ECGs Flashcards
What is an Ectopic Beat?
Beat that originates from a site other than the sinus node (Sinoatrial Node)
Sinus Bradycardia Rate?
40 - < 60 bpm
(Everything else on EKG strip Normal)
Rate for Sinus Tachycardia?
> 100 - 160 bpm
(Everything else is normal on strip)
What is a Premature Atrial Contraction? Characteristics?
Originate from the Atria but not from the SA node
- Abnormal looking P wave
- May have Compensatory Pause
What is Paroxysmal Supraventricular Tachycardia?
Sudden Occurrence.
- Fast and Narrow
- Difficult to distinguish origin of each beat
What is Atrial Flutter? What can this imply?
- Rapid Atrial Depolarization
- Saw-Tooth Appearance
- Always implies Heart Disease
What is Atrial Fibrillation?
- Wavy baseline, no clear P’s, Irregular
- Most common rhythm after sinus rhythm
- Irregularly Irregular
- Rapid Atrial Depolarization
What is a Premature Junctional Contraction? Characteristics?
Ectopic pacemaker sit in the AV node (junction)
- P wave inversion, precede, follow or be hidden within the QRS complex
Normal instances in which ectopic beats (PACs or PJCs) can occur?
- Stress
- Nicotine
- Caffeine
What is junctional rhythm?
Arrhythmia originating at the AV junction (40 - 60 bpm)
- when impulses from the SA node fail to reach the AV node, this rhythm almost immediately takes over
Heart Block Poem
Characteristics of a First-Degree AV Block?
- Equal but long PR intervals >.20 seconds
- No dropped beats
“If the R is far from the P, then you have a first degree”
Second Degree AV Block (Mobitz I or Wenckebach)
- PR interval progressively lengthens, impulse then completely blocked.
“Longer, Longer, Longer drop. Then you have a Wenckebach”
Second Degree Heart Block Mobitz II
- Sudden blocked P waves without variation or prolongation of the PR interval
“If some P’s don’s get through, then you have a Mobitz II”
3rd Degree AV Block
- P wave completely blocked
- QRS complexes originate independently below the junction
- No relationship between P waves and QRS
- STOP EXERCISE
“If the Ps and Qs don’t agree then you have a 3rd Degree”
What is a PVC?
Ectopic Beat originating from the ventricles.
- Wide and Bizarre QRS complex
- Usually will have a complete compensatory pause