Rate <60 & Purkinje: fiber damage within endocardium. Any rate below 60 BPM is defined as bradycardia (not unhealthy). The abnormal conduction & LAD both occur as a result of damage to the Purkinje muscle fibers (look this up) within the endocardium of her heart muscle; nearly alway a result of atherosclerosis & heart attacks within the inner wall of the left ventricle-the portion most susceptible to ischemic damage.
Answered 7/11/2014
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