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EKG Rhythms & Causes Practice Questions, Answers and Study Guide 2026

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Master EKG Rhythms and Their Causes with this comprehensive practice resource featuring rhythm identification, ECG interpretation, and key clinical concepts. Designed for nursing students, paramedics, EMTs, and healthcare professionals, this study guide helps you understand common cardiac rhythms, underlying causes, and essential EKG concepts needed for exams, ACLS preparation, and clinical practice.

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EKG Rhythms & causes
EKG Rhythms & causes
Study online at https://quizlet.com/_hox0mr

1. Normal Sinus Rhythm


2. Sinus Bradycardia
Regular rhythm
HR <60bpm
Causes: sleep, hypothermia, hypothyroidism

3. Sinus tachycardia
Regular rhythm
HR 101-180bpm
Causes: exercise, fever, pain, anxiety, caffeine

4. Premature atrial contractions (PACs)
interrupts underlying rhythm
Causes: emotional stress, tobacco, alcohol, caffeine,
hypoxia, hyperthyroidism, CPOD

5. Atrial Flutter
Sawtooth patter
Causes: HTN, chronic lung disease, hyperthyroidism,
cardiomyopathy

6. Atrial Fibrillation
Causes: HF, pericarditis, alcohol intoxication, caffeine,
stress

7. Supraventricular Ventricular Tachycardia (SVT)
FAST- usually >160bpm
Causes: COPD, HF, stimulant drug use (meth, cocaine),
intense physical exertion

8. Junctional
HR: 40-60bpm
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, EKG Rhythms & causes
EKG Rhythms & causes
Study online at https://quizlet.com/_hox0mr

P waves: may follow QRS, be inverted, or absent
Causes: HF, cardiomyopathy, inferior MI, rheumatic
heart disease

9. 1st degree AV block
PR interval >0.2 sec
Causes: rheumatic fever, vagal stimulation

10. 2nd Degree AV Block (Mobitz 1 or Wenckebach)
Successively longer PR intervals until one QRS fails
(drops a beat)
Causes: Digoxin & B-Blockers

11. 2nd Degree AV Block (Mobitz II)
PR intervals do not lengthen
Causes: rheumatic heart disease, CAD, drug toxicity

12. 3rd Degree AV Block
No association between atria & ventricles
Causes: myocarditis, cardiomyopathy,


13. Premature Ventricular Contraction (PVC)
Wide ventricular complex
Causes: Stress, nicotine, caffeine

14. Ventricular Tachycardia (V Tach)
HR: 150-250 ventricular bpm
Causes: significant electrolyte imbalances, drug toxic-
ity

15. Ventricular Fibrillation (V Fib)
HR: immeasurable

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