EKG III / IV Flashcards
P wave inversions can be normal in what leads
aVR and V1
sinus arrhythmia can be normal in what population
young and healthy
describe the rate, rhythm, and P waves in sinus arrest
- rate: changing
- rhythm: irregular
- P waves: one for every QRS, has >2second pause
how is a PAC identified
- EARLY P wave
- abnormal P wave (differs in shape from sinus P wave)
- QRS complex is normal and narrow
if every other beat is a PAC, this is known as _____
bigeminy
if every third beat is a PAC, this is known as _____
trigeminy
PACs in paired beats is known as a ____
couplet
describe the rate, rhythm, and P waves in multifocal atrial tachycardia
- rate: >100 bpm
- rhythm: irregularly irregular
- P waves vary
what are the characteristics of SVT
- rate: 16-250 bpm
- rhythm: regular
- P: difficult to distinguish from T waves
- QRS: NARROW
what are the characteristics of atrial flutter
- rate: ~300 bpm
- rhythm: regular
- QRS: normal
- NO visible PR int, T waves, ST segments
“saw tooth” pattern is seen in _____
atrial flutter
acute A-fib lasts _____
< 48 hours
chronic A-fib lasts ____
at least 1 month
what are the characteristics of A-fib
- rhythm: irregularly irregular
- P: NO discernable Pw
- chaotic isoelectric line
what is controlled, rapid, and slow Af-b
- controlled: 70-110 bpm
- rapid: > 120-130 bpm
- slow: < 60 bpm