EKG Rhythm Strips 48

Identify the following rhythms


1.
 2.
3.
4.
5.








Answers


1.
AV paced with biventricular pacing








The rhythm is regular with a rate of 75/min.   Both atrial and biventricular pacer spikes are seen before the P waves and the QRS complexes.   PR:  .20 sec,  QRS:  .16 sec,  QT:  .48 sec.


2.
Atrial paced








The rhythm is regular.   The ventricular rate is 65/min.  An atrial pacing stimulus is seen before each P wave.  No ectopic beats are seen.  PR:  .20 sec,  QRS:  .08 sec,  QT:  .48 sec.


3.
Atrial paced










The rhythm is regular.   The heart rate is 60/min.  Atrial pacer spikes are seen before the P waves. No ectopic beats are seen.  The ST segment is isoelectric but the T wave is inverted.  PR:  .20 sec, QRS:  .08 sec,  QT:  .44 sec.


4.
Ventricular paced










The rhythm is regular with a ventricular rate of 68/min.  There are flutter/fibrillatory waves seen between the QRS complexes.   A ventricular pacing stimulus is seen before each QRS complex.  No ectopic beats are seen.   PR:  ---,  QRS:  ,16 sec.  QT:  .56 sec.


5.
Ventricular paced






The rhythm is regular with a rate of 75/min.   The P waves are wide, split, and precede the QRS complex.  Wide P waves suggest left atrial enlargement.   No ectopic beats are seen.   PR:  .16 sec, QRS:  . 12 sec,  QT:  .40 sec.


Reviewed 3/2/16

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