The rhythm which shows a normal rate, normal QRS and PRI durations, and an absent beat or beats is sinus pause.
When there are periods of three seconds or longer without atrial activity, it is called a sinus pause or arrest. This is frequently saved by an escape rhythm, which might have ventricular, junctional, or atrial origins. There is a 3 second beat pause, although this pause is normal if the time does not go beyond 3 second.
Hyperkalemia, high vagal tone, ischemic, inflammatory, or infiltrative or fibrotic illness of the SA node, as well as other conditions, can cause sinus pause. it is also known as sinus arrest, and exit block.
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When Ira wears a rubber band that fit loosely around his wrist, and that he uses to "snap" himself with it just hard enough to sting a little bit, he is using <em>aversion therapy</em>. This type of therapy expose the patient to a stimulus while at the same time, being subjected to some form of discomfort. This is done so that the patient begins to associate the discomfort with his/her own behavior, in order to decrease or completely interrupt such act. In the case of Ira, what aversion therapy would look for, is that Ira would start associating the discomfort of snapping the rubber band against his skin with talking without thinking. And by doing so, he would stop to talk without thinking.
D. When they finished their task
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