Multifocal Atrial Tachycardia EKG Interpretation

EKG Features

Rate: Fast (> 100 bpm)
Rhythm: Irregular
P Wave: Often changing shape and size from beat to beat (at least three differing forms)
PR Interval: Variable
QRS: Normal (0.06-0.10 sec)
A faster version of Wandering Atrial Pacemaker. Observe at least three different shaped P waves.
Multifocal atrial tachycardia is caused by electrical signals being sent from multiple (ectopic) locations in the atria rather than from the sinoatrial (SA) node. These multiple signals cause a rapid, inefficient heartbeat. This arrhythmia is more commonly found in patients over 50 years of age, particular in patients with lung disorders. Also see Wandering Atrial Pacemaker, a related abnormality.

Multifocal Atrial Tachycardia EKG Interpretation Example

ekg rhythm strip for reference guide

Return to EKG Reference Guide Index

Authors, Reviewers and Developers EKG rhythms classes: Thomas O'Brien.
EKG monitor simulation: Steve Collmann
12 Lead Lecture: Dr. Michael Mazzini, MD, Cardiologist.
Spanish EKG: Breena R. Taira, MD, MPH
Medical review: Dr. Jonathan Keroes, MD, Cardiologist,
Dr. Barbara Erickson, PhD, RN, CCRN.
EKG tracings review: Dr. Pedro Azevedo, MD, Cardiology
Last Update: 11/10/2022
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