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Assignment

SUBMITTED BY: NAJEEB


Muhammad Danish Raza
HAIDER
.
Determine the cardiac rhythm in the following ECG trace using the 5 rule approach
(complete answer)

• Modem Extension Cable Revision B (Dec 02)


• Connects to Ositech King of Hearts or Viking Cellular Ready modems
only
• Does not fit the older Viking Modem cards
• Part # 8000-0086
• Xtreme Pak
• Comes with modem cable built in to plate
• See Bulletin 52802 for all Part #

• Sales Bulletin # 55302 /52602 for details


Answer:
Rhythm analysis using a 5 step method will be practiced in this
section. Analyze tracings in the following order.
Rhythm Regularity : Rhythm is normal
• Heart Rate ͢͢͢ Normal ̸ Slow ̸ Fast
• = 300 ̸ no. of large square b̸ w 2R

• 300̸ 6 = 50 ( slow Rate)


• P wave morphology ͢͢͢ p wave every QPs Upright ( p ͢͢͢ QRs )
• No pulse before QRS Downward
• P R interval or Pri ͢͢͢ 0.12 -02
• not normal . More than normal range and there is no P-wave
before QRs.
• QRS complex duration and morphology < 0.12
• Downward Normal Amplitude
In the below ECG trace what should be adjusted in the electrocardiograph setting to determine the cardiac
rhythm?
Answer:
• P WAVE:
• It is upright and present before the every QRS.
• Normal Sinus Rhythum but heart rate is increased and it is
• tachy Cardia.
Count down the heart beat in the below ECG recording

• Answer:
• 22+14+18)/3 =18
18x0.04=0.72
• 60/0.72=83.3 bpm
In the following ECG recording, if the aVR is equiphasic, how
much would be the cardiac axis?

• The three ECG subsets

1. Non diagnostic: no ST or T wave


abnormalities

2. Suspicious for ischemia: ST depression or T


wave inversion

3. Suspicious for injury: ST elevation


Answer:
• AVR ͢ Equiphasic
• Lead iii ͢ Downward (-) AXIS (-60)

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