Practice Rhythms Strips

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Presentation transcript:

Practice Rhythms Strips Chapter 5 Practice Rhythms Strips Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-9 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-9 Ventricular rate/rhythm 75 bpm, regular Atrial rate/rhythm None PR interval QRS duration 0.08 sec Identification Accelerated junctional rhythm; ST-segment depression Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-10 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-10 Ventricular rate/rhythm 45 bpm / regular Atrial rate/rhythm None PR interval QRS duration 0.08 sec Identification Junctional rhythm; ST-segment elevation Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-11 This rhythm strip is from a 88-year-old woman who experienced a syncopal episode. Blood sugar is 96. Medications include verapamil. History: Myocardial infarction 9 years ago, stroke 5 years ago, hypertension, and diabetes. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-11 Ventricular rate/rhythm 75 bpm / regular Atrial rate/rhythm PR interval 0.16 sec QRS duration 0.08 sec Identification Accelerated junctional rhythm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-12 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-12 Ventricular rate/rhythm Junctional escape beat Nonconducted PAC Ventricular rate/rhythm 70 bpm / regular except for the event Atrial rate/rhythm PR interval 0.16 sec QRS duration 0.08 sec Identification Sinus rhythm with a nonconducted PAC and a junctional escape beat Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-13 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-13 Ventricular rate/rhythm 115 bpm (sinus beats) / regular except for the event Atrial rate/rhythm PR interval 0.16 sec (sinus beats) QRS duration 0.06 sec (sinus beats) Identification Sinus tachycardia with a PJC Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-14 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-14 Ventricular rate/rhythm 79 bpm / regular (junctional beats) Atrial rate/rhythm Not measurable in junctional beats PR interval QRS duration 0.06 sec Identification Sinus rhythm changing to an accelerated junctional rhythm, back to a sinus rhythm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-15 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-15 Ventricular rate/rhythm 71 bpm / regular Atrial rate/rhythm PR interval 0.14 sec QRS duration 0.08 sec Identification Accelerated junctional rhythm; ST-segment elevation Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-16 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-16 Ventricular rate/rhythm 32 bpm / regular Atrial rate/rhythm None PR interval QRS duration 0.06 to 0.08 sec Identification Junctional bradycardia; ST-segment depression, inverted T waves Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-17 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-17 Ventricular rate/rhythm 30 bpm (junctional beats) Atrial rate/rhythm None (junctional beats) PR interval 0.16 sec (sinus beats); none (junctional beats) QRS duration 0.06 to 0.08 sec Identification Sinus beat, two junctional beats, sinus beat; ST-segment depression Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-18 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-18 Ventricular rate/rhythm 138 bpm / regular Atrial rate/rhythm Unable to determine PR interval QRS duration 0.10 sec Identification Narrow-QRS tachycardia, probably junctional tachycardia Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-19 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-19 Ventricular rate/rhythm 44 bpm / regular Atrial rate/rhythm PR interval 0.14 sec QRS duration 0.08 sec Identification Junctional rhythm; ST-segment elevation Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-20 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-20 Ventricular rate/rhythm 52 bpm / regular Atrial rate/rhythm None PR interval QRS duration 0.06 sec Identification Sinus beat to junctional escape rhythm with inverted T waves Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-21 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-21 Ventricular rate/rhythm 100 bpm / regular Atrial rate/rhythm None PR interval QRS duration 0.08 sec Identification Accelerated junctional rhythm; inverted T waves Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-22 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-22 Ventricular rate/rhythm 63 bpm (sinus beats) / regular except for the event (every third beat is a PJC) Atrial rate/rhythm PR interval 0.12 to 0.16 sec (sinus beats) QRS duration 0.06 sec (sinus beats) Identification Sinus rhythm with PJCs Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-23 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 5-23 Ventricular rate/rhythm 64 bpm (sinus beats) / regular except for the event Atrial rate/rhythm PR interval 0.16 to 0.18 sec QRS duration 0.08 sec Identification Sinus rhythm with an episode of sinus arrest and a junctional escape beat Copyright © 2006 by Mosby Inc. All rights reserved.

Questions? Copyright © 2006 by Mosby Inc. All rights reserved.