Title: ECG Following Cardiac Transplant<br/>Author: Semhar Tewelde<br/><a href='http://umem.org/profiles/faculty/352/'>[Click to email author]</a><hr/><p>
<strong><u>ECG Following Cardiac Transplant</u></strong></p>
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Suturing of donor atria to the corresponding structures of a recipient’s residual atria produces two sets of P-waves:
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A small native P-wave (often so small it may not been visualized)</li>
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Followed by a donor P-wave of normal size associated w/ a QRS complex</li>
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A complete or incomplete right bundle branch develops in >80% transplant recipients</li>
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~7–25% of recipients also demonstrate a left anterior fascicular block (LAFB)</li>
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The transplanted heart contracts faster than the atrial remnant secondary to autonomic denervation frequently resulting in an increased resting heart rate </li>
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<img src="webkit-fake-url://BEBC5A15-E305-47BA-A696-246A9513F89A/image.tiff" /></p>
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<fieldset><legend>References</legend>
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Chou's Electrocardiography in Clinical Practice: Adult and Pediatric 6<sup>th</sup> Edition </p>
</fieldset><fieldset><legend>Attachments</legend>
TransplantECG.jpg (160 Kb)<br/><a href='http://umem.org/files/uploads/1312011353_TransplantECG.jpg' target='_blank'>http://umem.org/files/uploads/1312011353_TransplantECG.jpg</a><br/><br/></fieldset>