Basic Rhythm Strip Review
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  • A good way to test what you learn with this presentation is to use the rhythm strip drills at www.practicalclinicalskills.com/ekg.aspx
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  • There has been a lot of discussion over the years about the meaning and appropriate use of the terms arrhythmia and dysrhythmia. They are often used interchangeably, and there does not seem to me to be a compelling case for being a stickler about the difference. When I took my first arrhythmia class (a long time ago) the general sense was that arrhythmia meant any abnormal or irregular cardiac rhythm. Dysrhythmia was also an abnormal or irregular cardiac rhythm, but it also implied that it might cause some undesireable clinical problem, such as chest pain, SOB, drop in BP, etc. I am not as much of a stickler now as I used to be (I used to know everything, but I know a lot less now). I have seen cases of sustained V-tach that were actually well-tolerated, although I still consider V-tach to be classified as a lethal arrhythmia (or should I say, lethal dysrhythmia, since death would probably considered an undesireable outcome in most patients). So, if it is important to the interpretation and treatment of an abnormal cardiac rhythm, I will still be a stickler on some points of ECG interpretation, but otherwise if you want to use the term arrhythmia and dysrhytmia interchangeably, I think I will know what you mean.
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  • sam rogers, there is a sinus arrythmia.. u need to read more. :)
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  • Some good stuff in here, but be weary what you read on in the internet. I was put off when I ready 'Sinus Arrhythmia' as a headline. There's no such thing as a sinus arrhythmia for the simple fact that, by definition, arrhythmia is the absence of rhythm. Meaning Asystole is the only actual arrhythmia. Sinus 'Disrhythmia' would have been the proper terminology.
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  • excellent review of arrhthymia's/strips--great review learning . gail ballard rn
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