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This Concept Map, created with IHMC CmapTools, has information related to: Patrick Reems, Patrick Reems presents with intermittent heart "flip flop" flutter, Ca influx binds to Ry Receptor, intermittent heart "flip flop" flutter accompanied with Light headedness, EKG displays Premature atrial contraction, Q wave represents beginning of Ventricular depolarization, AV node depolarization spreads to SA Node, Bundle of His passes signal to Purkinje fibers, 8 cups of coffee daily contains Caffeine, Patrick Reems drinks 8 cups of coffee daily, Ventricular depolarization facilitated by fast voltage gated Na channels, intermittent heart "flip flop" flutter defined as Palpatations, EKG normally displays T wave, EKG normally displays P Wave, S wave represent Ventricular depolarization, Ventricular repolarization resulting from Potassium efflux, L-type Ca channels produces Ca influx, Metoprolol is a selective B1 Antagonist, Patrick Reems Plan A needs to stop ingesting Caffeine, B1 Antagonist will antagonize Beta-1 receptors on the heart, Atrial depolarization spreads to Bundle of His