Sinus Bradycardia
-rate <60/min
-rhythm: regular/slightly irregular
Sinus Tachycardia
-rate: 101-150
-rhythm: regular
Sinus Arrhythmia
-rate: usually 60-100
-rhythm: SLIGHTLY irregular
Sinus Arrest
-rate: 60-100
-rhythm: irregular
-random pauses, pause is NOT the same distance as other R-R intervals
Sinus Block
-rate: 60-100
-rhythm: irregular
-pause is equal to or a multiple of distance between R-R interval
PAC
-rhythm is normal except for PAC
-p wave is different than other ones & upwards
-narrow QRS
Atrial Tachycardia (AKA SVT)
-rate 151-220 +
-rhythm: regular
-narrow QRS
A Flutter
-F waves/sawtooth
-rhythm: regular or irregular
A Fib
-QRS with squiggles
-IRREGULARLY IRREGULAR
PJC
-hidden/inverted p wave
-narrow QRS
PVC
-no P wave
-WIDE/bizzare QRS
Junctional Rhythm
-rate: 40-60
-hidden/no p wave/inverted p wave
-usually regular rhythm
Accelerated Junctional
-rate: 61-100
-hidden/no p wave/inverted p wave
-usually regular rhythm
Junctional Tachycardia
-rate: 40-60
-hidden/no p wave/inverted p wave
-usually regular rhythm
1st degree AV block
-rate can be normal or slow
-rhythm: normal
**PR INTERVAL > 0.20 (longer)
-QRS, p wave, QT interval normal
2nd degree AV block TYPE 1
-Kissing P’s
-longer, longer, longer drop
-rhythm is usually irregular
-narrow QRS
2nd degree AV block TYPE 2
-Kissing P’s
-when PR interval is present, it is consistent (normal or prolonged)
-QRS narrow or wide
3rd degree AV block
LETHAL!!!
-kissing P’s
-PR interval is NEVER consistent, no pattern in presentation
-no communication between atria and ventricles
Idioventricular Rhythm
-rate 20-40
-no p wave
-narrow QRS
-can have inverted T wave
Accelerated Idioventricular Rhythm
-rate 41-100
-no p wave
-narrow QRS
-can have inverted T wave
V Tach
LETHAL
-gravestones
Polymorphic V Tach
LETHAL
-twisting gravestones, torsades
V fib
LETHAL
defib
squiggles
PEA
LETHAL
no pulse, any rhythm