1. Atrial Flutter -has a "saw tooth or picket fence"
atrial pattern (no P waves, F-waves in stead
that may be in a ratio) between the QRS
complexes.
2. Atrial Fibrillation-Has "chaotic" atrial electrical
activity (no P waves, f-waves instead) with
irregular R-R inter- vals.
3. PJCs cause the rhythm to be irregular. The P
wave is inverted if it can be seen. It may
occur before, during or after the QRS. The P
wave will not be seen due to its low voltage.
4. Junctional Rhythm may have an inverted or
absent P wave. The P wave may occur before,
during or after the QRS complex. The rate for
this rhythm is 40-60 bpm.
5. Accelerated Junctional Rhythm may have an
inverted or absent P wave. The P wave may
occur before, during or after the QRS complex.
The rate for this rhythm is 60-100 bpm.
6. Junctional Tachycardia Rhythm may have an
inverted or absent P wave. The P wave may
occur before, during or after the QRS complex.
The rate for this rhythm is 100-180 bpm
7. Supraventricular Tachycardia presents with a
"nor- mal-narrow" appearing QRS complex
and a rate of greater than 150 bpm.
Remember for heart rates ap- proaching 150
or higher, it will be very likely that the P wave will
be buried. Be prepared to increase the paper
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, EKG Strips Test Questions With Solutions 2026
speed for this rhythm.
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