Arrythmias

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Author:
ctbty
ID:
226352
Filename:
Arrythmias
Updated:
2013-07-08 19:56:27
Tags:
EKG
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Description:
For EKG/Telemetry
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  1. accelerated idioventricular rhythm
    • rhythm: reg
    • rate: 40-100
    • p: none
    • pri: none
    • qrs: wide and bizarre
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/88.gif
  2. accelerated junctional rhythm
    • rhythm: reg
    • rate: normal
    • p: before, during (hidden), or after qrs; inverted if visible
    • pri: not measurable
    • qrs: normal
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/137.gif
  3. asystole
    • rhythm: none
    • rate: none
    • p: none
    • pri: none
    • qrs: none
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/33.gif
  4. atrial tachycardia (a tachy)
    • rhythm: reg
    • rate: 150-250
    • p: atrial p waves differ in shape from sinus p waves and can be upright or inverted
    • pri: normal but may be shorter or even longer
    • qrs: normal
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/18.gif
  5. atrial fibrillation (a fib)
    • rhythm: irreg
    • rate: atrial= > 350; vent= may be slow, normal, or fast
    • p: none; erratic waves are present
    • pri: none
    • qrs: normal, but may be widened if there are conduction delays
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/39.gif
  6. atrial flutter
    • rhythm: reg or irreg
    • rate: atrial= 250-350; vent= often slower
    • p: none observable; saw-toothed flutter waves present
    • pri: none
    • qrs: normal
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/8.gif
  7. bundle branch block (bbb)
    • rhythm: reg
    • rate: underlying 
    • p: normal
    • pri: normal
    • qrs: wide
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/68.gif
  8. first degree av block (1st deg avb)
    • rhythm: reg
    • rate: underlying 
    • p: normal
    • pri: prolonged 
    • qrs: normal
    • notes: actually a delay rather than a block
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/66.gif
  9. idioventricular rhythm
    • rhythm: reg
    • rate: 20-40
    • p: none
    • pri: none
    • qrs: wide and bizarre
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/30.gif
  10. junctional escape rhythm
    • rhythm: reg
    • rate: 40-60
    • p: before, during (hidden), or after qrs; inverted if visible
    • pri: not measurable
    • qrs: normal
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/13.gif
  11. junctional tachycardia (junctional tachy)
    • rhythm: reg
    • rate: 100-180
    • p: before, during (hidden), or after qrs; inverted if visible
    • pri: none or short
    • qrs: normal
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/49.gif
  12. multifocal atrial tachycardia (mat)
    • rhythm: irreg
    • rate: > 100
    • p: changes shape and size from beat to beat (at least 3 different forms)
    • pri: varies
    • qrs: normal
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/16.gif
  13. normal sinus rhythm (nsr)
    • rhythm: reg
    • rate: normal
    • p: normal
    • pri: normal
    • qrs: normal
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/154.gif
  14. pacemaker - failure to capture
    • rhythm: irreg
    • rate: slow or normal
    • notes: pacemaker spikes not followed by p or qrs
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/103.gif
  15. pacemaker - failure to pace
    • rhythm: irreg
    • notes: pacemaker spikes do not appear
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/104.gif
  16. pacemaker - single chamber - atrial
    • rhythm: reg
    • rate: 60
    • p: normal
    • pri: normal
    • qrs: normal
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/101.gif
  17. paroxysmal supraventricular tachycardia (paroxysmal suprav tachy)
    • rhythm: reg
    • rate: 150-250
    • p: merged w/ t
    • pri: not measurable
    • qrs: normal
    • notes: brief period of tachy; starts and stops suddenly
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/77.gif
  18. premature atrial contraction (pac)
    • rhythm: irreg
    • rate: usually normal, but depends on underlying
    • p: premature, positive, and shape is abnormal
    • pri: normal or longer
    • qrs: 0.10 or less
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/136.gif
  19. premature junctional contraction (pjc)
    • rhythm: reg w/ premature beats
    • rate: underlying
    • p: before, during (hidden), or after qrs; inverted if visible
    • pri: none or short
    • qrs: normal
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/23.gif
  20. premature ventricular contraction (pvc)
    • rhythm: irreg
    • rate: underlying
    • p: none
    • pri: none
    • qrs: wide and bizarre
    • notes: 2 pvc's together are termed a couplet, while 3 pvc's in a row w/ a fast rhythm is ventricular tachycardia
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/59.gif
  21. pvc: bigeminy
    • rhythm: irreg
    • rate: underlying
    • p: none
    • pri: none
    • qrs: wide and bizarre
    • notes: pvc appears every 2nd beat
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/55.gif
  22. pvc: couplets
    • rhythm: irreg
    • rate: underlying
    • p: none
    • pri: none
    • qrs: wide and bizarre 
    • notes: pvc appear together as a pair
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/78.gif
  23. pvc: quadrigeminy
    • rhythm: irreg
