Practice EKG Rhythm Strips 128

Identify the following rhythms.

1.


2.


3.


4.


5.














Answers

1.
Atrial fibrillation














The rhythm is irregular.   The rate is 80/min.   There are no P waves before each QRS complex,  only fibrillatory waves.   No ectopy is noted.   PR:  ---   QRS:  .10 sec,  QT:  .32 sec.

2.
Demand pacing
The rhythm is irregular.   Underlying rhythm of atrial fibrillation with some demand biventricular paced beats.   There are two pacer spikes that preceed the QRS complex on the paced beats.

3.
Junctional rhythm














The rhythm is regular.   The calculated rate is 53/min.   The P waves are absent.  No ectopy is noted.   PR:  ---,   QRS:   .10 sec,   QT:  .36 sec

4.
Normal sinus rhythm with 1st degree block













The rhythm is regular.   The calculated rate is 75/min.   There are upright P waves before each QRS complex.  The P waves are wide suggesting a left atrial enlargement.   No ectopic beats are noted.   PR:  .22 sec,   QRS:  .08 sec,  QT:  .44 sec.

5.
Normal sinus rhythm with a PAC









The underlying rhythm is irregular except for the premature beat.   The calculated rate is 100/min.  Low voltage P waves are present and upright.   The 7th complex is a premature atrial complex.  It has an upright  P wave that differs in shape and voltage from the sinus P waves.   It is followed by a brief pause.  PR:  .20 sec,  QRS:  .08 sec,  QT:  .38 sec.







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