Wandering Atrial Pacemaker

A Wandering Atrial Pacemaker is a usually benign arrhythmia in which the pacemaker site wanders between the SA node, atria, or AV node. The wandering atrial pacemaker is commonly related to stimulation of the vagal nerve. It is most commonly seen in person who are very young, very old, or extremely athletic.

Wandering Atrial Pacemaker ECG

Heart Rate: normal (60-100).

Rhythm: mildly irregular.

P-Waves: changing in size. May change from being upright to downward.’

PR Interval: unequal.

QRS Complexes: normal.

Wandering Atrial Pacemaker Signs and Symptoms

Most people who have a wandering atrial pacemaker will  be asymptomatic. A small percentage will experience mild palpitations, but should maintain normal perfusion throughout.