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This Concept Map, created with IHMC CmapTools, has information related to: CBL A1 Palpitation, phosphodiesterase activity increasing cAMP, Patrick Reems admits to 6 cups of coffee/day, decreased T-P interval shows Premature stimulation, Patrick Reems has hx of panic attacks, action potential allowing more pooling of blood, heart pounding occurs with light headedness, heart pounding descriptive of palpitations, relative refractroy period decreasing depolarization of atria, PKA activates L-type Ca channels, decreased T-P interval followed by decreased magnitude of QRS complex, heart increasing cAMP, Patrick Reems admits to 4~6 hrs of sleep/night, pooling of blood in the ventricles, bundle of His depolarizes Purkinje fibers, chronic stress increasing levels of catecholamines, beta 1 receptors on heart, cAMP activates PKA, partially inactivated during the relative refractroy period, Premature stimulation of SA node, relative refractroy period decreasing depolarization of AV node