Float Nurse

Sinus rhythm with multifocal PVCs and non-conducted P waves.  The rhythm begins as sinus rhythm, complexes 1 - 6.  A multifocal couplet makes up complexes 7 and 8.  This is followed by a brief pause.  Next is a 4 beat run of polymorphic VT.  A P wave is seen before the first PVC of the run and in between the 10th and 11th complexes.  A nonconducted PAC follows the last complex of the run (12th complex). This is followed by a period of arrest.  Another nonconducted P wave is seen during the period of arrest.  A nonconducted PAC occurs after the 14th complex.  

Various Rhythms with Multifocal PVCs 1. Normal Sinus Rhythm with Multifocal PVCs 2. Atrial Flutter with Multifocal PVCs 3. Normal Sinus Rhythm with Multifocal PVCs 4. Normal sinus rhythm with multifocal PVCs 5. Normal sinus rhythm with multifocal PVCs 6. Sinus rhythm with multifocal PVCs 7. Sinus tachycardia with multifocal PVCs 8. Sinus rhythm with multifocal PVCs 9. Sinus rhythm with multifocal PVCs 10. Sinus rhythm with multifocal PVCs