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A wandering pacemaker just means that the impetus for a beat of your heart is initiated at various sites. It could start in the AV node, which is normal, then move to another part of the heart for another beat to be initiated. This type of activity can result in arrhythmias or irregular heart rhythms. It can progress to be a serious condition and certainly bears watching by your cardiologist.

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What does an artificial pacemaker look like on an EKG?

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What is the most characteristic feature of wandering atrial pacemaker?

The most characteristic feature of wandering atrial pacemaker is the variability in the P-wave morphology on the electrocardiogram (ECG). This occurs because the pacemaker activity shifts between different atrial sites, leading to P waves that have different shapes and intervals. Additionally, this arrhythmia typically presents with a normal heart rate, often between 60 to 100 beats per minute.


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