241310349412481
depends31877104012870133202265335405459
on36817104012870140
the38567104012839109171
AV406271040128102202
conduction;42997104012862132203273342405444482553624662
-31877357012847
QRS326973570128156249327
complexes363173570128117186296364403466536599653
follow431973570128100171210249318420
at477473570128117155
regular496473570128102164233303342405451
intervals.31877531012839110148211258327389427482518