Rhythm Disorders Flashcards
What is sinus rhythm?
p wave followed by QRS (1:1)
rate is regular and normal
R-R interval is the same
What is sinus bradycardia?
p wave followed by QRS
rate is regular and slow
could be healthy, medication or vagal stimulation
What is sinus tachycardia?
p wave followed by QRS
rate is regular and fast
often physiological
What is sinus arrhythmia?
p wave followed by QRS
rate is irregular + normalish
RR interval varies with breathing cycle
What is atrial fibrillation?
oscillating baseline
irregular rhythm
slow rate
atria not necessary for cardiac cycle
The turbulent blood flow in atrial fibrillation can increase the risk of what?
clots
What is atrial flutter?
regular saw tooth pattern in baseline (II, III, avF)
atrial:ventricular beats at least 2:1 maybe more
saw tooth pattern not visible in all leads
What is 1st degree heart block?
prolonged PR interval
regular rhythm
most benign heart block but a progressive disease of aging
PR prolongation in 1st degree heart block is caused by?
slower AV conduction
What is 2nd degree heart block (Mobitz I)?
gradual prolongation of PR interval until beat skipped
most p waves followed by QRS
regularly irregular
Mobitz I also called? What is it caused by?
Wenckebach
diseased AV node
What is 2nd degree heart block (Mobitz II)?
p waves regular but only some followed by QRS
no PR prolongation
regularly irregular
can deteriorate quickly to 3rd degree
What is 3rd degree (complete) heart block?
P/QRS are regular but no relationship
p waves may be hidden in bigger vectors
truly non sinus rhythm
What is ventricular tachycardia?
hidden p waves
rate is regular and fast
can deteriorate into fibrillation (cardiac arrest)
Is ventricular tachycardia a shockable rhythm?
yes