Exam 1 - Rhythms Flashcards
Rate - 60-100
Rhythm - Regular
P Wave - Present before each QRS
PR Interval - 0.12-0.20s (3-5 little boxes)
QRS Complex - < 0.12s (Narrow)
Normal Sinus Rhythm
Rate - Usually 60-100
Rhythm - Cyclically Irregular (Matched with Breath)
P Wave - Present before each QRS
PR Interval - 0.12-0.20s (3-5 little boxes)
QRS Complex - < 0.12s (Narrow)
Sinus Arrythmia
Rate - < 60
Rhythm - Regular
P Wave - Present before each QRS
PR Interval - 0.12-0.20s (3-5 little boxes)
QRS Complex - < 0.12s (Narrow)
Sinus Bradycardia
Rate - > 100
Rhythm - Regular
P Wave - Present before each QRS
PR Interval - 0.12-0.20s (3-5 little boxes)
QRS Complex - < 0.12s (Narrow)
Sinus Tachycardia
Rate - Any
Rhythm - Irregular
P Wave - Present, premature, abnormal in shape, still before QRS
PR Interval - 0.12-0.20s (3-5 little boxes)
QRS Complex - < 0.12s (Narrow)
*Followed by a compensatory pause.
Premature Atrial Contraction (PAC)
Special pattern of PAC where every other beat is a PAC
Atrial Bigeminy
Rate - < 100
Rhythm - Irregular
P Wave - Present, 3 or more morphologies; still before QRS
PR Interval - 0.12-0.20s (3-5 little boxes)
QRS Complex - < 0.12s (Narrow)
Wandering Pacemaker
Rate - > 100
Rhythm - Irregular
P Wave - Present, 3 or more morphologies, still before QRS
PR Interval - 0.12-0.20s (3-5 little boxes)
QRS Complex - < 0.12s (Narrow)
Multifocal Atrial Tachycardia (MAT)
Rate - Varies
Rhythm - Irregularly Irregular
P Wave - Fibriallary
PR Interval - Absent
QRS Complex - < 0.12s (Narrow)
Atrial Fibriallation
Rate - 150-250
Rhythm - Regular
P Wave - Appears “Absent”
PR Interval - Tough to Identify
QRS Complex - < 0.12s (Narrow)
Paroxysmal Supraventricular Tachycardia
or
Atrioventricular Nodal Re-entry Tachycardia
Rate - 40-60
Rhythm - Regular
P Wave - Absent, Retrograde, Inverted
PR Interval - < 0.20s (< 5 little boxes)
QRS Complex - < 0.12s (Narrow) or > 0.12s (Wide)
Junctional Rhythm
Rate - 60-100
Rhythm - Regular
P Wave - Absent, Retrograde, Inverted
PR Interval - < 0.20s (< 5 little boxes)
QRS Complex - < 0.12s (Narrow)
Accelerated Junctional Rhythm
Rate - 101-150
Rhythm - Regular
P Wave - Absent, Retrograde, Inverted
PR Interval - < 0.20s (< 5 little boxes)
QRS Complex - < 0.12s (Narrow)
Junctional Tachycardia
It may be hard to distinguish the difference between Junctional Tachycardia and PSVT/ANVRT.
Rate - 20-40
Rhythm - Regular
P Wave - Absent
PR Interval - N/A
QRS Complex - > 0.12s (Wide)
Idioventricular Rhythm (IVR)
Rate - > 40
Rhythm - Regular
P Wave - Absent
PR Interval - N/A
QRS Complex - > 0.12s (Wide)
Accelerated Idioventricular Rhythm (AIVR)