EKG Rhythm Strips 52

Identify the following rhythms.

1.


2.





3.

4.

5.










Answers


1.
Bradycardia with sinus arrhythmia








The rhythm is irregular.   The rate is 42/min.  The P waves are upright and precede the QRS complex.   No ectopic beats are seen.   PR:  .12 sec,  QRS:  .08 sec,  QT:  .60 sec.


2.
1st degree block with a PVC










The rhythm is irregular due to the PVCs.   The rate is 68/min.  The P waves are associated with a QRS complex.  Notice that the morphology of the P waves changes as you progress through the rhythm.  The are initially very positive and towards the end of the strip take on a biphasic characteristic.  A single PVC is seen.   PR:  .22 sec,  QRS:  .08 sec.  QT:  .44 sec.


3.
AV paced with biventricular pacing








The rhythm is regular with a rate of 75/min.   Both atrial and biventricular paced beats are present. No ectopic beats are noted.  PR:  .20 sec.  QRS:  .16 sec,  QT:  .48 sec.


4.
Junctional rhythm with ventricular trigeminy
The rhythm is irregular due to the PVCs.   The rate is 60/min.   The P waves are absent.  Unifocal PVCs are seen every third beat.  PR;  ---,  QRS;  .10 sec,  QT:  .36 sec,


5.
Wandering atrial pacemaker










The rhythm is irregular with frequent PACs.   The ventricular rate is 70/min.  The P waves are upright and precede the QRS complexes.  There are at least three P waves of differing morphology as well as some variation in the PR interval, a characteristic of wandering atrial pacemaker.  PR:  .12/.22/.24 sec.  QRS:  .18 sec,  QT:  .60 sec.


Reviewed 3/2/16

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