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wetEIITetionNORMAL SINUS RHYTHM Pwaveatrialdepolarization
E IlSeoR P RintervalArconductiontime
T b 12 20sec 3 5boxesP 0mscomplexventriculardepolarization
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RHYTHM INTERPRETATION
ANV8BRADYCARDIAHeartRateshe0hpmRhythm Regularpwave BeforeeachQRSidenticalPRinterval 12 20SecQRS c12Secclinicalimplicationscausedbylackofsympatheticinputmedicationorphysicaltraining
SINUSTACHYCARDIAHeartRate toomomRhythm Regularpwave BefineeachoursidenticalPRinterval 12 toseeours c 12clinicalImplicationscausedbyademandforcardiacoutput
ATRlAVFWITERHeartRateA220 430bpm vfC300bpmrhythm RegularorvariumepwavesawtoothedappearancePRinterrae N1AORG s12clinicalimplicationscause8agecardiacconditions digoxin
sawtoothedPwaveistheclassicsignof toxicityrenalfailureatrialflutter 6seriousrhythmalthoughgame
potentialfordevelopingembolianticoagulanttherapy
ATRIAtFIBRILLATIONHeartRateA350650bpm v Slow rapidRhythm IrregularpWave Fibrillating finetocomePRinterrae N1AORG s12clinicalimplications sameasatrialAvner
rwavesareconsistentlyinconsistentmultipleectopicfocifiring
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VENTRICULARTACHYCARDIA
HeartRate s100bpmRhythm RegularpWave AbsentornotrelatedPRinterrae N1AARS Z12clinicalimplicationscausesischemia acuteMl CADhypertensiveheartdiseasemedicinetoxicity
stimulation isNOTfromtheSAnode sonopwave symptomslightheadednessdasyncopeweak9threadypulseEmergencysituation dwdypopMayprogresstov fibdadeathTxmedscardioversion defibrillation
VENTRICULARFIBRILLATION
HeartRate300600ppmRhythmextremelyirregularpwave absentPRinterrae N1AORGfibrillatingbaselineclinicalimplications
ASYSTOLEHeartRateAbsentRhythmAbsentpwave AbsentorpresentPRinterrae N1AOursAbsentclinicalimplications
1stDEGREEAvBlockHeartRate60 100bpmRhythmRegularpwave BeforeQRSidenticalPRinterval 20ORG s12
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PREMATUREATRIALCONTRACTION8HeartRateirregularrhythmregularpwave presentbutlook8abnormalmaybeburiedinprecedingewave
clinicalimplicationscausesemotionalstressesqinfectioncaffeinenicotinealcoholhypoxemiamyocardialischemiarheumaticheartdiseaseatrialdamage
PREMATURE VENTRICULAR CONTRACTION8Impulseinmyocardiumofoneoftheventricles
PVCCouplet HeartRateRhythmPwave absentPRinterraeORS wide4bizarreclinicalImplicationsskippedbeatcanbepalpatedwhencheckingpulsecoursescaffeinenicotine
protriplet stress1overexertionelectrolyteimbalanceacidbaseimbalancecardiacdiseasesirritationofmyocardium pharmacologicaltoxicity ischemiamostcommonventricularconductionabnormalitybenign1dangerous
proBigominy abnormalwave everyotherone isconcerningifventricularectopyincreaseswactivity9activity Mirritability
b3ormoreprosin arowventriculartachycardia
proTrigominy abnormalwave every3rdwave