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Exam Focus: EKG strips
The Exam has passing score of 90%
55 Questions and Answers
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Key points
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, 1. Normal sinus rhythm:
Regular Rate: 60-100
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
**Description**: Normal sinus rhythm indicates that the heart's electrical impulses
are originating from the sinoatrial (SA) node, which is the natural pacemaker of the
heart. This rhythm is characterized by a consistent heart rate, recognizable P waves
before each QRS complex, a normal PR interval, and a narrow QRS complex,
indicating healthy conduction through the ventricles. Normal sinus rhythm is the
ideal rhythm for the heart and reflects normal physiological function.
Key points about normal sinus rhythm:
Regular rhythm: The intervals between heartbeats (RR intervals) are consistent.
Rate: Falls within the range of 60-100 beats per minute.
P wave: Present and upright in most leads, indicating normal atrial depolarization.
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, PR interval: The time between the onset of the P wave and the start of the QRS complex,
typically measuring between 0.12-0.20 seconds.
QRS complex: Represents ventricular depolarization, with a duration less than 0.12 seconds.
2. Sinus Bradycardia:
Regular Rate: <60
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
**Description**: Sinus bradycardia is a type of rhythm where the heart beats slower
than normal, with a heart rate of less than 60 bpm. It originates from the sinoatrial
(SA) node, as indicated by the presence of upright P waves before each QRS
complex. The PR interval remains within the normal range, suggesting normal
atrioventricular (AV) conduction. The QRS complexes are narrow, indicating that
ventricular depolarization is occurring normally. Sinus bradycardia can be a normal
physiological response in athletes or during sleep, but it can also indicate underlying
issues such as enhanced vagal tone or medications affecting heart rate. In some
cases, it may require further evaluation or treatment, especially if it leads to
symptoms.
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,Key points about this ECG interpretation:
Sinus rhythm: The electrical impulse originates from the sinus node, which is the normal
pacemaker of the heart.
Bradycardia: The heart rate is below 60 beats per minute.
Normal P waves: A P wave is seen before each QRS complex, indicating normal atrial
depolarization.
Normal PR interval: The time between the onset of the P wave and the beginning of the QRS
complex falls within the normal range (0.12-0.20 seconds).
Normal QRS duration: The QRS complex is narrow, indicating rapid ventricular depolarization.
Possible causes of sinus bradycardia:
Increased vagal tone (e.g., during deep breathing or in athletes)
Certain medications (beta-blockers, calcium channel blockers)
Hypothyroidism
Low body temperature
Elevated intracranial pressure
3. Sinus Tachycardia:
Regular Rate: 100-150
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
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