EKG CHART

Route Rate Rhythm

Life
Rhythm P Wave PR Interval QRS Rate Regularity Causes
Threatening

Normal
Normal 0.12-0.20 <0.12 60-100 Regular No Normal Finding
Sinus

Sleep, inactivity, athletic,

Sinus Normal 0.12-0.20 <0.12 <60 Regular
Dependent
vagal tone, drugs, MI, K+,
Bradycardia on Cause
respiratory arrest

Caffeine, exercise, fever,

>100, anxiety, heart failure,
Sinus
Normal 0.12-0.20 <0.12 usually Regular No drugs, pain, hypoxia,
Tachycardia 100-150 hypotension, volume
depletion

Normal Dependent on
Looks like SR but drops Elderly, digoxin toxicity,
Atrial Pause a complex
or Irregular Length and
MI, rheumatic fever
slow Frequency

Atrial Dependent Valvular heart disease,

Atrial Saw Regular or
None <0.12 rate on ventricular MI, CHF,
Flutter tooth Irregular
250-400 rate pericarditis

Dependent Heart disease, pulmonary

Wavy Atrial
Atrial on disease, emotional stress,
unident None <0.12 rate Irregular
Fibrillation ability to excessive alcohol or
ifiable >400
perfuse caffeine

Inverted
Dependent Electrical impulse not
Junctional before
on arriving from SA node,
or after <0.12 <0.12 40-60 Regular
Rhythm QRS or
ability to AV node fires at
perfuse inherent rate
absent

Inverted
Accelerated before Dependent
on Digoxin toxicity, damage
Junctional or after <0.12 <0.12 60-100 Irregular
QRS or ability to to AV node
Rhythm perfuse
absent

Inverted Dependent
Junctional before on
or after <0.12 <0.12 >100 Regular Same as SVT
Tachycardia ventricular
QRS or rate
absent

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 EKG CHART

Route Rate Rhythm

Life
Rhythm P Wave PR Interval QRS Rate Regularity Causes
Threatening
Dependent
Supraventri- Pointed Caffeine, CHF, fatigue,
on rate and
or Immeasur hypoxia, mitral valve
cular hidden able
<0.12 150-250 Regular patient
ability to disease, altered
Tachycardia in T pacemaker in heart
tolerate

Idioventri- >0.11
wide
cular None None
and
20-40 Irregular Yes Digoxin toxicity, acute MI
Rhythm bizarre
>0.11
Ventricular MI, ischemia, digoxin
wide Yes, may
None None 150-250 Regular toxicity, hypoxia,
Tachycardia and have pulse
acidosis, K+, BP
bizarre
Irregular,
Ventricular Follow PVC, VT, most
vary Yes, no
None None None None common
Fibrillation in size, shape pulse
cause of sudden death
and height
Follows VT/VFib,
acidosis, hypoxia,
Asystole Possible None None None No QRS Yes
K+, hypothermia, drug
overdose

Regular or First sign of increasing

1° AV Block Normal >0.20 <0.12 Varies
irregular
Usually Not
AV block

Regularly Acute inferior MI,

Varies: irregular: QRS digoxin toxicity,
2° AV Block vagal stimulation,
Normal progressively <0.12 Varies dropped after Usually Not
Type I prolonged progressively conduction
prolonged PRI system disease

Dependent
Regular or on overall
Consistent Normal BBB, anterior MI,
2° AV Block Usually irregular; ventricular
Normal normal or or lesions of
Type II slow occasionally rate, may
prolonged wide conduction system
dropped QRS progress to
3° AV Block
Atria and ventricles
No beat independently,
Yes:
relationship
3° AV Block Normal
between
Wide Slow Regular pacemaker digoxin or K+ toxicity,
needed acute MI, ischemic
PR & QRS heart disease

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 EKG CHART

Route Rate Rhythm

Life
Rhythm P Wave PR Interval QRS Rate Regularity Causes
Threatening
Yes,
Premature May differ Coffee, tea, alcohol,
PAC P Rate of PAC
from CHF, emotions,
Atrial wave
underlying
<0.12 underlying complexes No
shaped rhythm come early fatigue, fever, hypoxia,
Contractions rhythm mitral valve disease
different

Inverted Vagal tone, stress,

Premature before Rate of caffeine, alcohol, heart
PJC make it
Junctional or after <0.12 <0.12 underlying
irregular
No failure, digoxin
Contractions QRS or rhythm toxicity, K+
absent

Depen- Depends on
Premature >0.11 Ventricular irritability,
dant Irregular due frequency
wide hypoxia, K+, Ca, MI,
Ventricular None N/A
and
on to premature and how
underlying beat close to T digoxin toxicity,
Contractions bizarre anxiety
rhythm wave

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