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Idioventricular Rhythm (IVR)

Normal EKG for Comparison:

No Pwave, bizarre QRS, rate 20-40

Normal Sinus Rhythm


First Degree Heart Block

Normal deflections & intervals


Long PR interval
Premature Atrial Contraction (PAC)
2:1 Heart Block

Premature Pwave, irregular P-P interval


Two Pwaves per QRS complex
Premature Ventricular Contraction (PVC)

Digitalis Effect

Wide QRS, unrelated to Pwave

Scooping ST segment
Tachycardia, Sinus Rhythm
Bradycardia, Sinus Rhythm

Normal P, QRS, T, rate > 100


Normal P, QRS, T, rate < 60

Ventricular Fibrillation (VFIB)


Hypercalcemia

Short/absent ST segment Chaotic waves

Hyperkalemia Ventricular Tachycardia (VTAC)

Tent-shaped Twave
Bizarre, wide QRS, no Pwav, rate > 100

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