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pubmed-article:11993309pubmed:abstractTextThe electrocardiographic patterns recorded from seven patients with isorhythmic A-V dissociation fall into two distinct groups. In pattern I, the P wave fluctuates cyclically back and forth across the QRS complex. The mechanism responsible for this type of A-V synchronization represents a typical biologic feedback control system. The P-R interval is a determinant of stroke volume, which in turn influences the arterial blood pressure. The blood pressure has an inverse effect on the discharge frequency of the S-A node through the baroreceptor reflex. The S-A nodal frequency then affects the P-R interval, to close the feedback loop. In pattern II, the P wave is in a fairly constant position relative to the QRS complex. It is usually coincident with the QRS complex or appears on the ST segment or first half of the T wave. The mechanism producing synchronization in pattern II type of isorhythmic dissociation has not been established conclusively.lld:pubmed
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pubmed-article:11993309pubmed:articleTitleThe mechanism of synchronization in isorhythmic A-V dissociation. II. Clinical studies.lld:pubmed
pubmed-article:11993309pubmed:affiliationDepartments of Investigative Medicine and Cardiology, Mt. Sinai Hospital, Cleveland, Ohio, USA.lld:pubmed
pubmed-article:11993309pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:11993309pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
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