This document provides a quick reference chart for different EKG rhythms. It lists the key components of each rhythm including the P wave, PR interval, QRS complex, rate, rhythm, whether it is life threatening, and common causes. Some of the rhythms described include normal sinus rhythm, sinus bradycardia, sinus tachycardia, atrial fibrillation, ventricular tachycardia, ventricular fibrillation, various types of heart block, and premature ventricular contractions. The chart serves as a useful guide for identifying rhythms based on tracings and relating clinical significance.
This document provides a quick reference chart for different EKG rhythms. It lists the key components of each rhythm including the P wave, PR interval, QRS complex, rate, rhythm, whether it is life threatening, and common causes. Some of the rhythms described include normal sinus rhythm, sinus bradycardia, sinus tachycardia, atrial fibrillation, ventricular tachycardia, ventricular fibrillation, various types of heart block, and premature ventricular contractions. The chart serves as a useful guide for identifying rhythms based on tracings and relating clinical significance.
This document provides a quick reference chart for different EKG rhythms. It lists the key components of each rhythm including the P wave, PR interval, QRS complex, rate, rhythm, whether it is life threatening, and common causes. Some of the rhythms described include normal sinus rhythm, sinus bradycardia, sinus tachycardia, atrial fibrillation, ventricular tachycardia, ventricular fibrillation, various types of heart block, and premature ventricular contractions. The chart serves as a useful guide for identifying rhythms based on tracings and relating clinical significance.
Rhythm P Wave PR Interval QRS Rate Regularity Life Causes Threatening Normal Sinus Normal 0.12-0.20 <0.12 60-100 Regular No Normal Finding Sinus Bradycardia Normal 0.12-0.20 <0.12 <60 Regular Dependant Sleep, inactivity, athletic, vagal on Cause tone, drugs, MI, K+, respiratory arrest Sinus Tachycardia Normal 0.12-0.20 <0.12 >100, usually Regular No Caffeine, exercise, fever, anxiety, 100-150 heart failure, drugs, pain, hypoxia, hypotension, volume depletion Atrial Pause Looks like SR but drops a complex Normal or Irregular Depends on Elderly, digoxin toxicity, MI, slow length and rheumatic fever frequency Atrial Flutter Saw None <0.12 Atrial rate Regular or Dependant Valvular heart disease, MI, CHF, tooth 250-400 Irregular on pericarditis ventricular rate Atrial Fibrillation Wavy None <0.12 Atrial rate Irregular Dependant Heart disease, pulmonary disease, unident >400 on emotional stress, excessive ifiable ventricular alcohol or caffeine rate Junctional INVERT <0.12 <0.12 40-60 Regular Dependant Electrical impulse not arriving Rhythm ED on from SA node, AV node fires at before ventricular inherent rate or after rate QRS or absent Accelerated INVERT <0.12 <0.12 60-100 Regular Dependant Digoxin toxicity, damage to AV Junctional ED on node Rhythm before ventricular or after rate QRS or absent Junctional INVERT <0.12 <0.12 >100 Regular Dependant Same as SVT Tachycardia ED on before ventricular or after rate QRS or absent Supraventricular Pointed Immeasur <0.12 150-250 Regular Dependant Caffeine, CHF, fatigue, hypoxia, Tachycardia or able on rate and mitral valve disease, altered hidden patient pacemaker in heart in T ability to tolerate Idioventricular None None >0.11 20-40 Regular Yes Digoxin toxicity, acute MI Rhythm wide and bizarre Ventricular None None >0.11 150-250 Regular Yes, may MI, ischemia, digoxin toxicity, Tachycardia wide and have pulse hypoxia, acidosis, ↓K+, ↓BP bizarre Ventricular None None None None Irregular, vary Yes, no Follow PVC, VT, most common Fibrillation in size, shape pulse cause of sudden death and height Asystole Possibl None None None No QRS Yes Follows VT/VFib, acidosis, hypoxia, e ↓K+, hypothermia, drug overdose 1° AV Block Normal >0.20 <0.12 Varies Regular or Usually Not First sign of increasing AV block irregular 2° AV Block Type I Normal Varies: <0.12 Varies Regularly Usually Not Acute inferior MI, digoxin toxicity, progressiv irregular: QRS vagal stimulation, conduction ly dropped after system disease prolonged progressively prolonged PRI 2° AV Block Type Normal Consistent Normal or Usually slow Regular or Dependant BBB, anterior MI, lesions of II normal or wide irregular; on overall conduction system prolonged occasionally ventricular dropped QRS rate, may progress to 3° AV Block 3° AV Block Normal No Wide Slow Regular Yes: Atria and ventricles beat relationshi pacemaker independently, digoxin or K+ p between needed toxicity, acute MI, ischemic heart PR & QRS disease Premature Atrial Yes, May differ <0.12 Rate of PAC No Coffee, tea, alcohol, CHF, Contractions PAC P from underlying complexes emotions, fatigue, fever, hypoxia, wave underlying rhythm come early mitral valve disease shaped rhythm differe nt Premature Inverte <0.12 <0.12 Rate of PJC make it No Vagal tone, stress, caffeine, Junctional d underlying irregular alcohol, heart failure, digoxin Contractions before rhythm toxicity, ↓K+ or after QRS or absent Premature None N/A >0.11 Dependant Irregular due Depends on Ventricular irritability, hypoxia, Ventricular wide and on to premature frequency ↓K+, Ca, MI, digoxin toxicity, Contractions bizarre underlying beat and how anxiety rhythm close to T wave