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Various Agonal Rhythms 1. Agonal Rhythm 2. Agonal Rhythm 3. Agonal Rhythm 4. Agonal Rhythm 5. Agonal Rhythm 6. Agonal Rhythm 7. Agonal Rhythm 8. Agonal Rhythm 9. Agonal Rhythm 10. Agonal rhythm with CVP waveform 11. Agonal Rhythm 12. Agonal rhythm 13. Agonal rhythm 14. 15.

Identify the following rhythms. 1. 2. 3. 4. 5. Answers 1. 1st degree AV block with a PVC The rhythm is irregular with a PVC.   The heart rate is 60/min.    The P waves are upright and are associated with a QRS complex.   The PR interval is prolonged.    A single PVC is present.   PR:  .44 sec.  QRS:  .16 sec,  QT:  .50 sec. 2. Agonal rhythm The rhythm is irregular.    The rate is 20/min.   No P waves are seen.   The QRS complex is wide suggesting a rhythm of ventricular origin.   PR:  ---,  QRS:  .20 sec,  QT:  .56 sec.   3. Atrial fibrillation with slow ventricular response The rhythm is irregular with a rate of 40/min.    No P waves are seen.   Some fibrillation is present...

Identify the following rhythms. 1. 2. 3. 4. 5. Answers 1. 1st degree block with a PVC The rhythm is irregular due to the PVC.   The rate is 60/min.    The P waves are upright and precede the QRS complexes.   The PR interval is prolonged.   There is a single PVC present.  PR:  .36 sec,  QRS:  .08 sec,  QT:  .40 sec. 2. Agonal rhythm The rhythm may be regular or irregular.   The rate is 20/min.    No P waves are present.   The QRS complexes are wide suggesting a ventricular origin to the rhythm.   PR:  ---,  QRS:  .20 sec,  QT:  .52 sec. 3. Atrial fibrillation  The rhythm is irregular with a heart rate of 100/min.   The P waves are absent.   There are flutter waves seen between the QRS complex,  seen more clearly in the V1 lead.  No ectopic beats are noted.  PR:  ---,  QRS:  ...

Identify the following rhythms. 1. 2. 3. 4. 5. Answers 1. Agonal rhythm The rhythm is irregular.  The rate is 20/min.  No atrial activity is present.   The QRS complex is wide, bizzare looking, and slow. 2. Biventricular paced The rhythm is regular with a heart rate of 94/min.   The P waves are uniform, upright, and precede the QRS complexes.   There are biventricular pacer spikes seen before each QRS complex.  No ectopic beats are noted.  PR:  .12 sec,  QRS: .12 sec,  QT:  .40 sec. 3. Atrial fibrillation with slow ventricular response The rhythm is irregular with a ventricular rate of 30/min.   The R-R interval between the 1st and 2nd complexes is 1.68 sec and the R-R interval between the 2nd and 3rd complex is 1.52 sec.  No P waves are present but there looks like some small flutter waves present in the V1 lead, t...

Identify the following rhythms. 1. 2. 3. 4. 5. Answers 1. Agonal rhythm  No P waves are present.  The QRS is wide and the rate is very slow in this bradyasystolic rhythm. 2. Atrial fibrillation with slow ventricular response. The rhythm is irregular with a ventricular rate of 160/min.   No P waves are present but some some fibrillation is seen between the QRS complexes as the rate slows down.   No ectopic beats are seen.  PR:  ---,  QRS:  .08 sec,  QT:  .28 sec. 3. 3rd degree heart block  The rhythm is irregular.   The ventricular rate is 33/min and the atrial rate is 115/min.   The P waves are not associated with the QRS complexes.  The QRS complexes are wide suggesting a ventricular escape rhythm.   A single PVC is seen, the 2nd complex.  PR:  ---,  QRS:  .12 sec,  QT:  .56 sec. 4. Junctional tachycardia The r...