Premature Atrial Paroxysomal Atrial

Normal Contraction Tachycardia

Atrial Rate
Venticular Rate 60-100 100-150

arises spontaneously from

cause atria contracts early
ectopic Foci

P waves look different from

EKG characteristics 2 P waves after T waves the one before tachycardia. T
& P waves are merging

Symptoms

▾occur due to ischemia in the conduction

pathways▾does not cause dyrhythmia but
Heart blocks ↓CO

2º AV Block-Mobitz Type I:
Type of Heart block 1º AV Block 2º AV Block-Mobitz Type II
Wencheback

Lengthening of PR Interval
EKG Characteristics interval>200ms until
PR no QRS; end up
skipping a beat. Increasing
P-Q interval. Dropped beats not preceded
by a change in PR interval
Symptomatic? Asymptomatic Asymptomatic may proceed to 3º Block
TX no tx req
often treated with pacemaker
 Dysrhythmia
Venticular premature
Atrial Flutter Atrial Fibrillation Beats/PVC

300
150 150

Loss of coordinated Venticular Ectopic focus-

contraction of atria and occurs early before a P wave
irregular contraction of can begin a new cycle
ventricles- Multiple Foci

QRS widened; can’t see P-

Irregular. Saw tooth P wave & Loss of synchony. Multiple waves bc they are buried
multiple P waves. Fibrillatory P waves under QRS

most common dysrhythmia-

risk for V. Fib

3º AV Block Complete Bundle Branch Block

complete block. Atria &

Ventricles beat independently.
P and QRS not together,
rhythmically.
Dangerous

often treated w/ pacemaker

Lyme disease can cause this Block in AV & SA node

Venticular Tachycardia Venticular Fibrillation Torsafes de Pointes

150-250

Congenital dysrhythmia caused

by genetic Polymorphism in K+
Venticular Ectopic focus or Na+ channels▾Low K+
levels▾Quinidine that slows
Myocardial Repolarization

going really fast. Rhythm is

consistent but can’t see irregular, messy, can't tell Long QT interval followed by
anything else. P waves anything apart VT--> Risk for V-Fib--> death
ocassionally seen

Excessive Venticular Rate- Complete loss of Venticular Specific form of polymorphic VT

risk for V-Fib Rhythm-CO goes to zero

Transient- dizziness and loss of

consciousness