EKG Rhythm Strips 46

Identify the following rhythms

1.

2.

3.

4.
 5.






Answers


1.
Normal sinus rhythm








The rhythm on this strip is regular with a heart rate of 79/min.   P waves are upright, uniform, and are followed by a QRS complex.   No ectopic beats are noted.  PR:  .16 sec,  QRS:  .12 sec,  QT:  .44 sec.


2.
Sinus tachycardia with unifocal PVCs and a couplet of PVCs








The heart rhythm is regular.   The rate is 115/min.   The P waves are upright and precede the QRS complex.  The P waves are wide suggesting left atrial enlargement.  Single unifocal PVCs and a couplet of PVCs is seen.  PR:  .16 sec,  QRS:  .12 sec,  QT:  .32 sec.


3.
Normal sinus rhythm with unifocal PVCs









The rhythm is irregular due to the ventricular ectopy.   The rate is 108/min.   The P waves are positive and have a corresponding QRS complex.   Unifocal PVCs are seen.   PR:  .12 sec,  QRS:  .08 sec,  QT:  .40 sec.


4.
Ventricular paced







The rhythm is regular with a ventricular rate of 68/min.   No P waves are seen though so fibrillation is seen between the QRS complexes.  No ectopic beats are noted.  PR:  ---,  QRS:  .16 sec,  QT:  .44 sec.


5.
Wide complex tachycardia









The rhythm is regular.   The heart rate is 166/min.  The P waves are not seen.   If present, they are hidden in the T wave of the previous complex.   No ectopic beats are noted.  PR:  ---,  QRS:  .16 sec,  QRS:  .40 sec.


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