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Look at the rhythm strip in figure 1A, the computer interpretation and a Junior doctor have diagnosed atrial fibrillation on the basis of the irregular occurrence of R.

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Description:
Atrial Fibrillation Electrophysiology They are replaced by lower case "f" waves. No P waves means there is no PR interval measurement. This rapid electrical activity overwhelms the AV node causing impulses to enter the ventricular conduction system at irregular points. This results in irregular R to R intervals.

Atrial Fibrillation. The above rhythm is AF with a rate of bpm. However, it is possible at this rate to recognise that it is irregular and that there is no P wave. Some beginners might see one or two small waves immediately before the 3rd and 5th QRS complexes and think that they are P waves.

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