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Rules for Premature Atrial Contraction

Regularity: Since this is a single ectopic beat, the underlying rhythm will be irregular

Rate:  The rate depends on the rate of the underlying rhythm.

P WAVE:  There will be a P wave in front of every QRS.  The P wave of the premature beat will look different than that of the other P waves in the rhythm.

PRI:  Should measure between 0.12 and 0.20 seconds in duration.  PRI of the premature beat is usually different than that of the underlying rhythm.

QRS:  Measures less than 0.12 seconds.

 

Normal Sinus w/ PAC