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Extrasystole is due to the irregular contraction of the ventricle before the atria. When this happens, an action potential is elicited and the ventricle contracts. The action potential had a refractory period, during which the intrinsic heart rate attempts to fire but cannot elicit a contraction. This is why extrasystole is often referred to as skipping a beat. The compensatory pause is the time it takes for the beat to resume normal contraction.

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Q: What is the cause of compensatory pause after an extrasystole?
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Compensatory pause ecg?

A compensatory pause is noted on an electrocardiogram after a premature complex. It precedes the next normal complex, and compensates for the abnormality of the heart beat.


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An extrasystole is a type of irregular heartbeat pattern. It occurs when the lower chambers of the heart called the ventricles contract sooner than they are supposed to in a normal heart rhythm. The premature contraction is followed by a short pause and then a fast beat of the rest of the heart. Minor extrasystoles are fairly common and usually do not cause symptoms, though a very pronounced extrasystole can lead to palpitations, chest pains, trouble breathing, and other dangerous symptoms. Treatment typically consists of taking daily medications to regulate heart activity and control other underlying conditions


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