    • rate: underlying
    • p: none
    • pri: none
    • qrs: wide and bizarre
    • notes: pvc appears every 4th beat
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/24.gif
  24. pvc: trigeminy
    • rhythm: irreg
    • rate: underlying
    • p: none
    • pri: none
    • qrs: wide and bizarre
    • notes: pvc appears every 3rd beat
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/60.gif
  25. pulseless electrical activity (pea)
    • rhythm: underlying
    • rate: underlying
    • p: underlying
    • pri: underlying
    • qrs: underlying
    • notes: no pulse detected even tho ekg signals are present
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/32.gif
  26. second degree av block: type I (mobitz I or wenckebach) (2nd deg avb type 1)
    • rhythm: irreg, but w/ progressively longer pri lengthening
    • rate: underlying
    • p: normal
    • pri: progressively longer until qrs is missed, then cycle repeats
    • qrs: normal
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/85.gif
  27. second degree av block: type II (mobitz II) (2nd deg avb type 2)
    • rhythm: atrial= reg; vent= irregular
    • rate: atrial usually faster than vent; vent is often slow
    • p: normal form, but more p than qrs
    • pri: normal or prolonged
    • qrs: normal or wide
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/86.gif
  28. sick sinus syndrome
    • rhythm: reg or irreg
    • rate: varies
    • p: varies w/ rhythm
    • pri: varies
    • qrs: 0.10 
    • notes: rhythm can be fast or slow, and may include sinus pauses
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/12.gif
  29. sinoatrial block (sab)
    • rhythm: irreg when sab
    • rate: normal or slow
    • p: normal
    • pri: normal
    • qrs: normal
    • notes: pause time is an integer multiple of p-pi; try to id specific type of a tachy
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/17.gif
  30. sinus arrest (sinus pause)
    • rhythm: irreg due to pause
    • rate: normal to slow
    • p: normal
    • pri: normal
    • qrs: normal
    • notes: pause time is not an integer multiple of p-pi
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/73.gif
  31. sinus arrythmia
    • rhythm: irreg; varying w/ respiration
    • rate: normal; may increase during inspiration
    • p: normal
    • pri: normal
    • qrs: normal
    • notes: hr frequently increases w/ inspiration and decreases w/ expiration
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/63.gif
  32. sinus bradycardia (sinus brady)
    • rhythm: reg
    • rate: slow
    • p: normal
    • pri: normal
    • qrs: normal
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/65.gif
  33. sinus tachycardia (sinus tachy)
    • rhythm: reg
    • rate: fast
    • p: normal; may merge w/ t at very fast rates
    • pri: normal
    • qrs: normal
    • notes: qti shortens w/ increasing hr
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/31.gif
  34. supraventricular tachycardia (supravent tachy)
    • rhythm: reg
    • rate: 150-250
    • p: merged w/ t
    • pri: normal
    • qrs: normal
    • notes: pri can be difficult to measure
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/119.gif
  35. third degree av block (3rd deg avb)
    • rhythm: reg, but atrial and vent rhythms are independent
    • rate: atrial= usually normal and faster than vent
    • p: normal shape and size; may appear w/in qrs
    • pri: none - atria and vents beat independently
    • qrs: normal, but wide if junctional escape focus
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/26.gif
  36. ventricular fibrillation (vfib)
    • rhythm: highly irreg
    • rate: unmeasurable
    • p: none
    • pri: none
    • qrs: none
    • notes: ekg tracings is a wavy line
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/5.gif
  37. ventricular tachycardia (vtachy)
    • rhythm: reg
    • rate: 100-250
    • p: none
    • pri: none
    • qrs: wide and bizarre
    • notes: can be monomorphic (form of each qrs is similar) or polymorphic (qrs forms vary)
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/81.gif
  38. ventricular tachycardia monomorphic (vtachy mono)
    • rhythm: reg
    • rate: 100-250
    • p: none
    • pri: none
    • qrs: wide and bizarre
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/6.gif
  39. ventricular tachycardia polymorphic (vtachy poly)
    • rhythm: reg or irreg
    • rate: 100-300
    • p: none
    • pri: none
    • qrs: normal, or wide and bizarre
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/82.gif
  40. ventricular tachycardia torsade de pointes (torsade de pointes)
    • rhythm: irreg
    • rate: 200-250
    • p: none
    • pri: none
    • qrs: wide and bizarre
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/120.gif
  41. wandering atrial pacemaker
    • rhythm: may be irreg
    • rate: normal
    • p: shape and size changes from beat to beat (at least 3 diff forms)
    • pri: varies
    • qrs: normal
    • notes: t is normal; if hr exceeds 100, then rhythm may be multifocal atrial tachy (mat)
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/135.gif
  42. wolff-parkinson-white syndrome
    • rhythm: reg unless afib is present
    • rate: normal
    • p: normal
    • pri: shortened
    • qrs: usually wide
    • notes: look for short pri; a delta wave (pos or neg) distorts the early part of qrs
    • http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/19.gif

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