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Ecg Dysrhythmias: Updated March 2006: D. Tucker, RPH, Bcps
Ecg Dysrhythmias: Updated March 2006: D. Tucker, RPH, Bcps
ECG waveforms
Normal sinus rhythm
Asystole
Bradycardia
Ventricular fibrillation
Ventricular tachycardia
ECG Rhythm Strip
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Normal Sinus Rhythm
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ECG Rhythms
Asystole
Bradycardia
Ventricular
fibrillation
Ventricular
tachycardia
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Asystole
Asystole is a cardiac standstill, i.e., flatline
Asystole is the absence of electrical activity
in the venticles
Asystole usually results from a prolonged
period of cardiac arrest without
resuscitation
Asystole usually means the patient’s life has
ended
ECG Rhythms
Ventricular asystole
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Bradycardia
Bradycardia is when the heart is < 60 beats/minute
or when the heart rate is slower than expected
Sinus bradycardia usually occurs as a response to
a reduced demand for blood flow
Signs and symptoms might include:
Chest pain, shortness of breath
Hypotension, pulmonary edema, congestive heart
failure
ECG Rhythms
Sinus bradycardia
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Ventricular Fibrillation
Ventricular fibrillation (VF) occurs as a
result of electrical impulses coming from
multiple ectopic pacemaker in the ventricles
VF results in no cardiac output as a result of
producing no effective ventricular
contractions
With VF the ventricular muscle quivers
instead of contracting
ECG Rhythms
Ventricular fibrillation
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Ventricular Tachycardia
Ventricular tachycardia (VT) is a result of 3
or more ventricular contractions occur
earlier than expected resulting in a
ventricular rate of >10 beats/minute
VT usually preceeds VF
Causes of VT include myocardial ischemia,
heart failure, drug toxicity from
procainamide, quinidine, or cocaine
ECG Rhythms
Ventricular tachycardia
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Name These C
ECG Rhythms
A D
B E
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