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Name That Rhythm

Sinus Bradycardia (SB). Normal except HR<60. V-paced. Spike before the QRS. What's the Difference Between Heart Blockage

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Name That Rhythm

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    1. Name That Rhythm!

    3. V-paced

    4. What’s the Difference Between Heart Blockage & Block?

    5. Idioventricular Rhythm Ventricular beats, but… at a slow rate

    6. Pulseless Electrical Activity (PEA) Normal rhythm, but… No Pulse*

    7. Mobitz I: Wenkebach PR interval gradually longer until a QRS is dropped Pattern repeats

    8. Every second beat is a PVC

    9. Atrial Fibrillation (Afib) Irregular No definable P waves unable to count the # of waves

    10. Premature Ventricular Contraction (PVC)

    11. Normal Values Heart Rate:

    12. Couplet

    13. Failure to Capture Pacer spike is fired, but no beat follows

    14. Mobitz II PR interval consistent except some QRS missing

    15. Normal Sinus Rhythm (NSR) Rhythm is normal Rate normal 60-100 PR normal .12-.20 QRS normal < .11

    16. Junctional Rhythm No P wave or PR < .12

    17. Pause Period of no electrical activity, then resumes

    18. 6 Beats of VT

    19. Paroxysmal Atrial Tachycardia (PAT) Sudden rate change > 150 bpm QRS shape is similar before & after rate change

    20. 1 ş AVB PR interval >.20

    21. Sinus Tachycardia (ST) Normal except HR >100 bpm

    22. Ventricular Tachycardia (VT) Ventricular beats (wide QRS’s) Rate > 150 bpm

    23. Sinus Arrhythmia (SA) Normal except irregular

    24. Asystole No electrical activity

    25. Trigeminy

    26. 3rd Degree AV Block (3ş AVB) Atria & ventricles act independently Regular P waves Regular QRS complexes But…P waves and QRS not working together PR interval varies (but not in Wenkebach pattern) Harmful -- patient needs a pacemaker soon!

    27. Torsades de Pointes A form of VTach which looks like the rhythm strip is twisting

    28. Steps to Interpret Rhythms 1. Are the beats at regular or irregular intervals apart? 2. Do you see P, QRS, T pattern?

    29. A-paced

    30. Mobitz II PR regular except some QRS are dropped

    31. Atrial Flutter Numerous P waves that you can count

    32. Premature Beats PVC PJC PAC

    33. Wenkebach PR gradually longer until QRS dropped

    34. Ventricular Fibrillation (VF) Squiggly line

    35. Failure to Sense Heart is beating just fine, but pacemaker fires anyway Spikes are not in a consistent place before P or QRS --seen in many different places

    37. Wandering Atrial Pacemaker (WAP) P waves vary in shape (at least 3 different P waves)

    38. 3ş AVB PR interval varies, but not in Wenkebach pattern

    39. Premature Beats

    40. Bundle Branch Blocks (BBB)

    41. AV-paced

    42. Premature Junctional Contraction (PJC) Early beat No P wave or PR interval is <.12

    43. First Degree AV Block (1ş AVB) PR interval > .20

    45. Paroxysmal Supraventricular Tachycardia (PSVT) Sudden rate change >150 bpm QRS may look different after rate change

    46. Types of AV Blocks

    47. Premature Atrial Contraction (PAC) Early beat Normal PR interval

    49. VT VFib Asystole Torsades PEA

    50. WAY TO GO! You’re catching on!

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