Practice EKG Rhythm Strips 166

Identify the following rhythms.

1.


2.


3.


4.

5.













Answers

1.
Complete heart block













The rhythm is regular.  The atrial rate is 65/min and the ventricular rate is 35/min.   There are upright P waves present but they are not associated with the QRS complexes.  No ectopic beats are noted.   PR:  ---,  QRS:  .16 sec,  QT:  .52 sec.

2.
Demand ventricular pacing













The rhythm is irregular because of the transition between demand pacing and the patient's own rhythm.   The rate is 80/min.   There are small upright P waves present and the PR interval is prolonged. No ectopic beats are noted.  PR:  .28 sec,  QRS .08 sec,  QT:  .32 sec.

3.
Supraventricular tachycardia


The rhythm is regular with a rate of 150/min.   No P waves are present.   No ectopic beats are seen.  PR:  ---  QRS:  .06 sec,  QT:  .28 sec.


4.
Bigeminy


The rhythm is irregular due to the PVCs.  The rate is 80/min.  There are upright P waves before the QRS complexes.  The 9th complex has an inverted P wave.   There are unifocal PVCs that occur every other beat.  The 9th complex is a junctional escape beat.  PR:  .08 sec,  QRS:  .12 sec,  QT:  .44 sec


5.
Atrial flutter with variable block


The rhythm is irregular.   The rate is 40/min.   There are flutter waves in between each QRS complex.   No ectopic beats are noted.  PR: ---, QRS:  .08 sec,  QT:  .44 sec.



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