Ventricular escape beat reaching the ventricles (normally initiated by the heart's sinoatrial node (SA node), transmitted to the atrioventricular node (AV node), and then further transmitted to the ventricles) falls below the base rate determined by the rate of Phase 4 spontaneous depolarisation of ventricular pacemaker cells. An escape beat usually occurs 2–3 seconds after an electrical impulse has failed to reach the ventricles. This phenomenon can be caused by the sinoatrial node (SA node) failing to initiate a beat, by a failure of the conductivity from the SA node to the atrioventricular node (AV node), or by atrioventricular block (especially third degree
Sentinel node list, can be simplified remarkably using a sentinel node to demarcate the beginning and end of the list. Following is a Python implementation of a circular doubly-linked list: Notice how the codice_13 method takes the node that will be displaced by the new node in the parameter codice_14. For appending to the left, this is the head of a non-empty list, while for appending to right, it is the tail. But because of how the linkage is setup to refer back to the sentinel, the code just works for empty lists as well, where codice_14 will be the sentinel node.