EKG Rhythm Strips 39
Identify the following rhythms:
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5.
Answers.
1.
The rhythm is irregular with some PVCs. The heart rate is 90/min. Small upright P waves are present. Unifocal PVCs are seen every sixth beat. PR: .12 sec, QRS: .08 sec, QT: .36 sec.
2.
The rhythm is regular with a extremely wide QRS complex. No P waves are seen. PR: ---, QRS: .80 sec. QT: 1.32 sec.
3.
The rhythm is regular with a ventricular rate of 40/min. There are P waves that are not associated with a QRS complex. No ectopic beats are noted. PR: ---, QRS: .12 sec, QRS: .52 sec.
4.
The rhythm is irregular. The heart rate is 80/min. The P waves are positive and have a corresponding QRS complex. A multifocal couplet is seen. PR: .12 sec, QRS: .08 sec, QT: .40 sec.
5.
The rhythm is irregular with trigeminal PVCs. The rate is 80/min. The P waves are upright and are paired with QRS complexes. Unifocal PVCs are seen every third beat. A brief pause follows the PVCs. PR: .12 sec, QRS: .10 sec, QT: .40 sec.
Reviewed on 3/2/16
1.
2.
3.
4.
5.
Answers.
1.
NSR with unifocal PVCs |
The rhythm is irregular with some PVCs. The heart rate is 90/min. Small upright P waves are present. Unifocal PVCs are seen every sixth beat. PR: .12 sec, QRS: .08 sec, QT: .36 sec.
2.
Agonal rhythm |
The rhythm is regular with a extremely wide QRS complex. No P waves are seen. PR: ---, QRS: .80 sec. QT: 1.32 sec.
3.
3rd degree heart block |
The rhythm is regular with a ventricular rate of 40/min. There are P waves that are not associated with a QRS complex. No ectopic beats are noted. PR: ---, QRS: .12 sec, QRS: .52 sec.
4.
NSR with a couplet of multifocal PVCs |
The rhythm is irregular. The heart rate is 80/min. The P waves are positive and have a corresponding QRS complex. A multifocal couplet is seen. PR: .12 sec, QRS: .08 sec, QT: .40 sec.
5.
NSR with trigeminy |
The rhythm is irregular with trigeminal PVCs. The rate is 80/min. The P waves are upright and are paired with QRS complexes. Unifocal PVCs are seen every third beat. A brief pause follows the PVCs. PR: .12 sec, QRS: .10 sec, QT: .40 sec.
Reviewed on 3/2/16
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