Documente Academic
Documente Profesional
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BY
Dr.Kashif
CALCULATION OF HEART RATE
After checking the label, speed and ECG standard
move to the rate and rhythm lead ( lead II ) which is
given as a long strip at the end.
A. RULE OF 10 SECOND
B. RULE OF 6 SECONDS
C. RULE OF 3 SECOND
Disorders of rhythm
SINUS TACHYCARDIA
In this the impulse originates in SA node so it is also
sinus rhythm.
But the firing rate of SA node is increased to more than
100. So the heart rate is more than 100 beats per minute.
There is no other abnormality in ECG except the fast
heart rate.
SINUS TACHYCARDIA
SINUS BRADYCARDIA
In this rhythm also the impulse originates from SA NODE
SO IT IS Sinus rhythm.
Firing rate of SA node is decreased below 60. So heart rate
is also less than 60 beats per minute.
There is no other abnormality in ECG except heart rate less
than 60 beats per minute
Sinus bradycardia
SINUS ARRYHTYHMIA
Rhythm strip of ECG shows variation in rhythm with
different phases of respiration
During inspiration the heart rate is increased while during
expiration heart rate is decreased.
Therefore during inspiration rhythm is fast and during
expiration rhythm is slow. This variation in ECG rhythm
with respiration is called as Sinus arrhythmia
Expiration inspiration
Sinus Arrhythmia
Inspiration Expiration
PREMATURE BEATS OR EXTRASYSTOLES
Any part of heart other than SA node may discharge an
occasional impulse This part is called as ectopic focus and
beat which is produced by it is called as premature beat.
TYPES OF PREMATURE BEATS
JPC
VPC
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