Basic Dysrhythmia hb
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hb
1. Sinus Rhythm: 60-100bpm hb hb
Present P-wave
hb hb
PRI 0.12-0.20 seconds
hb hb
QRS 0.12> seconds
hb hb
2. Sinus Bradycardia: 40-60bpm hb hb
Present P-wave
hb hb
PRI 0.12-0.20 seconds
hb hb
QRS 0.12> seconds
hb hb
3. Sinus Tachycardia: 100-160bpmhb hb
Present P-wave
hb hb
PRI 0.12-0.20 seconds
hb hb
QRS 0.12> seconds
hb hb
4. Sinus arrhythmia: Irregular hb hb
Normal or slow
hb hb hb
Present P-Wave hb
PRI 0.12-0.20 seconds
hb hb
QRS 0.12> seconds
hb hb
5. Sinus Arrest/Exit block: Regular rhythm w/ pause
hb hb hb hb hb hb
P-wave not seen until next complex
hb hb hb hb hb hb
6. Atrial Fibrillation (A-Fib): Grossly irregular
hb hb hb hb
400< ventricular varies
hb hb hb
Wavy P-wave hb
PRI not measureable
hb hb
QRS 0.12> seconds
hb hb hb
7. Atrial Flutter: Regular or Irregular
hb hb hb hb
250-400 (depending on
hb hb hb
conduction) "Saw-tooth" P-waves
hb hb hb
PRI not measureable
hb hb
QRS 0.12> seconds
hb hb hb
8. Paced Atrial: "Spike" before P-wave
hb hb hb hb
9. 1° AVB: Rate determined by rhythm
hb hb hb hb hb
1 P-wave to each QRS
hb hb hb hb hb
PRI prolonged >0.20 seconds
hb hb hb
QRS 0.10>
hb hb
10. 2° AVB Type I (Wenkebach): "Long, Long, Longer, Dropped... then you have a
hb hb hb hb hb hb hb hb hb hb hb hb
Wenkebach"
hb
Persistent P-waves until not included hb hb hb hb
1 hb/
hb5
, Basic Dysrhythmia hb
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hb
PRI progressively lengthen
hb hb
QRS 0.10>
hb hb
11. 2° AVB Type II (Mobitz): Irregular ventricular
hb hb hb hb hb hb
P-wave before each QRS until no QRS
hb hb hb hb hb hb hb
PRI normal until no QRS
hb hb hb hb
QRS 0.10>
hb hb
2° AVB 2:1: Every other beat has a lone P-wave
hb hb hb hb hb hb hb hb hb
12.
13. 3° AV Block (Complete Heart Block): P-save has no relation to
hb hb hb hb hb hb hb hb hb hb
QRS PRI varies greatly
hb hb hb hb
QRS normal-wide hb
14. Bundle Branch Block (BBB): Rate determined by hb hb hb hb hb hb
rhythm Normal P-wave
hb hb hb
PRI 0.12-0.20
hb
QRS wide 0.12< hb hb
Bigeminy: every other beat is premature hb hb hb hb hb hb
15. beat
Trigeminy: pattern in which every third complex is a premature hb hb hb hb hb hb hb hb hb hb
16.
