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    LS Identifying Arrhythmias

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    Claudia Park
    This document provides descriptions of common cardiac arrhythmias including sinus rhythm, sinus bradycardia, first-degree AV block, second-degree AV block types I and II, third-degree AV block, sinus tachycardia, atrial flutter, atrial fibrillation, monomorphic ventricular tachycardia, polymorphic ventricular tachycardia, ventricular fibrillation, and asystole. For each arrhythmia, the regularity, rate, P wave characteristics, QRS complex characteristics, and PR interval are defined.

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    LS Identifying Arrhythmias

    Uploaded by

    Claudia Park
    93 views5 pages
    This document provides descriptions of common cardiac arrhythmias including sinus rhythm, sinus bradycardia, first-degree AV block, second-degree AV block types I and II, third-degree AV block, sinus tachycardia, atrial flutter, atrial fibrillation, monomorphic ventricular tachycardia, polymorphic ventricular tachycardia, ventricular fibrillation, and asystole. For each arrhythmia, the regularity, rate, P wave characteristics, QRS complex characteristics, and PR interval are defined.

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    Arrhythmias

    Original Title

    LS-Identifying-Arrhythmias

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    This document provides descriptions of common cardiac arrhythmias including sinus rhythm, sinus bradycardia, first-degree AV block, second-degree AV block types I and II, third-degree AV block, sinus tachycardia, atrial flutter, atrial fibrillation, monomorphic ventricular tachycardia, polymorphic ventricular tachycardia, ventricular fibrillation, and asystole. For each arrhythmia, the regularity, rate, P wave characteristics, QRS complex characteristics, and PR interval are defined.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    93 views5 pages

    LS Identifying Arrhythmias

    Uploaded by

    Claudia Park
    This document provides descriptions of common cardiac arrhythmias including sinus rhythm, sinus bradycardia, first-degree AV block, second-degree AV block types I and II, third-degree AV block, sinus tachycardia, atrial flutter, atrial fibrillation, monomorphic ventricular tachycardia, polymorphic ventricular tachycardia, ventricular fibrillation, and asystole. For each arrhythmia, the regularity, rate, P wave characteristics, QRS complex characteristics, and PR interval are defined.

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    © All Rights Reserved
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    of 5

    LEARNING SUPPLEMENT

    Identifying Arrhythmias
    Sinus Rhythm
    Regularity: regular

    Rate: 60–100 bpm

    P wave: upright and uniform; one for every QRS complex

    QRS complex: < 0.12 second

    PR interval: 0.12 –0.20 second

    Sinus Bradycardia
    Regularity: regular

    Rate: < 60 bpm

    P wave: upright and uniform; one for every QRS complex

    QRS complex: < 0.12 second

    PR interval: 0.12 –0.20 second

    First-degree AV Block
    Regularity: regular

    Rate: variable; can occur with normal rate, bradycardia


    or tachycardia

    P wave: upright and uniform: one for every QRS complex

    QRS complex: < 0.12 second

    PR interval: > 0.20 second

    © 2019 The American National Red Cross. ALL RIGHTS RESERVED | 1


    LEARNING SUPPLEMENT
    Identifying Arrhythmias (continued)
    Second-degree AV Block Type I
    Regularity: irregular in a pattern

    Rate: variable; usually < 100 bpm

    P wave: upright and uniform; more P waves than QRS


    complexes

    QRS complex: < 0.12 second

    PR interval: becomes progressively longer until a P


    wave is not conducted, then cycle repeats

    Second-degree AV Block Type II


    Regularity: regular (2:1), unless conduction ratio varies

    Rate: usually < 100 bpm, tendency for bradycardia

    P wave: upright and uniform; more P waves than QRS


    complexes (2:1, 3:1, 4:1 or variable)

    QRS complex: < 0.12 second

    PR interval: < 0.20 second or prolonged; constant for every QRS complex

    © 2019 The American National Red Cross. ALL RIGHTS RESERVED | 2


    LEARNING SUPPLEMENT
    Identifying Arrhythmias (continued)
    Third-degree AV Block
    Regularity: usually regular RR interval, regular PP interval

    Rate: varies depending on escape focus; junctional


    (40–60 bpm) and ventricular (< 40 bpm)

    P wave: upright and uniform, more P waves than QRS


    complexes

    QRS complex: < 0.12 second if junctional escape, ≥ 0.12 second if ventricular escape

    PR interval: total dissociation from QRS complexes

    Sinus Tachycardia
    Regularity: regular

    Rate: 100–150 bpm

    P wave: upright and uniform; one for every QRS complex

    QRS complex: < 0.12 second, regular

    PR interval: 0.12 – 0.20 second

    Atrial Flutter
    Regularity: usually regular (could be irregular with
    variable conduction)

    Rate: varies with conduction; < 100 bpm is controlled;


    > 100 bpm is uncontrolled (rapid ventricular response);
    usually has ventricular rates of 75 bpm (4:1), 100 bpm
    (3:1) or 150 bpm (2:1), depending on conduction ratio

    P wave: none; flutter (F) waves; characteristic “sawtooth”


    baseline

    QRS complex: < 0.12 second

    PR interval: not discernible

    © 2019 The American National Red Cross. ALL RIGHTS RESERVED | 3


    LEARNING SUPPLEMENT
    Identifying Arrhythmias (continued)
    Atrial Fibrillation
    Regularity: irregularly irregular

    Rate: varies with conduction; < 100 bpm is controlled;


    > 100 bpm is uncontrolled (rapid ventricular response)

    P wave: none; fibrillation (f) waves; chaotic baseline

    QRS complex: < 0.12 second

    PR interval: not discernible

    Monomorphic Ventricular Tachycardia


    Regularity: regular

    Rate: > 100 bpm

    P wave: not discernible

    QRS complex: ≥ 0.12 second, uniform in shape

    PR interval: not discernible

    Polymorphic Ventricular Tachycardia


    Regularity: irregular (can appear regular due to fast rate)

    Rate: > 100 bpm

    P wave: not discernible

    QRS complex: ≥ 0.12 second, variable in shape

    PR interval: not discernible

    © 2019 The American National Red Cross. ALL RIGHTS RESERVED | 4


    LEARNING SUPPLEMENT
    Identifying Arrhythmias (continued)
    Ventricular Fibrillation
    Regularity: irregular

    Rate: not measurable

    P wave: not discernible

    QRS complex: chaotic, not discernible

    PR interval: not discernible

    Asystole
    Regularity: not discernible

    Rate: not discernible

    P wave: usually absent

    QRS complex: not discernible

    PR interval: not discernible

    © 2019 The American National Red Cross. ALL RIGHTS RESERVED | 5

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