EKG Rhythm Strips 70

Identify the following rhythms


1.

a.  Atrial paced with demand ventricular pacing
b.  Ventricular paced with demand biatrial pacing
c.  AV paced with demand biventricular pacing
d.  Biventricular paced with demand atrial pacing


2.
a.  Atrial paced
b.  Ventricular paced
c.  AV paced
d.  Biventricular paced


3.





a.  Normal sinus rhythm with multifocal PVCs
b.  Sinus bradycardia with an occasional PVC
c.  Sinus arrhythmia with an occasional PVC
d.  Sinus rhythm with sinus arrest and occasional PVCs


4.

a.  Normal sinus rhythm
b.  Sinus bradycardia
c.  Sinus arrhythmia
d.  Sinus rhythm with 1st degree AV block


5.






a.  Atrial paced
b.  Ventricular paced
c.  AV paced
d.  Biventricular paced


Answers

1.   d.  Biventricular paced with demand atrial pacing
The rhythm is regular with a rate of 60/min.   The P waves are upright and precede a QRS complex.  There are both atrial paced and sinus P waves present.   No ectopic beats are seen.  There are biventricular pacer spikes before each QRS complex.   PR:  .08 sec,  QRS:  .16 sec,  QT:  .52 sec.

2.   a.  Atrial paced
The rhythm is regular.   The rate is 60/min.   P waves are present, upright, and preceded by an atrial pacer spike.  No ectopic beats are seen.   PR:  .28 sec,  QRS:  .08 sec,  QT:  .40 sec.

3.   c.  Sinus arrhythmia with an occasional PVC
The rhythm is irregular due to the ectopy.   The rate is 70/min.  The P waves are upright and have and a corresponding QRS complex.   There are two ectopic beats, an interpolated PVC which is quickly followed by a PAC or some kind of supraventricular complex.  The width of the QRS complex is much narrower and there appears to be a P wave within the T wave of the PVC.   PR: .20 sec,  QRS:  .10 sec,  QT:  .38 sec

4.   b.  Sinus bradycardia
The rhythm is regular with a ventricular rate of 43/min.   The P waves are upright and precede the QRS complexes.   No ectopic beats are present.  PR:  .18 sec,  QRS:  .12 sec,  QRS:  .44 sec.

5.   b.  Ventricular paced
The rhythm is regular with a rate of 75/min.   No P waves or ectopic beats are seen.  A ventricular pacing stimulus is seen before each QRS complex.   PR:  ---,  QRS:  .16 sec,  QT:  .44 sec.


Reviewed 3/6/16

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