ECG Interpretation

Normal Sinus Rhythm

PQRST - present = SINUS

Rhythm = Normal
70 bpm = Normal

Sinus Bradycardia

PQRST - Present = SINUS

Rhythm = Normal
38 bpm = Bradycardia
 Sinus Tachycardia

PQRST - Present = Sinus

Rhythm = Normal
120 bpm = Tachy

Sinus Arrhythmia

PQRST - Present = Sinus

Rhythm - Abnormal = Arrhythmia
76 bpm = normal
 Atrial Tachycardia

No P - Atrial Problem
Rhythm - Normal
176 bpm = Tachycardia

Supraventricular Rhythm

Depressed P
Rhythm - Normal
300 bpm = tachycardia
 Atrial Flutter

Sawtooth
Multiple big P wave
Rhythm = Normal
72 bpm = Normal

Atrial Fibrillation

Multiple smaller P wave

Rhythm = Normal
90 bpm = Normal
Premature ventricular Contraction

1-2 QRS inversion

Rhythm = Normal
154 bpm = Tachycardia

V-Tach

All QRS is inverted

Rhythm = Abnormal
154 bpm = Tachycardia
 V-Fib

Smaller QRS inversion

Rhythm = Abnormal
0 bpm = Bradycardia

Torsades de Pointes

Combination of both V-Tach and V-Fib

Rhythm = Abnormal

Asystole

Flat line
No Pulse
Myocardial Infarction Sinus Normal Rhythm (MI NSR)

ST elevation = MI
PQRST - Present = Sinus
Rhythm = Normal
60 bpm = Normal

Myocardial Infarction Tachycardia

ST Elevation
PQRST - Present = Sinus
Rhythm = Normal
120 bpm = Tachycardia

First Degree AV Block

PR segment Prolong
No drop beat
Rhythm = Normal
50 bpm = Bradycardia
 Second Degree AV Block Type I (Mobitz)

PR segment prolong (2 in a row)

1 drop beat
54 bpm = Bradycardia

Second Degree AV Block Type II (Wenchbach)

Sinus – sinus – drop beat

Complete Heart Block

All waves = drop beat