Practice EKG Strips 361

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Identify the following rhythms.

1.






a. Sinus rhythm with run of VT
b. Accelerated junctional rhythm with run of SVT
c. Atrial flutter with run of ST
d. Atrial fibrillation with run of VT

2.

a. Ventricular standstill
b. Agonal rhythm
c. Junctional rhythm
d. Complete heart block

3.

a. Sinus rhythm with couplets
b. Sinus rhythm with bigeminal PVCs
c. Sinus rhythm with multiform PVCs
d. Sinus rhythm with bigeminal PACs

4.

a. Normal sinus rhythm
b. Sinus bradycardia
b. First degree block
c. Accelerated junctional rhythm

5.








a. Polymorphic ventricular tachyardia
b. Multifocal atrial tachycardia
c. Monomorphic ventricular tachycardia
d. Supraventricular tachycardia


Answers

1. d. Atrial fibrillation with run of VT. The underlying rhythm is irregular. No P waves are seen, just some fibrillation between the QRS complexes.
2. b. Agonal rhythm.  The QRS complexes are wide an bizzare looking. The heart rate is about 18 bpm
3. b. Sinus rhythm with bigeminal PVCs
4. a. Normal sinus rhythm. The actual heart rate is about 68 bpm.
5. a. Polymorphic ventricular tachyardia

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