APEX EKG TESTED UPDATED QUESTIONS AND ANSWERS
RATED A+
✔✔Premature Atrial Contraction (PAC) - ✔✔early beat with a different shaped P wave
✔✔Premature Atrial Contraction (PAC) Rate - ✔✔60-100
✔✔Premature Atrial Contraction (PAC) rhythm - ✔✔irregular due to ectopic beat
✔✔Premature Atrial Contraction (PAC) P waves - ✔✔upright P waves
✔✔Premature Atrial Contraction (PAC) PR interval - ✔✔typically 0.12-0.20
✔✔Premature Atrial Contraction (PAC) QRS Complex - ✔✔less than 0.12
✔✔Supraventricular Tachycardia (SVT)/Atrial tachycardia - ✔✔rate 160-240, p wave, if
present, different than sinus
✔✔Supraventricular Tachycardia (SVT)/Atrial tachycardia rate - ✔✔160-240
✔✔Supraventricular Tachycardia (SVT)/Atrial tachycardia rhythm - ✔✔regular
✔✔Supraventricular Tachycardia (SVT)/Atrial tachycardia P waves - ✔✔appears
different than sinus p waves if present
✔✔Supraventricular Tachycardia (SVT)/Atrial tachycardia PR interval - ✔✔0.12-0.20
when p wave present
✔✔Supraventricular Tachycardia (SVT)/Atrial tachycardia QRS Complex - ✔✔less than
0.12
✔✔a flutter - ✔✔sawtooth p waves
✔✔A flutter rate - ✔✔220-350
✔✔A flutter rhythm - ✔✔usually regular
✔✔A flutter p waves - ✔✔p waves replaced by flutter or f waves
✔✔A flutter PR interval - ✔✔not discernable
✔✔A flutter QRS complex - ✔✔less than 0.12
, ✔✔a fib - ✔✔wavy baseline
✔✔A fib rate - ✔✔greater than 400
✔✔A fib rhythm - ✔✔irregularly irregular
✔✔A fib p wave - ✔✔replaced with fibrillation line
✔✔A fib PR interval - ✔✔not measureable
✔✔A fib QRS complex - ✔✔less than 0.12
✔✔Premature Junctional Complex - ✔✔early beat with P wave absent, inverted
✔✔Premature Junctional Complex (PJC) rate - ✔✔depends on rhythm
✔✔Premature Junctional Complex (PJC) rhythm - ✔✔irregular
✔✔Premature Junctional Complex (PJC) P waves - ✔✔absent, inverted, before or after
QRS complex
✔✔Premature Junctional Complex (PJC) PR interval - ✔✔less than 0.12
✔✔Premature Junctional Complex (PJC) QRS complex - ✔✔less than 0.12
✔✔Junctional - ✔✔p wave inverted, absent or after QRS
✔✔Junctional rate - ✔✔40-60
✔✔Junctional rhythm - ✔✔regular
✔✔Junctional p waves - ✔✔inverted, absent or after QRS
✔✔Junctional PR interval - ✔✔if present, less than 0.12
✔✔Junctional QRS complex - ✔✔less than 0.12
✔✔Accelerated Junctional - ✔✔faster than junctional, p wave inverted, absent, buried
✔✔Accelerated Junctional rate - ✔✔61-100
✔✔Accelerated Junctional rhythm - ✔✔regular
RATED A+
✔✔Premature Atrial Contraction (PAC) - ✔✔early beat with a different shaped P wave
✔✔Premature Atrial Contraction (PAC) Rate - ✔✔60-100
✔✔Premature Atrial Contraction (PAC) rhythm - ✔✔irregular due to ectopic beat
✔✔Premature Atrial Contraction (PAC) P waves - ✔✔upright P waves
✔✔Premature Atrial Contraction (PAC) PR interval - ✔✔typically 0.12-0.20
✔✔Premature Atrial Contraction (PAC) QRS Complex - ✔✔less than 0.12
✔✔Supraventricular Tachycardia (SVT)/Atrial tachycardia - ✔✔rate 160-240, p wave, if
present, different than sinus
✔✔Supraventricular Tachycardia (SVT)/Atrial tachycardia rate - ✔✔160-240
✔✔Supraventricular Tachycardia (SVT)/Atrial tachycardia rhythm - ✔✔regular
✔✔Supraventricular Tachycardia (SVT)/Atrial tachycardia P waves - ✔✔appears
different than sinus p waves if present
✔✔Supraventricular Tachycardia (SVT)/Atrial tachycardia PR interval - ✔✔0.12-0.20
when p wave present
✔✔Supraventricular Tachycardia (SVT)/Atrial tachycardia QRS Complex - ✔✔less than
0.12
✔✔a flutter - ✔✔sawtooth p waves
✔✔A flutter rate - ✔✔220-350
✔✔A flutter rhythm - ✔✔usually regular
✔✔A flutter p waves - ✔✔p waves replaced by flutter or f waves
✔✔A flutter PR interval - ✔✔not discernable
✔✔A flutter QRS complex - ✔✔less than 0.12
, ✔✔a fib - ✔✔wavy baseline
✔✔A fib rate - ✔✔greater than 400
✔✔A fib rhythm - ✔✔irregularly irregular
✔✔A fib p wave - ✔✔replaced with fibrillation line
✔✔A fib PR interval - ✔✔not measureable
✔✔A fib QRS complex - ✔✔less than 0.12
✔✔Premature Junctional Complex - ✔✔early beat with P wave absent, inverted
✔✔Premature Junctional Complex (PJC) rate - ✔✔depends on rhythm
✔✔Premature Junctional Complex (PJC) rhythm - ✔✔irregular
✔✔Premature Junctional Complex (PJC) P waves - ✔✔absent, inverted, before or after
QRS complex
✔✔Premature Junctional Complex (PJC) PR interval - ✔✔less than 0.12
✔✔Premature Junctional Complex (PJC) QRS complex - ✔✔less than 0.12
✔✔Junctional - ✔✔p wave inverted, absent or after QRS
✔✔Junctional rate - ✔✔40-60
✔✔Junctional rhythm - ✔✔regular
✔✔Junctional p waves - ✔✔inverted, absent or after QRS
✔✔Junctional PR interval - ✔✔if present, less than 0.12
✔✔Junctional QRS complex - ✔✔less than 0.12
✔✔Accelerated Junctional - ✔✔faster than junctional, p wave inverted, absent, buried
✔✔Accelerated Junctional rate - ✔✔61-100
✔✔Accelerated Junctional rhythm - ✔✔regular