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Cardiac  Arrhythmias
Anatomy & Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conduction System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Conduction System
SA Node ,[object Object],[object Object],[object Object],[object Object]
AV Node ,[object Object],[object Object],[object Object]
AV Node ,[object Object],[object Object],[object Object],[object Object]
QRS Complex ,[object Object],[object Object],[object Object]
EKG Trace ,[object Object],[object Object],[object Object],[object Object],[object Object]
EKG Trace ,[object Object],[object Object],[object Object],[object Object]
EKG Trace ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Waveform Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Summary
[object Object],[object Object],[object Object],[object Object],[object Object],Summary
Normal Sinus Rhythm Sinus Rhythms <.12 .12 - .20 Before each QRS, Identical Regular 60 - 100 QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
[object Object],[object Object],[object Object],[object Object],[object Object],Sinus Rhythms
Sinus Bradycardia Sinus Rhythms <.12 .12 - .20 Before each QRS, Identical Regular <60 QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sinus Rhythms
Sinus Tachycardia Sinus Rhythms <.12 .12 - .20 Before each QRS, Identical Regular >100 QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sinus Rhythms
Sinus Arrhythmia Sinus Rhythms <.12 .12 - .20 Before each QRS, Identical Irregular Var. QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sinus Rhythms
Sinus Arrest Sinus Rhythms <.12 .12 - .20 Before each QRS, Identical Irregular NA QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Sinus Arrest Sinus Rhythms Stop of sinus rhythm New rhythm starts One dropped beat is a sinus pause Beats walk through Sinus Pause
Atrial Rhythms
Premature Atrial Contraction (PAC) Atrial Rhythms <.12 .12 - .20 Premature & abnormal or hidden Irregular NA QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Atrial Rhythms
Atrial Fibrillation Atrial Rhythms <.12 NA Wavy irregular Irregular Var. QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Atrial Rhythms
[object Object],[object Object],[object Object],Atrial Rhythms
Atrial Tachycardia Atrial Rhythms <.12 but may be wide Not measure-able Abnormal and present but may be hidden on ST segment or T wave Irregular 140 – 250 QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Atrial Flutter Atrial Rhythms <.12 Not Measur-able Sawtooth Irregular Atrial=250 – 400 VentricularVar. QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
[object Object],[object Object],[object Object],[object Object],[object Object],Atrial Rhythms
Atrial Rhythms ,[object Object],[object Object],[object Object]
[object Object],[object Object],Junctional Rhythms
Premature Junctional Contraction PJC Junctional Rhythms Normal<.12 Short <.12 Premature, abnormal, may be inverted or hidden Irregular Usually normal QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Junctional Rhythms
Accelerated Junctional Junctional Rhythms <.12 <.12 Inverted, absent or after QRS Regular Var. QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Junctional Rhythms
Junctional Tachycardia Junctional Rhythms Normal<.12 Short <.12 May be inverted or hidden Regular >100 QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Junctional Rhythms
Junctional Rhythms Junctional Escape Normal <.12 Short <.12 Absent, inverted or after QRS Regular 40 – 60 QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Junctional Rhythms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ventricular Rhythms Premature Ventricular Contraction (PVC) Wide >.12 NA No P waves associated with premature beat Irregular Var. QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Ventricular Rhythms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ventricular Rhythm ,[object Object],[object Object],[object Object],[object Object]
Ventricular Rhythm ,[object Object],[object Object],[object Object],[object Object]
Ventricular Rhythm ,[object Object],[object Object],[object Object],[object Object]
Ventricular Rhythm ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Ventricular Rhythm
Ventricular Rhythms Ventricular Flutter Wide >.12 NA No P waves Regular 150 – 300 QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Ventricular Rhythms Ventricular Flutter “ Extreme V-Tach” Call code Begin CPR
Ventricular Rhythms Ventricular Tachycardia >.12 NA No P waves corresponding to QRS, a few may be seen  Regular 100 – 250 QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Ventricular Rhythms ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ventricular Rhythms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ventricular Rhythms Ventricular Fibrillation None NA None Chaotic 0 QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Ventricular Rhythms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ventricular Standstill Primary ventricular standstill None NA Present No QRS No QRS QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Asystole None None None None None QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Asystole ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Heart Block First Degree Heart Block <.12 > .20 Before each QRS, Identical Regular Norm. QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Heart Block ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Heart Block Second Degree Heart Block Mobitz Type I (Wenckebach) <.12 Progressively longer Present but some not followed by QRS Irregular Norm. can be slow QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Heart Block ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Heart Block Second Degree Heart Block Mobitz Type II (Classical) <.12 depends .12 - .20 2 3 or 4 before each QRS, Identical Regular or irregular Usually slow QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Heart Block ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Heart Block Third Degree Heart Block (Complete) <.12 depends Varies Present but no correlation to QRS may be hidden Regular 30 – 60 QRS  (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
Heart Block ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Study resources ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Cardiac arrhythmias

  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. Normal Sinus Rhythm Sinus Rhythms <.12 .12 - .20 Before each QRS, Identical Regular 60 - 100 QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 16.
