1. Created by Amber S. Bryant 5/12/2015
 ECG
o Continuousrhythm
 P-wave?
 Inverted
o 40-60 BPM -> Junctional Rhythm
o 60-100 BPM-> AcceleratedJunctionRhythm
o 100+ -> Junctional Tachycardia
 Multiform (3+ types)
o <100 BPM -> Wandering Atrial Pacemaker
o >100BPM -> Multifocal Atrial Tachycardia
 Upright -> PR Interval
o > 0.20
 Regular Rhythm -> First Degree Heart Block
 Irregular Rhythm
 QRS Missing Intermittently -> SecondDegree –
Type 1 Mobitz II
 Increasing PR intervals -> Second Degree -
Type 2 Wenkebach
 P & QRS not in sync -> Third Degree –
Complete Heart Block
o 0.12 – 0.20
 Regular Rhythm
 < 60 BPM -> Sinus Bradycardia
 60-100 BPM-> Sinus Rhythm
 100-140BPM -> Sinus Tachycardia
 140-250BPM -> Superventricular
Tachycardia
 Irregular Rhythm
 Tachy<->Brady+ Pauses -> SickSinus
Syndrome
 Minor Variation in BPM -> Sinus Arrythymia
 Fibrillation -> Atrial Fibrillation
 Flutter/Sawtooth Waves -> Atrial Flutter
 No
o No QRS -> Asystole
o WideQRS
 Monomorphic
 20-40 BPM -> Idioventricular Rhythm
 41-100 BPM-> AcceleratedIdioventricular
Rhythm
 140-250BPM -> Ventricular Tachycardia

2. Created by Amber S. Bryant 5/12/2015
 Polymorphic
 Smooth Waves -> Torsades de Pointes
 CourseWaves -> Ventricular Fibrillation
o NormalQRS
 40-60 BPM -> Junctional Rhythm
 60-100 BPM-> AcceleratedJunctionRhythm
 100+ -> Junctional Tachycardia
o Single or several beats/Pause
 Single Beat
 Early (Shortened R-R)
o Inverted P? -> Premature Junctional Contraction
o P-on-T/ P lost in T -> Premature Atrial Contraction
 Late (Lengthened R-R) -> WideQRS?
o Yes -> Ventricular Escape Beat
o No -> Junctional Escape Beat
 Missingbeat/Prolonged pause -> P wave?
 Yes
o Visible + No QRS -> Ventricular Standstill
o P-in-T/Hidden + No QRS -> Nonconductive Premature
Atrial Contraction
 No -> Organized rhythm?
o Yes -> Sinus Block
o No -> Sinus Arrest
o Pacer Spike?
 BeforeP-wave?
 Yes -> BeforeQRS?
o Yes -> A/V Pacing
o No -> Atrial pacing
 No -> Ventricular pacing