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- Sinus pause and sinus arrest are both conditions where the sinoatrial node fails to generate electrical impulses123. The difference is that sinus pause is defined as a pause of less than 2 seconds, while sinus arrest is a pause of more than 2 seconds2. Sinus pause and sinus arrest can be distinguished from sinoatrial block, where the impulses are generated but not conducted, by the fact that sinoatrial block has a pause that is a multiple of the preceding P-P interval3.Learn more:✕This summary was generated using AI based on multiple online sources. To view the original source information, use the "Learn more" links.The sinus pause rhythm typically will demonstrate constant R to R intervals prior to and following the pause. Sinus arrest is a pause in the generation of electrical impulses by the SA node. The sinus arrest pause is usually followed by a new sinus node beat or by an AV node escape beat.ekg.academy/ekg-reference-details/5/Sinus-ArrestSinoatrial arrest occurs when the sinoatrial node does not discharge an impulse for ≥2 seconds. Failure to discharge an impulse within <2 seconds is defined as sinoatrial pause.ecgwaves.com/topic/sinoatrial-arrest-sinoatrial-pau…Sinus arrest may look like a sino-atrial (SA) block. In SA block the sinus activity is preserved, but the impulses are blocked resulting in missed P waves and QRS complexes. However, in SA block the pause seen on the EKG will represent a multiple (whole number) of the preceding P-P interval. This relationship is absent in sinus arrest.allnurses.com/ekg-interpretation-sinus-block-t452910/
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