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Arrhythmias

Heart Rate Rhythm P Wave PR Interval QRS Complex Interventions


Normal Sinus 60 -100 Regular Present Regular Regular, Narrow
Rhythm (NSR)

Sinus Arrhythmia Irregular Present Narrow

Premature Atrial 60-100 Regular Indistinguishable Narrow


Complex (PAC)
(T or P Wave)

Premature Irregular Absent / Inverted x Narrow


Junctional Complex
(PJC)

Premature Absent x Wide Beta-blockers

Ventricular Complex Calcium Channel


(PVC) (Inverted T-wave) Blockers

Radiofrequency
Catheter Ablation

Sinus Bradycardia Below 60 Regular Present Regular Narrow Atropine Sulfate

Transcutaneous Pacing

Sinus Tachycardia Above 100 Regular Present Regular Narrow Beta-blockers

Calcium Channel
Blockers

Supraventricular Above 150 Regular Indistinguishable x Narrow Vagal Maneuvers

Tachycardia Adenosine

(T or P Wave) Synchronized
Cardioversion

Atrial Fibrillation Irregular Absent x Narrow Cardioversion

Antiarrhythmics
Chaotic baseline

Atrial Flutter Sawtooth pattern x Narrow Cardioversion

Cathether Ablation
(Rate: > 250)

Junctional Rhythm 40-60 Absent / Inverted x Narrow

Idioventricular 20-40 Absent x Wide


Rhythm (IVR)

Ventricular Above 100 Absent x Wide CPR

Tachycardia De brillation

Epinephrine

Antiarrhythmias
(Amiodarone,
Lidocaine)

Ventricular - Chaotic Indistinguishable x Indistinguishable CPR

Fibrillation De brillation

Epinephrine

Antiarrhythmias
(Amiodarone,
Lidocaine)

First Degree Present Prolonged Narrow Atropine Sulfate

AV Block Transcutaneous Pacing

Dopamine

Epinephrine

Second Degree Type Present Progressive Irregular Transcutaneous Pacing

I (Wenckebach) Prolongation Dopamine

AV Block Dropped QRS Epinephrine

Second Degree Type Present Fixed Irregular Transcutaneous Pacing

II (Mobitz) AV Block Dopamine

Dropped QRS Epinephrine

Third Degree Present Unrelated Regular Transcutaneous Pacing

(Complete) AV Block Dopamine

Wide Epinephrine

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