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Medical Term:

atrial echo

 

Definition: electrical reactivation of the atrium by a retrograde impulse returning from the A-V node while the antegrade impulse continues to the ventricle; characterized electrocardiographically, by a pair of P waves enclosing a QRS complex, the second P wave being opposite in polarity (usually inverted in lead II), indicating that it is the reverse (the retrograde pathway) of the pathway of the first P wave (the antegrade pathway).

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