|Rate||variable depending on the site of the pacemaker; usually 45-100/ bpm.|
|P wave||also variable in morphology|
|Conduction||P-R interval varies depending on the site of the pacemaker|
This dysrhythmia may occur in normal hearts as a result of fluctuations in vagal tone. It may also be seen in patients with heart disease or COPD.
Wandering atrial pacemaker may also be a precursor to multifocal atrial tachycardia.
There is usually no treatment required.
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