This action might not be possible to undo. Are you sure you want to continue?
variable normal normal impulse originates in the SA node but has prolonged conduction in the AV junction; P-R interval is > 0.20 seconds. regular
[Image] Rate P wave QRS Conduction Rhythm variable normal morphology with constant P-P interval normal the P-R interval is progressively longer until one P wave is blocked; the cycle begins again following the blocked P wave. irregular
ventricular rate is usually less than 70/bpm. normal with constant P-P intervals. but it is constant until one P wave is not conducted to the ventricles.Rate P wave QRS Conduction Rhythm variable normal with constant P-P intervals usually widened because this is usually associated with a bundle branch block. but not "married" to the QRS complexes. may be normal or widened depending on where the escape pacemaker is located in the conduction system atrial and ventricular activities are unrelated due to the complete blocking of the atrial impulses to the ventricles. usually regular when AV conduction ratios are constant Rate P wave QRS Conduction Rhythm Ventricular Dysrhythmias atrial rate is usually normal. The atrial rate is always faster than the ventricular rate. irregular . P-R interval may be normal or prolonged.
couplets or triplets. May be multifocal and exhibit different morphologies. but can be as rapid as 250/bpm obscured if present and are unrelated to the QRS complexes. full compensatory pause is characteristic. Rate P wave QRS Conduction Rhythm usually between 100 to 220/bpm. or in bigeminy. may be regular or irregular. PST or T wave of the PVC wide > 0. . morphology is bizarre with the ST segment and the T wave opposite in polarity.12 seconds. PVC's may occur in singles. trigeminy or quadrigeminy. wide and bizarre morphology as with PVCs three or more ventricular beats in a row. irregular.Rate P wave QRS Conduction Rhythm variable usually obscured by the QRS. the impulse originates below the branching portion of the Bundle of His.
irregularly irregular. (This is the hallmark of this dysrhythmia). wavy baseline is seen instead. not present. but obscured by ventricular waves not apparent chaotic electrical activity chaotic electrical activity Rate P wave QRS Conduction Rhythm atrial rate usually between 400-650/bpm. . normal variable AV conduction.Rate P wave QRS Conduction Rhythm Atrial Dysrhythmias unattainable may be present. if untreated the ventricular response is usually rapid.
asp?exam_id=16&directory=ekg .Rate P wave QRS Conduction Rhythm atrial 250-350/min. but can be irregular if the AV block varies. Website http://www. normal 2:1 atrial to ventricular most common.com/course_frame. usually regular. not present.rnceus. usually a "saw tooth" pattern is present. ventricular conduction depends on the capability of the AV junction (usually rate of 150-175 bpm).
or contraction of the ventricles.P wave • • • • Indicates atrial depolarization.5 mm May be elevated slightly in some leads (no more than 1 mm) PR interval .11 seconds (less than 3 small squares) Amplitude (height) is no more than 3 mm No notching or peaking QRS complex • • • • Indicates ventricular depolarization. or contraction of the atrium. Normally not longer than .10 seconds in duration Amplitude is not less than 5 mm in lead II or 9 mm in V3 and V4 R waves are deflected positively and the Q and S waves are negative T wave • • • Indicates ventricular repolarization Not more that 5 mm in amplitude in standard leads and 10 mm in precordial leads Rounded and asymmetrical ST segment • • • Indicates early ventricular repolarization Normally not depressed more than 0. Normal duration is not longer than 0.
o http://www. Correct for rate by dividing QT by the square root of the RR interval.ch/qtc.12 to 0. electrolyte imbalance or MI Atleast.20 seconds QT interval • • • • • Measured from the Q to the end of the T. 50 drugs known to affect QT (including: quinidine.40 seconds when rate is 65-90/minute) • QT varies with rate. amiodarone and dofetilide) . V4 or lead II optimize the T-wave. Represents ventricular depolarization and repolarization (sodium influx and potassium efflux) V3. QT usually less than half the R-R interval (0.46 for women and < 0.• • Indicates AV conduction time Duration time is 0.45 for men.html o Normal corrected is < 0.qtsyndrome.defective sodium or potassium o channels Acquired .drugs. Prolonged QT may be inherited or acquired (predisposes to long QT syndrome and torsades de pointe) o Inherited .32-0.