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Understanding Premature Complexes Video

ACLS Certification Association videos have been peer-reviewed for medical accuracy by the ACA medical review board.

Video at a Glance

  • This video explains PACs and PJCs.
  • All R waves should be equal distances from each other.
  • During a premature complex, the R wave comes early.
  • A PAC originates in the atria chamber, and it produces an upright P wave.
  • A PJC originates in the AV junction. There will be an inverted P wave. Sometimes the P wave will be hidden.
  • This video reviews several ECG strips showing PACs and PJCs.

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ACLS Certification Association (ACA) uses only high-quality medical resources and peer-reviewed studies to support the facts within our articles. Explore our editorial process to learn how our content reflects clinical accuracy and the latest best practices in medicine. As an ACA Authorized Training Center, all content is reviewed for medical accuracy by the ACA Medical Review Board.

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