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Appearance Narrow QRS and slow rate Rate < 60 Special Note All parts of the ECG are seen In a symptomatic patient, treatment may require immediate pacing or atropine
Appearance Wide complex embedded within almost any normal rhythm Rate Variable Special Note On its own, does not require treatment. Treat underlying rhythm only.
Supraventricular Tachycardia
Appearance Very fast with narrow QRS Rate > 160 Special Note Notice how the P waves are hidden due to the fast rate (compared to sinus tachycardia) Stable patient: valsalva, followed by adenosine Unstable patient: immediate synchronized cardioversion
Ventricular Tachycardia
Appearance Wide and fast Rate Variable Special Note Treatment will depend on whether patient is stable or not
Ventricular Fibrillation
Appearance Erratic and variable Rate Fast and irregular Special Note Non-perfusing rhythm requiring immediate defibrillation and CPR
Asystole
Appearance Flat wave with no visible complexes Rate 0 Special Note Always check for pulse and equipment malfunction before making final decision of rhythm analysis