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ECG Interpretation Exam

ANSWER KEY: 1. Regularity: irregular PRI: .20 QRS: <.12 T Waves: upright Ventricular Rate: approx. 80 P Waves: upright ST Segment: normal R yt m Inter!retati"n: sinus arrhythmia / sinus arrhythmia with aberrancy #. Regularity: irregular PRI: .20 QRS: <.12 T Waves: upright Ventricular Rate: approx. 90 P Waves: upright ST Segment: depressed R yt m Inter!retati"n: ventricular bigeminy / sinus rhythm with bigeminal !" $. Regularity: regular PRI: changing QRS: #.12 T Waves: upright Ventricular Rate: approx. $0 P Waves: upright ST Segment: n/a R yt m Inter!retati"n: % degree heart bloc& / complete heart bloc& %. Regularity: regular PRI: .20 QRS: <.12 T Waves: upright Ventricular Rate: approx. 1$0 P Waves: upright ST Segment: depressed R yt m Inter!retati"n: sinus tachycardia &. Regularity: regular PRI: changing QRS: <.12 T Waves: n/a Ventricular Rate: approx. '8 P Waves: multiple( upright ST Segment: n/a R yt m Inter!retati"n: atrial )lutter / atrial )lutter with %*1 bloc& '. Regularity: regular PRI: can+t see QRS:can+t see T Waves: can+t see Ventricular Rate: approx. '8 P Waves: can+t see ST Segment: depressed R yt m Inter!retati"n: arti)act (. Regularity: regular PRI: n/a QRS: <.12 T Waves: upright Ventricular Rate: approx. '0 P Waves:a)ter ,-. ST Segment: normal R yt m Inter!retati"n: /unctional / accelerated /unctional ). Regularity: regular PRI: .20 QRS: <.12 T Waves: upright Ventricular Rate: approx. 02 P Waves: upright( extra ST Segment: depressed R yt m Inter!retati"n: 2 degree 1ype 22 heart bloc& / 3obit4 22 heart bloc& *. Regularity: regular PRI: none QRS: #.12 T Waves: n/a Ventricular Rate: approx. 2$ P Waves: none ST Segment: n/a R yt m Inter!retati"n: idioventricular 1+. Regularity: irregular Ventricular Rate: approx. 80 PRI: .20 QRS: <.12 T Waves: upright P Waves: upright ST Segment: normal

R yt m Inter!retati"n: sinus rhythm with 5"+s / atrial bigeminy 11. Regularity: irregular PRI: 6.20 QRS: <.12 T Waves: upright Ventricular Rate: approx. '$ P Waves: upright ST Segment: normal R yt m Inter!retati"n: sinus rhythm with 1 degree 5! 7loc& / 1 degree heart bloc& 1#. Regularity: regular PRI: .20 QRS: <.12 T Waves: upright Ventricular Rate: approx. 8$ P Waves: upright ST Segment: normal R yt m Inter!retati"n: sinus rhythm with 9" 1$. Regularity: regular PRI: .20 QRS: #.12 T Waves: upright Ventricular Rate: approx. 82 P Waves: upright ST Segment: depressed R yt m Inter!retati"n: sinus rhythm with sinus arrest and 777 1%. Regularity: regular PRI: none QRS: #.12 T Waves: n/a Ventricular Rate: approx. 180 P Waves: none ST Segment: n/al R yt m Inter!retati"n: ventricular tachycardia / v:tach 1&. Regularity: regular PRI: .20 QRS: <.12 T Wave s: upright Ventricular Rate: approx. 02 P Waves: upright ST Segment: depressed R yt m Inter!retati"n: sinus bradycardia 1'. Regularity: regular PRI: changes QRS: <.12 T Waves: upright Ventricular Rate: approx. 90 P Waves: changes ST Segment: depressed R yt m Inter!retati"n: wandering pacema&er / wandering atrial pacema&er 1(. Regularity: regular PRI: none QRS: #.12 T Waves: upright Ventricular Rate: approx. '0 P Waves: none ST Segment: elevated R yt m Inter!retati"n: ventricular pacing / v:pacing 1). Regularity: irregular PRI: longer( longer QRS: <.12 T Waves: upright Ventricular Rate: approx. $0 P Waves: extra ST Segment: depressed R yt m Inter!retati"n: 2 degree type 2 / 3obit4 2 / ;en&ebach 1*. Regularity: regular PRI: <.12 QRS: #.12 T Waves: upright Ventricular Rate: approx. 100 P Waves: inverted ST Segment: normal R yt m Inter!retati"n: /unctional tachycardia with 777 #+. R yt m Inter!retati"n: 1orsades de ointed / 1orsades #1. R yt m Inter!retati"n: asystole / ventricular standstill / ventricular asystole ##. R yt m Inter!retati"n: agonal rhythm #$. Regularity: irregular PRI: none QRS: none T Waves: n/a

Ventricular Rate: approx. %00 P Waves: none ST Segment: n/a R yt m Inter!retati"n: ventricular )ibrillation / v:)ib #%. Regularity: irregular PRI: none QRS: <.12 T Waves: upright Ventricular Rate: approx. '0 P Waves: none ST Segment: normal R yt m Inter!retati"n: atrial )ibrillation / a:)ib controlled ventricular response #&. Regularity: regular PRI: none QRS: #.12 T Waves: upright Ventricular Rate: approx. '0 P Waves: none ST Segment: n/a R yt m Inter!retati"n: av pacema&er / dual chamber pacema&er #'. Regularity: regular PRI: <.20 QRS: #.12 T Waves: inverted Ventricular Rate: approx. '' P Waves: upright ST Segment: elevated R yt m Inter!retati"n: sinus rhythm with 777 #(. R yt m Inter!retati"n: ventricular pacing with )ailure to sense #). Regularity: regular PRI: none QRS: <.12 T Waves: upright Ventricular Rate: approx. 180 P Waves: none ST Segment: normal R yt m Inter!retati"n: atrial tachycardia / supraventricular tachycardia / .!1 #*. R yt m Inter!retati"n* ventricular pacing with )ailure to pace $+. R yt m Inter!retati"n* extreme elevated .1 / acute 32

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