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Atrial

rate
SINUS
NSR
S. Brady
S. Tachy
S.
arrhythmia
S. arrest
ATRIAL
Atrial tachy

SVtach
A. Flutter
A.Fib

Ventric
ular
rate

P wave

60-100

60-100

Yes

<60
>100
60-100

<60
>100
60-100

60-100

60-100

161-250

161-250
>161
250-350
Cant be
counted

161-250/
slower
than A
Slower
<=100180
varies<1
00 cont
>100
unco

Rhyth
m

Reg

Yes
Yes
Yes

0.06-0.12
N
N
N
N

Yes

Reg wd
pause

N
constant

N constant

Reg

N, No Pw N Constant
(No)
Not
N
meas.
Not
N
ident.

Reg

MAY/No P
Yes

May /maynot
NO, F yes
NO

Inverted/B/
A QRS

Prem.J.Con

Inverted/B/A
QRS

Junc.Escap
eb

40-60

Junc.
Rhythm

40-60

40-60

Inverted/B/A
QRS

Acc.Junct.R
hy

61-100

61-100

Inverted/B/A
QRS

Junc. Tach

101-180

101-180

Inverted/B/A
QRS

2 AVB -T1

QRS

0.120.20 N
N
N
N

JUNCTION
AL

AV
BLOCKS
1 AVB

PRI

Inverted/B/A
QRS

P(befor
e QRS)<0.12
P(before
QRS)<0.12
P(before
QRS)<0.12
P(before
QRS)<0.12
P(before
QRS)<0.12
P(before
QRS)<0.12

Reg
Reg
Irreg

irreg

Reg wd
prem.
beats
Reg wd
late
beats
Reg

Reg

Reg

Reg
60-100

60-100

60-100
A>V

Less
than A.

Upright/roun
ded
1P/QRS
Upright/roun
ded

>0.20
Consta
nt
Length
ens

Reg

0.06-0.12
but usu

A- Reg
V- irreg

R-R
3blocks

sawtoo
th
Granny
s
handwr
iting

NARRO
W PRI

More P than
QRS

2 AVB T2

60-100
A>V

Less
than A.
V<A

Upright/roun
ded
More P than
QRS

3 AVB

60-100
A>V

40-60/
<30

More P than
QRS

VENTRICU
LAR
PVC

until P
appear
s w/o
QRS
N/
prolong
ed but
constan
t

dropped

None

Narrowjunc.
pacemaker
Wide -Vent
pacemaker

>0.12,
wide,
bizzare
>0.12,
wide,
bizzare
>0.12,
wide,
bizzare

Reg
w/Prem
beats
Reg w/
late
beats
A- Not
discerna
ble

>0.12,
wide/
bizzare
>0.12,
wide/
bizzare
>0.12,
wide/
bizzare

V-reg
A-not
disc
V-reg
A-not
disc
A-n/d
V- reg

>0.12
grad
alteration
dir of QRS
ND

A-ND
Vreg/irreg

>0.10,
absent
after P

WideQRS

No P
No P

Ven.
Escape
beat
Idioventric
ular

Usu.
bradycar
dic
Not disc.

V>A

NO

None
bec orig.
Vent.
None

20-40

Absent

Absent

Agonal

Not disc.

<20

Absent

Absent

Accel.
idiovent

Not disc.

41-100

Abesent

None

Vent. Tachy

Not disc.

>101

Y/N

None

Torsades
de pointes

ND

>101

None

None

V fib

ND

ND

ND

Vchaotic

T
opposite
dir. QRS
T
opposite
dir. QRS
T opp.
Deflecti
on of
QRS

>20rhy
thmsust.
Vtach
<20PVT

Granny
s
writing
w/o

QRS
Asystole
PAC

PAT

Failure to
Pace
Failure to
Capture
Failure to
Sense
Oversensi
ng

0
Premature,
abn. Shape,
lost in
preceding T

0
N

Absent
Reg wd
prem

Atrial
tachy
starts
and end
abruptly
Absence of
pacemaker spikes
Pacemaker Spikes
not followed by P/
QRS
Behind QRS- Too
many spikes
Too few pacing
spikes

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