ch 9 junctional rhythms

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The ECG Course Adam Thompson, EMTP, BAS Chapter 9 Junc;onal Rhythms

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Page 1: Ch 9   junctional rhythms

The ECG Course

Adam  Thompson,  EMT-­‐P,  BAS  

Chapter  9  Junc;onal  Rhythms  

Page 2: Ch 9   junctional rhythms

Junctional Rhythms

Page 3: Ch 9   junctional rhythms

Junctional Rhythm

•  Rate:  40  -­‐  60  bpm  •  Rhythm:    Regular  •  P  wave:  none,  antegrade,  or  retrograde  •  P:QRS  ra;o:  1:1  or  retrograde  •  PR-­‐interval:  None,  short,  or  retrograde  •  QRS  Width:  <  120  ms  (0.12  sec)  

Page 4: Ch 9   junctional rhythms

Accelerated Junctional Rhythm

•  Rate:  60  –  100  bpm  •  Rhythm:    Regular  •  P  wave:  none,  antegrade,  or  retrograde  •  P:QRS  ra;o:  1:1  or  retrograde  •  PR-­‐interval:  None,  short,  or  retrograde  •  QRS  Width:  <  120  ms  (0.12  sec)  

Page 5: Ch 9   junctional rhythms

Junctional Rhythm

•  Rate:  >  100  bpm  •  Rhythm:    Regular  •  P  wave:  none,  antegrade,  or  retrograde  •  P:QRS  ra;o:  1:1  or  retrograde  •  PR-­‐interval:  None,  short,  or  retrograde  •  QRS  Width:  <  120  ms  (0.12  sec)  

Page 6: Ch 9   junctional rhythms

Junctional Rhythms

Page 7: Ch 9   junctional rhythms

Junctional Rhythms

Page 8: Ch 9   junctional rhythms

Junctional Rhythms

Page 9: Ch 9   junctional rhythms

Junctional Rhythms

Page 10: Ch 9   junctional rhythms

Junctional Rhythms

Page 11: Ch 9   junctional rhythms

Supraventricular Tachycardia

Page 12: Ch 9   junctional rhythms

Supraventricular Tachycardia

•  Rate:  Usually  >  150  bpm  •  Rhythm:    Regularly  Regular  •  P  wave:  none  or  retrograde  •  P:QRS  ra;o:  1:1  or  retrograde  •  PR-­‐interval:  None  •  QRS  Width:  <  120  ms  (0.12  sec)  

Page 13: Ch 9   junctional rhythms

Supraventricular Tachycardia

Types  of  SVT  •  AV  Nodal  Reentry  Tachycardia  •  Atrioventricular  Reentry  Tachycardia  

Page 14: Ch 9   junctional rhythms

SVT

Page 15: Ch 9   junctional rhythms

SVT

Page 16: Ch 9   junctional rhythms

SVT

Page 17: Ch 9   junctional rhythms

SVT

Page 18: Ch 9   junctional rhythms

Tachycardias

Sinus Tach

MAT

Ectopic A-Tach

Junctional

AVNRT/AVRT

A-Flutter

P  

P  

P  

P  

P  

F   F   F   F  

P   F  P-­‐Wave   FluVer  Wave    

Page 19: Ch 9   junctional rhythms

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