1. Presentation Information
Sinus Tachycardia
1- RHYTHM : regular
2-RATE : more than 100bpm .
3- P WAVE : normal (up right ,rounded )
4-PR INTERVAL : normal
5- QRS COMPLEX : normal duration
6-ST SEGMENT: isoelectric
7- T WAVE : normal ( symmetric , rounded )
8-CONDUCTION : normal electrical path way
Dr. Ahmad Tubaishat
CONFIDENTIAL

2. Presentation Information
Sinus Bradycardia
Dr. Ahmad Tubaishat
CONFIDENTIAL

3. Presentation Information
Sinus arrhythmia
1- RHYTHM : rate increased with inspiration ,decreased with expiration
2-RATE : varies between bpm .
3- P WAVE : normal (up right ,rounded )
4-PR INTERVAL : normal
5- QRS COMPLEX : normal duration
6-ST SEGMENT: isoelectric
7- T WAVE : normal ( symmetric , rounded )
8-CONDUCTION : normal electrical path way
Dr. Ahmad Tubaishat
CONFIDENTIAL

4. Presentation Information
Sinus Arrest
Dr. Ahmad Tubaishat
CONFIDENTIAL

5. Presentation Information
Atrial Flutter
Dr. Ahmad Tubaishat
CONFIDENTIAL

6. Presentation Information
Atrial Fibrillation
Dr. Ahmad Tubaishat
CONFIDENTIAL

7. Paroxysmal Supraventricular Tachycardia (PSVT)
Presentation Information
Paroxysmal Supraventricular Tachycardia (PSVT)
1- RATE: between (140 – 200) bpm .
2- RHYTHM : R-R interval regular .
3- P WAVE : absent or fused with QRS or T wave .
4- P-R INTERVAL : absent .
5- QRS COMPLEX : narrow < 0.06 second .
6- T WAVE : peaked T wave .
7- CONDUCTION : the ventricles is stimulated from some where in the atria
Dr. Ahmad Tubaishat
CONFIDENTIAL

8. Premature Ventricular Contraction
Presentation Information
Premature Ventricular Contraction
Arise within an ectopic focus within the ventricle (no atrial activity).
Vent. Conduction spreads more slowly through purkinje system  wide QRS
No preceding P wave, T wave opposite direction of the QRS.
Multiform PVCs: different contours; Multifocal PVCs: different origin
Bigeminy: one normal QRS fowled by PVC; Trigeminy: 2 sinus QRS fowled by PVC; Quadrigeminy: 3 sinus QRS fowled by PVC
Two PVCs in row: couplet, three in row: triplet (a short run of VT)
Dr. Ahmad Tubaishat
CONFIDENTIAL

9. Ventricular Tachycardia
Presentation Information
Ventricular Tachycardia
The video will start when the mouse is clicked.
Dr. Ahmad Tubaishat
CONFIDENTIAL

10. Ventricular Fibrillation
Presentation Information
Ventricular Fibrillation
The video will start when the mouse is clicked.
Dr. Ahmad Tubaishat
CONFIDENTIAL

11. Junctional Rhythm
Lead II
Dr. Ahmad Tubaishat

12. Premature Junctional Contraction
Presentation Information
Premature Junctional Contraction
Ectopic impulse from a focus in the AV junction, occur prematurely, before the next sinus impulses.
Rate
Normal
P wave
as with junctional rhythm.
QRS
normal
Conduction
P-R interval < .12 secs if P waves are present.
Rhythm
PJC's occur early in the cycle of the baseline rhythm. A full compensatory pause may occur.
The video will start when the mouse is clicked.
Dr. Ahmad Tubaishat
CONFIDENTIAL

13. Presentation Information
First-degree AV block
Prolongation of AV conduction
P wave: present and precedes each QRS
PR: constant but exceeds the upper limit (>0.2second)
Rate: bpm
Rhythm: regular with constant prolonged PR interval
Dr. Ahmad Tubaishat
CONFIDENTIAL

14. Second-degree AV block, Mobitz type I
Presentation Information
Second-degree AV block, Mobitz type I
One or more of the atrial impulses fail to reach the ventricles
Progressive prolongation of PR interval flowed by missing QRS
Rate: bpm
Rhythm: regular atrial, irregular ventricular
Dr. Ahmad Tubaishat
CONFIDENTIAL

15. Second-degree AV block, Mobitz type II
Presentation Information
Second-degree AV block, Mobitz type II
One or more of the atrial impulses fail to reach the ventricles
Constant normal PR interval flowed by missing QRS
The block occur occasionally or in 2:1, 3:1 or 4:1 fashion
Rate: bpm
Rhythm: regular atrial, irregular or regular ventricular depends on the AV block
Dr. Ahmad Tubaishat
CONFIDENTIAL

16. Second-degree AV block, Mobitz type II
Presentation Information
Second-degree AV block, Mobitz type II
One or more of the atrial impulses fail to reach the ventricles
Constant normal PR interval flowed by missing QRS
The block occur occasionally or in 2:1, 3:1 or 4:1 fashion
Rate: bpm
Rhythm: regular atrial, irregular or regular ventricular depends on the AV block
Dr. Ahmad Tubaishat
CONFIDENTIAL

17. Right Bundle Branch Block
Presentation Information
Right Bundle Branch Block
The video will start when the mouse is clicked.
Dr. Ahmad Tubaishat
CONFIDENTIAL

18. Left Bundle Branch Block
Presentation Information
Left Bundle Branch Block
The video will start when the mouse is clicked.
Dr. Ahmad Tubaishat
CONFIDENTIAL