AV dissociation

  • Default:
    • slowing of SA node allows subsidiary pacemaker (eg, AV junction) to take over
  • 篡奪 Usurpation:
    • acceleration of subsidiary pacemaker
    • (eg, AV junctional tach, VT)
  • 3° AV block:
    • atrial pacemaker unable to capture ventricles, subsidiary pacemaker emerges;
    • distinguish from isorhythmic dissociation (A ≈ V rate, some P waves nonconducting)