EKG RHYTHM IDENTIFICATION PRACTICE. By: Steven Jones, NREMT P CLEMC

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1 EKG RHYTHM IDENTIFICATION PRACTICE By: Steven Jones, NREMT P CLEMC

2 37 NORMAL 0.16 SECONDS 0.08 SECONDS SINUS BRADYCARDIA

3 IRREGULAR VARIABLE IN MORPHOLOGY VARIABLE 0.08 SECONDS WANDERING ATRIAL PACEMAKER

4 125 NORMAL 0.12 SECONDS 0.08 SECONDS SINUS TACHYCARDIA

5 LY IRREGULAR NORMAL 0.16 SECONDS 0.08 SECONDS SINUS ARRHYTHMIA

6 60 NORMAL 0.16 SECONDS 0.08 SECONDS PAUSE SINUS ARREST

7 75 NORMAL 0.16 SECONDS 0.08 SECONDS SINOATRIAL BLOCK

8 IRREGULAR POLYMORPHIC VARIABLE 0.06 SECONDS ECTOPICS MULTIFOCAL ATRIAL TACHYCARDIA

9 IRREGULARLY IRREGULAR NO DISCERNIBLE P WAVES 0.04 SECONDS TRADEMARK IRREGULARITIES ATRIAL FIBRILLATION

10 65 SAWTOOTH PATTERN UNDERMINABLE 0.08 SECONDS 4:1 CONDUCTION = AR 260 ATRIAL FLUTTER

11 UNDERLYING IS REGULAR 100 UNDERLYING NORMAL UNDERLYING 0.12 SECONDS 0.08 SECONDS SUDDEN IN SA CONDUCTION PAROXYSMAL ATRIAL TACHYCARDIA

12 V 35 / A 75 NOT MARRIED TO QRS 0.28 SECONDS 3 rd DEGREE AV BLOCK (CHB)

13 V 25 / A - 68 CONSTANT AND NORMAL PROLONGED 0.28 SECONDS 0.20 SECONDS DROPPED QRS DO NOT MARCH 2 nd DEGREE AV BLOCK TYPE II

14 47 INCREASINGLY PROLONGING PROLONGED AND VARIABLE 0.12 SECONDS DROPPED QRS SEGMENTS 2 nd DEGREE AV BLOCK TYPE I

15 60 NORMAL PROLONGED 0.36 SECONDS 0.08 SECONDS 1 st DEGREE AV BLOCK

16 IRREGULAR Underlying is Regular Underlying Rate is 68 RETROGRADE to NORMAL 0.12 WHERE PRESENT 0.08 SECONDS INVERTED (RETROGRADE) P WAVES JUNCTIONAL ESCAPE RHYTHM

17 136 INVERTED P WAVES 0.12 SECONDS 0.06 SECONDS JUNCTIONAL TACHYCARDIA

18 100 NORMAL Except for Ectopic 0.16 SECONDS 0.12 SECONDS PJC 7 th Beat SINUS RHYTHM WITH PREMATURE JUNCTIONAL CONTRACTION

19 78 NORMAL 0.12 SECONDS 0.24 SECONDS WIDENED QRS SINUS RHYTHM w/bbb

20 94 NORMAL WHERE PRESENT 0.12 SECONDS 0.12 SECONDS PVC Every Other Beat SINUS RHYTHM w/ BIGEMINY PVC s

21 170 WIDE AND BIZZARE VENTRICULAR TACHYCARDIA

22 IRREGULAR VARIABLE VARIABLE POLYMORPHIC TORSADE de POINTES

23 IRREGULAR UNATAINABLE NOT APPARENT CHAOTIC ELETRICAL ACTIVITY VENTRICULAR FIBRILLATION

24 30 NO P WAVE 0.24 WIDE REGULAR QRS IDIOVENTRICULAR RHYTHM

25 ASYSTOLE

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