Thursday, October 31, 2013

Basic EKG Rhythm Test 13

Identify the following rhythms.


1.


2.













3.













4.


5.













6.












7.


8.













9.


10.


11.













12.


13.


14.













15.


16.


17.


18.


19.


20.














21.


22.


23.


24.


25.


26.














27.


28.


29.


30.


31.


32.













33.


34.


35.
















Answers


1.     Atrial flutter
2.     Atrial paced
3.     1st degree block
4.     Normal sinus rhythm with couplets
5.     Normal sinus rhythm with PACs
6.     2nd degree AV block type I
7.     Ventricular tachycardia
8.     Wandering atrial pacemaker
9.     Biventricular paced
10.   Atrial fibrillation with rapid ventricular response
11.   Sinus arrhythmia
12.   Normal sinus rhythm with a triplet of PVCs
13.   2nd degree heart block type II with a PVC
14.   Dual paced
15.   Sinus tachycardia
16.   Accelerated idioventricular rhythm
17.   Normal sinus rhythm with bigeminal PVCs
18.   Complete heart block
19.   Sinus bradycardia with a pause
20.   Sinus bradycardia
21.   Accelerated junctional rhythm
22.   Agonal rhythm
23.   Demand ventricular paced
24.   NSR with a PAC and a dropped PAC
25.   Supraventricular tachycardia
26.   Torsades de pointe
27.   Asystole with dual pacer spikes failing to capture
28.   Asystole
29.   Accelerated junctional rhythm
30.   Junctional rhythm
31.   Ventricular fibrillation
32.   Ventricular paced
33.   P wave asystole
34.   Junctional tachycardia
35.  Atrial fibrillation with slow ventricular response




Wednesday, October 30, 2013

Practice EKG Rhythm Strips 219

Identify the following rhythms.

1.

2.


3.


4.

5.















Answers

1.
Accelerated idioventricular rhythm













The rhythm is regular with a rate of 48/min.   No P waves are seen.  The QRS is wide, suggesting a ventricular origin for the rhythm.  There are no ectopic beats.  PR:  ---,  QRS:  .12 sec,  QT:  .38 sec.   Interpretation:  Accelerated idioventricular rhythm

2.
 Normal sinus rhythm with unifocal PVCs











The rhythm is irregular.  The rate is 90/min.  There are upright P waves associated with a QRS complex.   The are two unifocal PVCs present.   PR:  .16 sec,  QRS:  .08 sec,  QT:  .38 sec.   Interpretation:   Normal sinus rhythm with unifocal PVCs


3.
 P wave asystole












The rhythm is regular with a rate of 57/min.   P waves are present but there are not corresponding QRS complexes, there is no ventricular activity.   Interpretation:   P wave asystole or ventricular standstill.


4.
Ventricular paced rhythm with underlying atrial fibrillation













The rhythm is regular with a rate of 62/min.   No P waves are seen, just some fibrillation between the QRS complexes.   A ventricular pacer spike precedes each QRS complex.  No ectopic beats are noted.   PR:  ---,  QRS:  .16 sec,  QT:  .44 sec.  Interpretation:   Ventricular paced rhythm

5.
Ventricular tachycardia








The rhythm is regular.  The rate is 136/min.   No P waves are seen.   The QRS complex is wide which points toward a ventricular origin for this rhythm.   No ectopic beats are noted.   PR:  ---,  QRS:  .16 sec,  QT:  .36 sec.   Interpretation:  Ventricular tachycardia.   

Tuesday, October 29, 2013

Practice EKG Rhythm Strips 218

Identify the following rhythms.

1.

2.


3.


4.


5.














Answers

1.
Sinus arrhythmia











The rhythm is irregular.   The rate is 70/min.   There are uniform, upright P waves before each QRS complex.  No ectopic beats are noted.  PR:  . 20 sec,  QRS:  .08 sec,  QT:  .38 sec.   Interpretation:  Sinus arrhythmia

2.
 Sinus rhythm with a pause












The rhythm is irregular.   The heart rate is 100/min.   The P waves are positive and precede each QRS complex.   There is a 1.08 second sinus pause that follows the 3rd complex.  No ectopic beats are noted.   PR:  .12 sec,  QRS:  .08 sec,  QT:  .32 sec.   Interpretation:   Sinus rhythm with a pause

3.
Sinus bradycardia with sinus arrhythmia













The rhythm is irregular.   The rate is 50/min.   P waves are present, upright, and associated with a QRS complex.  The PR interval is prolonged.  No ectopic beats are noted.  PR:  .22 sec,  QRS:  .08 sec,  QT:  .40 sec.   Interpretation:   Sinus bradycardia with sinus arrhythmia

4.
 Sinus bradycardia












The rhythm is regular with a rate of 53/min.   The P waves are paired with a QRS complex.  No ectopic beats are seen.   PR:  .18 sec,  QRS:  ..10 sec,  QT:  .40 sec.   Interpretation:  Sinus bradycardia

5.
Normal sinus rhythm








The rhythm is regular with a heart rate of 100/min.   The P waves are upright and have a corresponding QRS complex.   No ectopic beats are seen.   PR:  .16 sec,  QRS:  .08 sec,  QT:  .28 sec.   Interpretation:  Normal sinus rhythm