ak

pl e

Rh yt hm

em

ia lC om

Ta ch y

ac

lB lo ck

yt hm

At r

Si nu s

At r

tri

tri

ic

ul ar Ta c

ia

al

al

ia

lP

hy

(S

VT )

er

hy

dy

W an de rin g

fo rm

fo rm

Fl ut te

Ar re s

Dy sr

Ta c

Br a

en tr

ur e

al

at

Su pr av

Si no at

Si nu s

Si nu s

Si nu s

Si nu s

No rm

al

ul ti

ul ti

At ri

Rhythm Atrial Regular Ventricular Regular Rate 60-100 bpm Atrial Equal Ventricular Equal Regular Regular 100-150 bpm Equal Equal Regular Regular <60 bpm Equal Equal

varies by 0.12 Irregular with respirations Irregular with respirations 60-100 bpm Equal Equal

Regular Varies due pause Varies due pause Regular Varies due pause Varies due pause

Premature beats Regular Regular 60-100bpm Irregular Irregular 60-100bpm Irregular Irregular >100 bpm Irregular Irregular 60-100bpm Regular Regular >150 bpm Ventricular Irregular Ventricular Irregular 350-400 bpm

250-350 bpm Variable Variable

P Waves PR Interval 0.12-0.20 Consistency March out

Uniform/Upright 0.12-0.20 March out

Uniform/Upright 0.12-0.20 March out

Uniform/Upright 0.12-0.20 March out

DO NOT MARCH Do march out 0.12-0.20 Appears irregular, but marches out

Premature P will differ from regular P 0.12-0.20

Must see 3 different P 0.12-0.20 Variable

Must see 3 different P 0.12-0.20 Variable

Must see 3 different P 0.12-0.20 Variable

May not see if rate is too fast, hidden in T Not measurable

Saw toothed flutter Not measurable

None Not measurable

QRS Complex Example:

0.04-0.10

0.04-0.10

0.04-0.10

0.04-0.10

0.04-0.10

0.04-0.10

0.04-0.10

0.04-0.10

0.04-0.10

0.04-0.10

0.04-0.10

0.04-0.10

Normal

Sinus Tachy

Sinus Brady

Dysrythmia

Sinus Arrest
*Note: Impulse is not generated, therefore the whole thing needs to restart

SAB
*Note: impulse is there, it is just blocked, therefore skip QRS, but it starts up again in same rhythm

PAC

MAT

WAP

SVT

a-flutter

a-fib

*Note: Pacemaker varies and other areas of atrium are firing, usually due to SA node slowing

At ri

Pr e

al

Fi b

ria