  • 17. Sinus Bradycardia Sinus Rhythms <.12 .12 - .20 Before each QRS, Identical Regular <60 QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 18.
  • 19. Sinus Tachycardia Sinus Rhythms <.12 .12 - .20 Before each QRS, Identical Regular >100 QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 20.
  • 21. Sinus Arrhythmia Sinus Rhythms <.12 .12 - .20 Before each QRS, Identical Irregular Var. QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 22.
  • 23. Sinus Arrest Sinus Rhythms <.12 .12 - .20 Before each QRS, Identical Irregular NA QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 24. Sinus Arrest Sinus Rhythms Stop of sinus rhythm New rhythm starts One dropped beat is a sinus pause Beats walk through Sinus Pause
  • 26. Premature Atrial Contraction (PAC) Atrial Rhythms <.12 .12 - .20 Premature & abnormal or hidden Irregular NA QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 27.
  • 28. Atrial Fibrillation Atrial Rhythms <.12 NA Wavy irregular Irregular Var. QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 29.
  • 30.
  • 31. Atrial Tachycardia Atrial Rhythms <.12 but may be wide Not measure-able Abnormal and present but may be hidden on ST segment or T wave Irregular 140 – 250 QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 32. Atrial Flutter Atrial Rhythms <.12 Not Measur-able Sawtooth Irregular Atrial=250 – 400 VentricularVar. QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 33.
  • 34.
  • 35.
  • 36. Premature Junctional Contraction PJC Junctional Rhythms Normal<.12 Short <.12 Premature, abnormal, may be inverted or hidden Irregular Usually normal QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 37.
  • 38. Accelerated Junctional Junctional Rhythms <.12 <.12 Inverted, absent or after QRS Regular Var. QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 39.
  • 40. Junctional Tachycardia Junctional Rhythms Normal<.12 Short <.12 May be inverted or hidden Regular >100 QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 41.
  • 42. Junctional Rhythms Junctional Escape Normal <.12 Short <.12 Absent, inverted or after QRS Regular 40 – 60 QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 43.
  • 44. Ventricular Rhythms Premature Ventricular Contraction (PVC) Wide >.12 NA No P waves associated with premature beat Irregular Var. QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51. Ventricular Rhythms Ventricular Flutter Wide >.12 NA No P waves Regular 150 – 300 QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 52. Ventricular Rhythms Ventricular Flutter “ Extreme V-Tach” Call code Begin CPR
  • 53. Ventricular Rhythms Ventricular Tachycardia >.12 NA No P waves corresponding to QRS, a few may be seen Regular 100 – 250 QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 54.
  • 55.
  • 56. Ventricular Rhythms Ventricular Fibrillation None NA None Chaotic 0 QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 57.
  • 58. Ventricular Standstill Primary ventricular standstill None NA Present No QRS No QRS QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 59. Asystole None None None None None QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 60.
  • 61. Heart Block First Degree Heart Block <.12 > .20 Before each QRS, Identical Regular Norm. QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 62.
  • 63. Heart Block Second Degree Heart Block Mobitz Type I (Wenckebach) <.12 Progressively longer Present but some not followed by QRS Irregular Norm. can be slow QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 64.
  • 65. Heart Block Second Degree Heart Block Mobitz Type II (Classical) <.12 depends .12 - .20 2 3 or 4 before each QRS, Identical Regular or irregular Usually slow QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 66.
  • 67. Heart Block Third Degree Heart Block (Complete) <.12 depends Varies Present but no correlation to QRS may be hidden Regular 30 – 60 QRS (Sec.) PR Interval (sec.) P Wave Rhythm Heart Rate
  • 68.
  • 69.