ecg 2 Flashcards
first degree AV block
wide PR interval
second degree AV block type I
aka wenchebach
gradually widening PRI
then a beat drops
second degree AV block type II
AKA classic
set PRI interval
rate 30-100
with droped QRS
third degree heart block
variable PRI
P>QRS
QRS wide and slow (20-40)
P waves doing their own thing and QRS doing their own thing no communication
PVC
early beat originating from ventricles
absent P waves in the PVC
PVC unifocal
each PVC has the same morphology due to one ectopic site
PVC multifocal
more than one PVC appearance due to multiple ectopic sites within the ventricles
PVC bigeminy
patter of one PVC followed by a normal intrinsic beat
PVC trigeminy
patter of one PCV followed by two normal intrinsic beats
PVC couplets
two PVC in sequence
PVC triplets
three PVC in sequence
Premature ventricular complexes
three or more PVC’s in a row (considered non-sustained ventricular tachycardia if rate above 100) sometimes called salvo
ideoventricular rhythm
no P waves
20-40 bpm
QRS greater than 0.12 seconds-wide
ideoventricular rhythm meds to avoid
do not try antiarrhythmics
accelerated idioventricular rhythm
no p waves
rate 40-100
wide QRS