Normal AV conduction system

First Degree AV block

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Type 1 Second Degree AV Block

Type 2 Second Degree AV Block

3
Third Degree AV Block

Atrial Fibrillation

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 Atrial Flutter

Atypical Atrial Flutter

5
Paroxysmal Supraventricular
Tachycardia

Paroxysmal Supraventricular
Tachycardia

6
 Premature Ventricular Beats

Nonsustained Ventricular Tachycardia

7
Sustained Ventricular Tachycardia
RBBB

Sustained Ventricular Tachycardia

LBBB

8
How Do I Know If It’s VT?

Other Clues for VT

9
 Other Clues for VT

Look for P waves that aren’t conducted

Ventricular Fibrillation

10
Agonal Rhythm

Serious?

11
Serious Artifact

Serious?

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 Bidirectional VT due to Digitalis
Toxicity

• Seen with severe digitalis toxicity

• QRS is typically fairly narrow
• Typically RBBB
• Alternating left axis and right axis
• Look for other clues
– P waves that are dissociated

Thank You

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