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Look at the rhythm strip in figure 1A, the computer interpretation and a Junior doctor have diagnosed atrial fibrillation on the basis of the irregular occurrence of R.

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Atrial Fibrillation Electrophysiology They are replaced by lower case "f" waves. No P waves means there is no PR interval measurement. This rapid electrical activity overwhelms the AV node causing impulses to enter the ventricular conduction system at irregular points. This results in irregular R to R intervals.

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