What is a WAP heart rhythm?

Wandering atrial pacemaker (WAP) is an atrial rhythm where the pacemaking activity of the heart originates from different locations within the atria. This is different from normal pacemaking activity where the sinoatrial nodesinoatrial nodeThe sinoatrial node (also known as the sinuatrial node, SA node or sinus node) is a group of cells known as pacemaker cells, located in the wall of the right atrium of the heart.

Which rhythm is considered more serious MAT or WAP and why?

MAT is more serious then WAP because it’s generally triggered by congested heart failure, where WAP is usually found in conditioned athletes.

Is wandering atrial pacemaker serious?

A wandering atrial pacemaker is a rare form of a condition called arrhythmia. That’s a problem with your heartbeat. It can happen anytime, even when you’re sleeping. It’s usually nothing to worry about.

What is the difference between MAT and WAP?

There is no thromboembolism risk in MAT, such as seen in atrial fibrillation or atrial flutter, as the atrium are contractile in MAT. If the heart rate is less than 100 beats per minute, then the rhythm is wandering atrial pacemaker, or WAP.

Is wandering atrial pacemaker AFIB?

The differential diagnosis of an irregularly irregular rhythm includes atrial fibrillation, atrial flutter with variable conduction and multifocal atrial tachycardia or wandering atrial pacemaker.

Is ectopic atrial tachycardia rare?

Atrial ectopic tachycardia (AET) is a rare arrhythmia; however, it is the most common form of incessant supraventricular tachycardia (SVT) in children.

How is ectopic atrial tachycardia treated?

Three options are available for treatment of patients with atrial ectopic tachycardia (AET), including medication to suppress the arrhythmia or control the ventricular response, surgery, or radiofrequency (RF) ablation. Long-term oral medication is the mainstay of therapy in patients not undergoing RF ablation.

How do you determine a WAP on an ECG?


Characteristics of a wandering atrial pacemaker on an EKG. Specifically. You should see at least three distinctly different P wave morphologies.

Does wandering atrial pacemaker require treatment?

In most cases, a wandering atrial pacemaker doesn’t require treatment. But you will need treatment if the condition is caused by digoxin toxicity. This is a potential side effect of digitalis therapy. Digitalis is a medicine used to treat some heart conditions.

What are the characteristics of a wandering atrial pacemaker WAP?

Wandering atrial pacemaker (WAP) is an atrial rhythm where the pacemaking activity of the heart originates from different locations within the atria. This is different from normal pacemaking activity where the sinoatrial node (SA node) is responsible for each heartbeat and keeps a steady rate and rhythm.

What is the rate of wandering atrial pacemaker rhythm WAP?

Wandering atrial pacemaker (WAP) (Fig. 3.12) is an atrial rhythm with multiple P-wave morphologies (three or more), often occurring in a repetitive pattern at a rate of less than 100 bpm.

What kind of arrhythmia is often caused by a wandering pacemaker?

Wandering atrial pacemaker and multifocal atrial tachycardia are examples of atrial rhythm disturbances in which frequent, unpredictable beats arise from different areas of the atria. These disturbances are usually an indication of lung or heart disease, serious metabolic disturbances, or toxicity of certain medicines.

Is wandering atrial pacemaker regular or irregular?

irregularly irregular rhythm

Patients with a wandering atrial pacemaker are usually asymptomatic and have irregularly irregular rhythm. The normal heart rate in wandering atrial pacemaker differentiates this condition from multifocal atrial tachycardia [2,6].

Can atrial tachycardia cause a stroke?

When this happens, your heart’s upper chambers can’t fill with blood and may not pump all of the blood already inside them, causing blood to pool. This can allow clots to form, and the clots can travel from your heart to your brain, causing a stroke.

What triggers ectopic beats?

Ectopic beats may be caused or made worse by smoking, alcohol use, caffeine, stimulant medicines, and some street drugs. Ectopic heartbeats are rare in children without heart disease that was present at birth (congenital). Most extra heartbeats in children are PACs. These are often benign.

What causes ectopic atrial tachycardia?

It is caused when a group of cells in the heart becomes abnormally active and starts sending out electrical signals faster than the sinus node, the heart’s natural pacemaker.

Are ectopic beats serious?

Like most causes of palpitations, ectopic beats are usually harmless and do not mean you have a serious heart condition. They generally require no treatment unless they occur very often or are very severe. Palpitations and ectopic beats are usually nothing to worry about. The cause is often unknown – or ‘idiopathic’.

Is ectopic atrial rhythm normal?

Atrial ectopic beats occur normally and rarely cause any symptoms. These premature heartbeats are associated with lung diseases, especially if high blood pressure is present in the arteries that go between the heart and lungs.

Is atrial tachycardia life threatening?

Atrial tachycardia, as an isolated rhythm disturbance, is not considered a life-threatening condition. Some patients are able to control their episodes with life-style modification. This includes avoidance of caffeinated beverages, alcohol, sleep-deprivation, stressful situations, and anxiety.

How do you get rid of atrial tachycardia?

Cardioversion. In this procedure, a shock is delivered to the heart through paddles or patches on the chest. The current affects the electrical signals in the heart and can restore a typical heart rate. This procedure may be done if atrial tachycardia doesn’t get better with vagal maneuvers or medication.

Is atrial tachycardia a disability?

If your resting heart rate is faster than 100 beats per minute, you have a condition known as tachycardia (tak-ih-KAHR-dee-uh). If you’ve had a test like an EKG, MRI, or exercise stress test that reveals you have severe limitations, you may be able to qualify for disability automatically.