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A-V dissociation occurs when the atria and ventricles are activated by different pacemakers, creating a competition for control over ventricular activation. This phenomenon is referred to as "A-V dissociation by default," often emerging when the primary pacemaker, the sinus node, is inactive. In this scenario, an auxiliary pacemaker takes over, leading to a unique rhythm where the pacemaker with the highest intrinsic rate governs the heartbeat. Understanding this mechanism is crucial for diagnosing and managing certain cardiac arrhythmias.
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A-V DISSOCIATION DUE TO DEFAULT
A-V DISSOCIATION “A-V DISSOCIATION REPRESENTS THE CIRCUMSTANCE IN WHICH THE ATRIA ARE ACITIVATED BY ONE PACEMAKER AND THE VENTRICLES BY ANOTHER—THE TWO PACEMAKERS COMPETING FOR CONTROL OF VENTRICULA R ACTIVATION. IN THE RESULTING DUEL, THE ONE WITH THE FASTEST RATE WILL DOMINATE THE OVERALL RHYTHM.”
IF THE SINUS NODE IS LAZY, IT PERMITS AN AUXILLARY PACEMAKER TO SURFACE – “A-V DISSOCIATION BY DEFAULT”