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1. tachycardia and >100 bpm
bradycardia <60 bpm
2. Bigeminy every other complex is a PVC
3. Trigeminy pattern in which every third complex is a premature beat
4. Premature Junc- Rate: Normal or accelerated
tional Contrac- P wave: inverted or absent
tion (PJC) QRS: normal
Conduction: normal
rhythm: irregular: PICs occur early in cycle of baseline rhythm
-an ectopic pacemaker in the AV Junction produces PJC's
-may occur in heatlhy or diseased hearts
-if occasional, insignificant
5. Premature Atrial Heart Rate: Depends on underlying rhythm
Contraction (PAC) Regularity: Interrupts the regularity of underlying rhythm
P-Wave: can be flattened, notched, or unusual. May be hidden within the T wave
PRI: measures between .12-.20 seconds and can be prolonged; can be different
from other complexes
QRS: <.12 seconds
6. Characteristics Wide an bizarre QRS complex, greater than 100 beats per minute, absent P waves,
of Ventricular no PRI, can be monomorphic or polymorphic
Tachycardia
1/5
, SHARP ECG TEST
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7. SA node rate 60-100 bpm
8. AV node rate 40-60 bpm
9. Prukinje fiber 15-40bpm
rate
10. Accelerated Junc- regular rhythm, rate 60-100, p waves inverted or occur before during or after QRS,
tional Rhythm PRI measured if p before QRS <0.12
11. AV Blocks AV blocks are identified as a delay or interruption of the electrical impulse conduc-
tion beyond the AV node. It is evaluated by measuring the PR interval in ECG traces.
THE PR INTERVAL IS THE KEY OF DIFFERENTIATION AND CLASSIFICATION OF THE
AV BLOCKS!
12. First degree AV prolonged PR interval
block
13. Second Degree AKA Wenckebach
AV block type 1 Results from a cyclical and progressive conduction delay through the AV junction.
Characteristic cyclical lengthening of the PR interval followed by a dropped QRS (or
a P wave with no QRS).
Irregular Rhythm
14. Second Degree intermittent interruptions of AV conduction; *QRS's just drop off with no warning*
AV Block Type 2
15.
2/5