Page 201 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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E.  Another AP Triggered Shortly Before or at the End of an Action Potential (AP)

         Stimulus
            mV      Absolutely refractory Relatively                   III
                                 refractory
            +20
             0
                                                      AP duration
                                                      shortened
            –40                                                        of Cardiac Rhythm
                                                        Refractory period
           –100                                         shortened
                   0           0.2   0.3   0.4  0.5
                                               Zeit (s)
                 Rise of dV/dt
                 less steep    Spread of excitation
                               slowed down                             Abnormalities
        F.  Block in AV Node: Reentry with Tachycardia and Drug Treatment
                                                             (after Noble)
                           Tissue damage    Treatment a
               Normal                                                  Plate 7.8
                        Reentry                          Treatment b
                                  ϑ              ϑ
                                                     Refractory
                                                               ϑ

                                    a
                                Block
                                    b

                           Tachycardia

        G.  Reentry in Wolff-Parkinson-White Syndrome

          Accessory pathway      Ectopic atrial
          betw. atrium and ventricle  extrasystole   Reentry
        1                   2                  3
                                                          Tachycardia

                            Refractory
                                                                  after Wagner and Ramo)
         ECG

                 PR intervall       P
          δ wave  shortened                                           191

       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
       All rights reserved. Usage subject to terms and conditions of license.
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