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Τι (ποιος) είναι wandering pacemaker - ορισμός
![Arne Larsson]] (1915–2001) became the first to receive an implantable pacemaker. He had 26 devices during his life and campaigned for other patients needing pacemakers.](https://commons.wikimedia.org/wiki/Special:FilePath/Arne Larsson.jpg?width=200 "Arne Larsson]] (1915–2001) became the first to receive an implantable pacemaker. He had 26 devices during his life and campaigned for other patients needing pacemakers.")
![atrium]]. Note the circle around one of the sharp electrical spikes in the position where the P wave would be expected.](https://commons.wikimedia.org/wiki/Special:FilePath/AtrialPacemakerECG.JPG?width=200 "atrium]]. Note the circle around one of the sharp electrical spikes in the position where the P wave would be expected.")
.jpg?width=200 "Dual-chamber DDDR pacemaker")
![ECG rhythm strip of a threshold determination in a patient with a temporary (epicardial) ventricular pacemaker. The epicardial pacemaker leads were placed after the patient collapsed during [[aortic valve]] surgery. In the first half of the tracing, pacemaker stimuli at 60 beats per minute result in a wide QRS complex with a [[right bundle branch block]] pattern. Progressively weaker pacing stimuli are administered, which results in [[asystole]] in the second half of the tracing. At the end of the tracing, distortion results from muscle contractions due to a (short) hypoxic [[seizure]]. Because decreased pacemaker stimuli do not result in a ventricular [[escape rhythm]], the patient can be said to be pacemaker-dependent and needs a definitive pacemaker.](https://commons.wikimedia.org/wiki/Special:FilePath/Pacemaker dependent asystole.jpg?width=200 "ECG rhythm strip of a threshold determination in a patient with a temporary (epicardial) ventricular pacemaker. The epicardial pacemaker leads were placed after the patient collapsed during [[aortic valve]] surgery. In the first half of the tracing, pacemaker stimuli at 60 beats per minute result in a wide QRS complex with a [[right bundle branch block]] pattern. Progressively weaker pacing stimuli are administered, which results in [[asystole]] in the second half of the tracing. At the end of the tracing, distortion results from muscle contractions due to a (short) hypoxic [[seizure]]. Because decreased pacemaker stimuli do not result in a ventricular [[escape rhythm]], the patient can be said to be pacemaker-dependent and needs a definitive pacemaker.")
![Posteroanterior and lateral [[chest radiograph]]s of a pacemaker with normally located leads in the right atrium (white arrow) and right ventricle (black arrowhead), respectively.](https://commons.wikimedia.org/wiki/Special:FilePath/X-ray of pacemaker with right atrial and ventricular lead.jpg?width=200 "Posteroanterior and lateral [[chest radiograph]]s of a pacemaker with normally located leads in the right atrium (white arrow) and right ventricle (black arrowhead), respectively.")
Βικιπαίδεια
Wandering atrial pacemaker (WAP) is an atrial rhythm where the pacemaking activity of the heart originates from different locations within the atria. This is different from normal pacemaking activity, where the sinoatrial node (SA node) is responsible for each heartbeat and keeps a steady rate and rhythm. Causes of wandering atrial pacemaker are unclear, but there may be factors leading to its development. It is often seen in the young, the old, and in athletes, and rarely causes symptoms or requires treatment. Diagnosis of wandering atrial pacemaker is made by an ECG.
