b b b b b b
normal sinus rhythm
b b
heart rhythm originating in the sinoatrial node with a rate in patients at rest
b b b b b b b b b b b b b b
of 60 to 100 beats per minute
b b b b b b b
Sinus Arrhythmia
b
Appearance is ALMOST NORMAL:
Respiratory – Circulatory interaction
Rate INCREASES with INSPIRATION (IN=IN)
b b b b
Sinus Bradycardia
b
<60
normal sinus rhythm
b b
,Sinus Tachycardia
b
>100 (100-150)
normal sinus rhythm b b
Premature Atrial Contraction (PAC) b b b
Heart Rate: Depends on underlying
rhythm Regularity: Interrupts the regularity of unde
b b b b b b b b b b b
rlying rhythm P- b b b
Wave: can be flattened, notched, or unusual. May be hidden within the T
b b b b b b b b b b b b
wave
PRI: measures between .12-
b b b
.20 seconds and can be prolonged; can be different
b b b b b b b b from
other complexes QRS: <.12 seconds b b b
Sinus Arrest/Pause
b
– SA node doesn’t fire
– notice absence of P- b b b
wave for a complete cycle (a missed cycle) length of pause ≠ multiple
b b b b b b b b b b b b b
of normal rate (block)
b b b
, Atrial Fibrillation (A-Fib)
b b
an irregular and often very fast heart rate originating from abnormal condu
b b b b b b b b b b b
ction in the atria
b b b
Atrial Flutter
b
irregular beating of the atria; often described as “a-
b b b b b b b b
flutter with 2 to 1 block or 3 to 1 block”
b b b b b b b b b b
Junctional Rhythm b
40-60 Regular!
-impulse from AV node w/ retro/antegrade transmission
– P wave often inverted/buried/follow QRS
– slow rate
– narrow QRS (not wide like ventricular)
b b b b b
Junctional Tachycardia b
>60 bpm (ms. K; 150-250)
– KEY: will be regular (consistent)