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E.C.G monitors attached to patient
Lect. III
Dr. Muddather A. Mohammed
Emergency physician
Normal Sinus Rhythm
Sinus node is the pacemaker, firing at a regular rate of 60 - 100 bpm. Each beat is conducted
normally through to the ventricles
Regularity: regular
Rate: 60-100 beats per minute
P Wave: uniform shape; one P wave
for each QRS
PRI: .12-.20 seconds and constant
QRS: .08 to .12 seconds
Normal sinus rhythm
Sinus Bradycardia
Sinus node is the pacemaker, firing regularly at a rate of less than 60 times per minute.
Each impulse is conducted normally through to the ventricles
Regularity: The R-R intervals are constant; Rhythm is regular
Rate: Atrial and Ventricular rates are equal; heart rate less than 60
P Wave: Uniform P wave in front of every QRS
PRI: PRI is between .12 -.20 and constant
QRS: QRS is less than .12
AV block
First Degree AV block
The only ABNORMAL finding is PR interval
prolongation
SECOND DEGREE HEART BLOCK
AV Block 2nd Degree Type 1
Regularity: Irregular; the R-R interval gets shorter as the PRI gets longer.
Rate: Usually slower than normal
P Wave: Upright and uniform; some P waves are followed by QRS complexes.
PRI: Progressively lengthens until one P wave is blocked
QRS: QRS is less than .12
AV Block 2nd Degree Type 2
Regularity: If the conduction ratio is consistent, the R-R interval will be
constant, and the rhythm will be regular. If the conduction ratio
varies, the R-R will be irregular.
Rate: bradycardia range
P Wave: Upright and uniform; there are always more P waves than QRS
complexes.
PRI: PRI CONSTANT IN CONDUCTED BEATS
QRS: QRS is less than .12
2ND DGREEE HEART
BLOCK
Third Degree Heart Block
COMPLETE BLOCK BETWEEN ATRIA AND VENTRICLES
Regularity: Regular
Rate: Atrial rate is usually normal (60-100bpm); ventricular rate: 40-60 if the focus
P Wave: Upright and uniform; more p waves than QRS complexes.
PRI: No relationship between p waves and QRS complexes; p waves can
occasionally be found superimposed on the QRS complex.
QRS:.12 seconds or greater if the focus is ventricular.
Asystole
The heart has lost its electrical activity. There is no electrical pacemaker to initiate
electrical flow.
Regularity: Not measurable; there is no electrical activity.
Rate: Not measurable; there is no electrical activity.
P Waves: Not measurable; there is no electrical activity.
PRI: Not measurable; there is no electrical activity.
QRS: Not measurable; there is no electrical activity.
QUESTIONS

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عناية م(6).pdf

  • 1. E.C.G monitors attached to patient Lect. III Dr. Muddather A. Mohammed Emergency physician
  • 2. Normal Sinus Rhythm Sinus node is the pacemaker, firing at a regular rate of 60 - 100 bpm. Each beat is conducted normally through to the ventricles Regularity: regular Rate: 60-100 beats per minute P Wave: uniform shape; one P wave for each QRS PRI: .12-.20 seconds and constant QRS: .08 to .12 seconds
  • 4. Sinus Bradycardia Sinus node is the pacemaker, firing regularly at a rate of less than 60 times per minute. Each impulse is conducted normally through to the ventricles Regularity: The R-R intervals are constant; Rhythm is regular Rate: Atrial and Ventricular rates are equal; heart rate less than 60 P Wave: Uniform P wave in front of every QRS PRI: PRI is between .12 -.20 and constant QRS: QRS is less than .12
  • 6. First Degree AV block The only ABNORMAL finding is PR interval prolongation
  • 8. AV Block 2nd Degree Type 1 Regularity: Irregular; the R-R interval gets shorter as the PRI gets longer. Rate: Usually slower than normal P Wave: Upright and uniform; some P waves are followed by QRS complexes. PRI: Progressively lengthens until one P wave is blocked QRS: QRS is less than .12
  • 9. AV Block 2nd Degree Type 2 Regularity: If the conduction ratio is consistent, the R-R interval will be constant, and the rhythm will be regular. If the conduction ratio varies, the R-R will be irregular. Rate: bradycardia range P Wave: Upright and uniform; there are always more P waves than QRS complexes. PRI: PRI CONSTANT IN CONDUCTED BEATS QRS: QRS is less than .12
  • 11. Third Degree Heart Block COMPLETE BLOCK BETWEEN ATRIA AND VENTRICLES Regularity: Regular Rate: Atrial rate is usually normal (60-100bpm); ventricular rate: 40-60 if the focus P Wave: Upright and uniform; more p waves than QRS complexes. PRI: No relationship between p waves and QRS complexes; p waves can occasionally be found superimposed on the QRS complex. QRS:.12 seconds or greater if the focus is ventricular.
  • 12. Asystole The heart has lost its electrical activity. There is no electrical pacemaker to initiate electrical flow. Regularity: Not measurable; there is no electrical activity. Rate: Not measurable; there is no electrical activity. P Waves: Not measurable; there is no electrical activity. PRI: Not measurable; there is no electrical activity. QRS: Not measurable; there is no electrical activity.