NSR Parameters

Rate

60 - 100 bpm
Regularity
regular
P waves
normal
PR interval
0.12 - 0.20 s
QRS duration
0.04 - 0.12 s
Any deviation from above is sinus tachycardia,
sinus bradycardia or an arrhythmia

Rhythm #1
2

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

30 bpm
regular
normal
0.12 s
0.10 s

Interpretation? Sinus Bradycardia

ACLS - Dr.Erfan

11/14/15

Rhythm #2
3

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

130 bpm
regular
normal
0.16 s
0.08 s

Interpretation? Sinus Tachycardia

ACLS - Dr.Erfan

11/14/15

Rhythm #3
4

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

70 bpm
occasionally irreg.
2/7 different contour
0.14 s (except 2/7)
0.08 s

Interpretation? NSR with Premature Atrial

11/14/15
Contractions

ACLS - Dr.Erfan

Rhythm #4
5

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

60 bpm
occasionally irreg.
none for 7th QRS
0.14 s
0.08 s (7th wide)

Interpretation? Sinus Rhythm with 1 PVC

ACLS - Dr.Erfan

11/14/15

Rhythm #5
6

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

100 bpm
irregularly irregular
none
none
0.06 s

Interpretation? Atrial Fibrillation

ACLS - Dr.Erfan

11/14/15

Rhythm #6
7

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

70 bpm
regular
flutter waves
none
0.06 s

Interpretation? Atrial Flutter

ACLS - Dr.Erfan

11/14/15

Rhythm #7

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

70-----148 bpm
Regular regular
Normal none
0.16 s none
0.08 s

Interpretation? Paroxysmal Supraventricular

Tachycardia (PSVT)

Rhythm #8
9

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

160 bpm
regular
none
none
wide (> 0.12 sec)

Interpretation? Ventricular Tachycardia

ACLS - Dr.Erfan

11/14/15

Rhythm #9
10

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

none
irregularly irreg.
none
none
wide, if recognizable

Interpretation? Ventricular Fibrillation

ACLS - Dr.Erfan

11/14/15

Rhythm #10
11

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

60 bpm
regular
normal
0.36 s
0.08 s

Interpretation? 1st Degree AV Block

ACLS - Dr.Erfan

11/14/15

Rhythm #11
12

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

50 bpm
regularly irregular
nl, but 4th no QRS
lengthens
0.08 s

Interpretation? 2nd Degree AV Block, Type I

ACLS - Dr.Erfan

11/14/15

Rhythm #12
13

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

40 bpm
regular
nl, 2 of 3 no QRS
0.14 s
0.08 s

Interpretation? 2nd Degree AV Block, Type II

ACLS - Dr.Erfan

11/14/15

Rhythm #13
14

Rate?
Regularity?
P waves?
PR interval?
QRS duration?

40 bpm
regular
no relation to QRS
none
wide (> 0.12 s)

Interpretation? 3rd Degree AV Block

ACLS - Dr.Erfan

11/14/15

JUNCTIONAL RHYTHM

IDIOVENTRICULAR RHYTHM

SINGLE-CHAMBER PACEMAKER
RHYTHMVENTRICULAR

WOLFF-PARKINSON-WHITE (WPW) SYNDROME

LOOSE ELECTRICAL CONNECTION

11/14/15

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