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Regular Sinus Rhythm Sinus Rhythm NNSR with PAC ‘ious tyinm - also known as regler sins myn (RSA) oF normal snus myth (NSA). Sinus Bradycardia svt Is tno most common acu hytwm wi rates between 60-10oiinute, The QRS is most tan nartow with upaght P waves in Load I @ Sinus Tachycardia ‘Arial Fibritaion Sinus Arrhythmia Atrial Flutter Sinus Exit Block Paced Atrial Sinus Arost Sinus Bradycardia ‘Sinus Rhythm, INSR with PAC. Sinus Bradycarca wth as rene than SO\mnute maybe Wel tolerated by haaky Sinks Bradycardia svt srt Atletes may routine be in snus bradyearsa dus to an eptinal carci see \ohumethatregures tes HR oye acrpltie carac ouput Sie bradycardia may EB Situs Tachycardia pei? I As be prosivoa th Vaga siutaton or ue to Sick Sus Syndrome, Expat 8 narow Sinus Arta ‘Arial Flutter {QRS mtn ugh Pwavesin Lead Sinus Exit Block Paced Ati Sinus Arrest OK Sinus Tachycardia ‘Sinus Rhythm SR with PAC. ‘mes Tachycardia mo fen rests om inceated sympa srwston 16. dve 0 Sinus Brodyeardia svt pan tr mocasedongen onang anserporen) HSS MS METEORS. HS Tena ee Sinus Aretha ‘Ail Fltor Sinus Ext Block Paced Ata Sinus Arest eee OK Sinus Arrhythmia ‘Sinus Arhythmia is most often @ benign rhythm, common in chitran and less common wih older ute, The wragular pattem ofthis thm fcuates with inspiration (HR. ‘nereases) and expiration (HR decreases). A narrow QRS and upright P waves in Lead I 's expected Sinus Bradycardia Sinus Tachycardia NNSR win PAC svt Avia Fibriaton Avia ter Paced Arial Sinus Exit Block Sinus ext block (snot block) eats fom blocked sus impulses - impulses not geting trough to depolarize he atin. While the sinus ing on sched, he esse ‘around he Anode snot carving the mpulse. The seriousness of this dschythia ‘elated fo the Frequency and duration of th blocks. Note that each pauses eaualto@| ‘muti of previous P-Pintrvas Sinus Bradycardia ‘Sinus Tachyeardia INSR with PAC svt Atal Fibrilaion Atal Futter Paced Aral Sas Rom Sar Tectyearsa ‘hom esr Bia rte ane em on te ie Sa yt ot ‘aval easton ot ra Fiaion Poor Ail NSR with Premature Atrial Complexes ‘Sinus Rhythm NSR with PAC Premature Aral Compleses or PAC resut fom iitabiy fo he tri esuting in increased Sinus Bradycardia svt ‘automaiey of al ssue Since he aia intat an impulse eae than expected fom fre GArods, is sapere conslex Expect arow ORS and taternee, noxiea, EB Shs Tachycardia pal peaked or biphasic P waves fr tho PAC. Sinus Arthythmia ‘Avil Flutter Sinus Exit Block Paced Atrial Sinus Arrest OK Supraventricular Tachycardia ‘Sinus Rhythm NSR with PAC. ‘Suprayennculrtactyeari isan ominous rym wih rates often between 170-290 per Sinus Bradycardia svt minuto, The teltale sign of sipraventncuar tachycardias the narrow QRS which defines ina Tee ae een a catecpclers Tsiobes woe aoe OS Seo a tactycaria due to #s vor fas rato For ose who are a ost narrow QRS tachycardias, Sinus Arythmia Arial Futter vor 150 / minuto r0 most often supraventcwa achycarda ‘Sinus Exit Block Paced Alia! Sinus Arrest Sea 90 | fe Atrial Fibrillation ‘Sinus Rhythm NSR with PAC [Ail ritation sa chaotic rhythm wth ecogrizable ORS complexes. The chobcrhytem Sinus Bradycardia svt SL, seetecveae —asatrinton 2) he ek of tombs formaton partly sgncant ater 48 hours Sinus Arthythmia Ail Flutter Sinus Ext Block Paced Atal Sinus Arrest OK Atrial Flutter [Ail tor rosuts rom tho devoon Junction passes every second (rae = 150, calle ‘entfed by the sentooth bassin Paced Atrial rhythm ‘Aa peoed htm (x paced tal yt) resus om Me electon pacing of an oa reontry cect wih the ata generating a loop that dscharges impulses after cto of 260-350 / minute. Most oan the AV 2:1 response) er every fourth ‘mpulserato = 75, called a 41 response) trough othe ventricles. Arial fuer i readily ‘tum, Note the verical spike before the P ware, Anslectranic pacemaker oad ‘repeatedly generates a small bu scent current to begin depolarization ofthe ani and the resuhing P wave, ‘Sinus Rhythm Sinus Bradycardia Sinus Tachycardia Sinus Ariythmia Sinus Exit Block Sinus Arrest Sinus Rhythm Sinus Bradyeardia Sinus Tachycardia Sinus Antiythmia Sinus Exit Block Sinus Artest NSR with PAC svt Aviat Fibiaton Ata tor Paced Atal Sua NSR with PAC svt Aviat Fibaiaton ‘Abia tor ‘Pavol! Atrial NSR with First Degree AV Block Fst depres AV block resis fem a prolonged transmission ofthe electrical mpulse {trough the AV junction (Anode and the Bundle of His). The signs taing of is ‘nyt is prolonged PR interval of more than 20 seconds, The undering tym shouldbe denied and named pir to claiming a fest doprae AV beck. For example, this ‘yin is ernomal sinus mythm WITH a st degree AV Block OK NSR with 1° AVB 2° AVB Type | 2° AVB Type I 2 AVB21 3° AV Block NSR with PUG unetiona Rhythm ‘Accel Junctnal Junetona Techy Wandering Pacomal HEART RATE ae) Second Degree AV Block Type | NSR with 1° AVB, SR with PUG ‘Second degree AV block Type | (Wenckabach o Mobs Type eu rom cyl and 2 Ave Tbe | Junotionsi iyi progressive conducton delay tough the AV junction. The ECG posers whe oychal q Tengteing ofthe PR nee otowed bya cepped ORS a P wave nt partared at €B_ 2°AVBTypoll Roca ieee aaa QRS. The ORS completes yi an iregula hth. Second degree A Bock Type may 2 AVB24 Junetional Tachy ‘be causd by enhenced vagal one, mjoceriachemia othe secs rugs such as oan ane ‘calum-

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