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Atrial Flutter-No P Wave!
The atrium is not conducting normally - no depolarization, no atrial contraction
Atrial Flutter - most of the time it's tachycardia in its nature
Atrial Rate = 13 x 20 (only 3 second strip is shown above) = 260
Ventricular Rate = 6 x 20 = 120
On the test, don't call them p-waves, say they are F-waves - atria is contracting very fast in this case
In atrial flutter, the ventricular rhythm is normal! Ventricular depolarization rate will be regular.
There is a consistent contraction, it is just very fast.
Normal sinus rhythm
Normal sinus rhythm with bundle branch block (BBB).
Everything is normal except for the QRS interval; called Bundle Branch Block - when there is damage to the tissue in the bundle branches, conduction slows. (Damage can be due to MI, hypertrophy, failure, etc). This results in a wider QRS interval.
Sinus Arrhythmia - because SA node works correctly (normal p wave), but the rhythm itself is abnormal. Has to do with your breathing. Benign condition
Sinus Arrhythmia with sinus bradycardia
Sinus tachycardia - everything looks good, just fast.
Type I second degree AV block
Third degree AV block intraventricular conduction defect
Considered regular Atrial because there are P waves which are buried within the QRS complex.
Accelerated Junctional Rhythm
QRS NOT widened that is coming from the ventricle and BBB
A fibrillation has no P waves and you have abnormal rhythm and it is fast. Flutter you have F waves, and normal RR
1st degree AV block with Sinus Bradycardia
LOW amplitude P waves
2nd Degree AV block, Type 1 Wenckebach
2nd Degree AV block Mobitz Type II
2nd degree AV block, Mobitz Type II with bundle branch block
There is an R and R prime seen which indicate the right bundle branch goes before the left or vice versa.
2nd degree AV block Mobitz Type II
Normal Sinus Rhythm w/BBB
Sinus Arrhythmia with a ventricular conduction block
You would have a notched QRS if it was a bundle branch block.
Sinus Bradycardia with ventricular conduction defect
Sinus rhythm with ventricular conduction defect
Unifocal Premature Ventricular Contraction (PVC=2 total)
Cant assume a random occurrence at that rate.
Multifocal PVC (3 Total) Ventricular Tachycardia
Multifocal Premature Ventricular Contractions in burst of 3 with possible R on T risk
Fine Ventricular Fibrillation
Ventricular Tachycardia Very Organized
Idioventricular Rhythm (Dying Heart)
Patient receiving closed chest compressions
-Senses whether it has to fire or not, If signals working then it won't fire
-Small third QRS is when the pacemaker shot with capture (Means ventricle Depolarizes)
Pacer spike with Ventricular capture