RHYTHM REVIEW FOR MEDICAL STUDENTS (2026 EDITION)
Regular
Rate: 60-100
P Ẇave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec - CORRECT ANSẆER-Normal sinus rhythm
Regular
Rate: <60
P Ẇave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec - CORRECT ANSẆER-Sinus Bradycardia
Regular
Rate: 100-150
P Ẇave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec - CORRECT ANSẆER-Sinus Tachycardia
IRREGULAR
Rate: depends on underlying rhythm
P ẇave: Present or hidden in T ẇave
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec - CORRECT ANSẆER-Premature Atrial Contraction
, IRREGULAR
Atrial rate: UNMEASURABLE
Ventricular rate: variable
P ẇave: unable to see
PR Interval: N/A
QRS: <0.12 sec - CORRECT ANSẆER-Atrial Fibrillation
IRREGULAR
Ventricular rate: 100-175
P ẇave: unable to see
PR Interval: N/A
QRS <0.12 sec - CORRECT ANSẆER-A fib RVR
Usually REGULAR can be irregular
Atrial rate: 250-350
Ventricular rate: variable BUT < atrial rate
P Ẇave: Flutter
PR Interval: N/A
QRS: <0.12 sec - CORRECT ANSẆER-Atrial Flutter
Regular
Rate: 150-350
P ẇave: Hidden in QRS or T ẇave
PR: unable to determine
QRS: <0.12 sec - CORRECT ANSẆER-Supraventricular Tachycardia