17. Premature Atrial Contraction (PAC): Irregular hb hb hb hb
Rate determined by rhythm
hb hb hb hb
P-wave is premature and abnormally sized
hb hb hb hb hb
PRI 0.12-0.20 seconds
hb hb hb
QRS <0.12 secondshb hb
18. Premature Junctional Contraction (PJC): Irregular hb hb hb hb
Rate determined by rhythm
hb hb hb hb
P-wave is premature and abnormally sized
hb hb hb hb hb
PRI can be prolonged
hb hb hb hb
QRS narrow hb
19. Junctional Rhythm (Junctional Escape Rhythm): 40-60bpm hb hb hb hb hb
Absent P-wave
hb hb
PRI not measureable
hb hb
QRS 0.12> seconds
hb hb hb
20. Junctional Tachycardia: >100bpm hb hb
Inverted/Absent P-wave
hb hb
PRI not measureable
hb hb
QRS <0.12
hb hb
21. Accelerated Junctional: 60-100bpm hb hb
Inverted/Absent P-wave
hb hb
2 hb/
hb5
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hb
1. Sinus Rhythm: 60-100bpm hb hb
Present P-wave
hb hb
PRI 0.12-0.20 seconds
hb hb
QRS 0.12> seconds
hb hb
2. Sinus Bradycardia: 40-60bpm hb hb
Present P-wave
hb hb
PRI 0.12-0.20 seconds
hb hb
QRS 0.12> seconds
hb hb
3. Sinus Tachycardia: 100-160bpmhb hb
Present P-wave
hb hb
PRI 0.12-0.20 seconds
hb hb
QRS 0.12> seconds
hb hb
4. Sinus arrhythmia: Irregular hb hb
Normal or slow
hb hb hb
Present P-Wave hb
PRI 0.12-0.20 seconds
hb hb
QRS 0.12> seconds
hb hb
5. Sinus Arrest/Exit block: Regular rhythm w/ pause
hb hb hb hb hb hb
P-wave not seen until next complex
hb hb hb hb hb hb
6. Atrial Fibrillation (A-Fib): Grossly irregular
hb hb hb hb
400< ventricular varies
hb hb hb
Wavy P-wave hb
PRI not measureable
hb hb
QRS 0.12> seconds
hb hb hb
7. Atrial Flutter: Regular or Irregular
hb hb hb hb
250-400 (depending on
hb hb hb
conduction) "Saw-tooth" P-waves
hb hb hb
PRI not measureable
hb hb
QRS 0.12> seconds
hb hb hb
8. Paced Atrial: "Spike" before P-wave
hb hb hb hb
9. 1° AVB: Rate determined by rhythm
hb hb hb hb hb
1 P-wave to each QRS
hb hb hb hb hb
PRI prolonged >0.20 seconds
hb hb hb
QRS 0.10>
hb hb
10. 2° AVB Type I (Wenkebach): "Long, Long, Longer, Dropped... then you have a
hb hb hb hb hb hb hb hb hb hb hb hb
Wenkebach"
hb
Persistent P-waves until not included hb hb hb hb
1 hb/
hb5
, Basic Dysrhythmia hb
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hb
PRI progressively lengthen
hb hb
QRS 0.10>
hb hb
11. 2° AVB Type II (Mobitz): Irregular ventricular
hb hb hb hb hb hb
P-wave before each QRS until no QRS
hb hb hb hb hb hb hb
PRI normal until no QRS
hb hb hb hb
QRS 0.10>
hb hb
2° AVB 2:1: Every other beat has a lone P-wave
hb hb hb hb hb hb hb hb hb
12.
13. 3° AV Block (Complete Heart Block): P-save has no relation to
hb hb hb hb hb hb hb hb hb hb
QRS PRI varies greatly
hb hb hb hb
QRS normal-wide hb
14. Bundle Branch Block (BBB): Rate determined by hb hb hb hb hb hb
rhythm Normal P-wave
hb hb hb
PRI 0.12-0.20
hb
QRS wide 0.12< hb hb
Bigeminy: every other beat is premature hb hb hb hb hb hb
15. beat
Trigeminy: pattern in which every third complex is a premature hb hb hb hb hb hb hb hb hb hb
16.
17. Premature Atrial Contraction (PAC): Irregular hb hb hb hb
Rate determined by rhythm
hb hb hb hb
P-wave is premature and abnormally sized
hb hb hb hb hb
PRI 0.12-0.20 seconds
hb hb hb
QRS <0.12 secondshb hb
18. Premature Junctional Contraction (PJC): Irregular hb hb hb hb
Rate determined by rhythm
hb hb hb hb
P-wave is premature and abnormally sized
hb hb hb hb hb
PRI can be prolonged
hb hb hb hb
QRS narrow hb
19. Junctional Rhythm (Junctional Escape Rhythm): 40-60bpm hb hb hb hb hb
Absent P-wave
hb hb
PRI not measureable
hb hb
QRS 0.12> seconds
hb hb hb
20. Junctional Tachycardia: >100bpm hb hb
Inverted/Absent P-wave
hb hb
PRI not measureable
hb hb
QRS <0.12
hb hb
21. Accelerated Junctional: 60-100bpm hb hb
Inverted/Absent P-wave
hb hb
2 hb/
hb5
