early afterdepolarization develop during phase 3 during repolarization - torsades de pointes--anti emetics antibiotics anti depressants delayed afterdepolarization phase 4 ischemia mi and all reentry----- avnrt mi scar or fibrosis- scarred av node alpha slow pathway beta fast pathway alpha to beta in circles avrt ---- bundle of kent atrial flutter reentry cavotricuspid ishthimus brady arythmia = conduction block av fibrosis mi hyperkalemia bb ccb limes disease