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Orthodromic vs. Antidromic AVRT: The Loop Determines the QRS In AVRT, the circuit includes both the native conduction system and an accessory pathway (AP). The direction of impulse travel dictates the ECG morphology. 🔁 Orthodromic AVRT (Narrow QRS) • Down: AV node → His-Purkinje system (normal ventricular activation). • Back: Retrograde via the AP to the atria. • ECG: Narrow complex (unless aberrancy). ⚡ Antidromic AVRT (Wide QRS) • Down: AP directly into the ventricle (pre-excitation). • Back:
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At Great Hearts, the pathway from Assistant Teacher to Lead Teacher is intentional and transformative. Karime Salas, now a First Grade Lead at Maryvale Prep - a Great Hearts Academy, discovered Great Hearts at a college career fair while searching for a way to embark on a career in elementary education without a traditional education degree. While exploring the Great Hearts Academies Apprentice Teacher program what stood out for Ms. Salas wasn’t speed, but preparation. As she shared, “I wanted t
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