EKG Rhythm Strips 49

Identify the following rhythms.


1.

2.

3.

4.

5.










Answers


1.
Junctional tachycardia








The rhythm is slightly irregular with a rate of 102/min.  The P waves are inverted and precede the QRS complex.   No ectopic beats are noted.   PR:  .16 sec,  QRS:  .08 sec,  QT:  .40 sec.


2.
Atrial fibrillation with rapid ventricular response










The rhythm is irregular.   The ventricular rate is 180/min.   No P waves are clearly seen.   There is some fibrillation noted between some of the complexes.    No ectopic beats are noted.  PR:  ---,  QRS:   .08 sec,  QT:  .26 sec.


3.
Accelerated idioventricular rhythm








The rhythm is regular.   The rate is 72/min.   No P waves are seen.   No ectopic beats are noted.  The QRS complex is wide.   The T waves are tall.   A wide slow rhythm with tall T waves suggests hyperkalemia.   PR:  ---,  QRS:  .20 sec,  QT:  .72 sec.


4.
1st degree AV block with unifocal PVCs and a couplet of PVCs








The rhythm is irregular due to the frequent ectopy.   P waves are present and upright.  The PR interval is prolonged.   Unifocal PVCs occur in singles and in a couplet.   PR:  .24 sec,  QRS:  16 sec,  QT:  .40 sec.


5.
Sinus arrhythmia with 1st degree block










The rhythm is irregular.   The rate is 70/min.   Positive P waves are seen and they are associated with a QRS complex.   The PR interval is prolonged.  No ectopic beats are noted.  PR:  .22 sec,  QRS:  .12 sec,  QT:  .36 sec.


Reviewed 3/2/16

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