Rhythm Identification For Bdi

Front 1

Back 1

Regularity: regular Atrial Rate: 0 Ventricular Rate:40
P waves: absent P-R Interval: absent
QRS Complex:wide .16 QT Interval: unmeasurable
Diagnosis: Idioventricular Rhythm

Front 2

Back 2

Regularity: regular Atrial Rate: 100 Ventricular Rate: 30
P waves: upright before QRS beats 3,6,9
P-R Interval: .12 QRS Complex: narrow .08
QT Interval: .40
Diagnosis: Mobitz II second degree AV block

Front 3

Back 3

Regularity: O Atrial Rate: O Ventricular Rate: O
P waves: 30 P-R Interval: O
QRS Complex:O QT Interval: O
Diagnosis: Asystole/Ventricular Standstill

Front 4

Back 4

Regularity:regular Atrial Rate:120
Ventricular Rate:120
P waves: upright before QRS P-R Interval: .12
QRS Complex:narrow .06 QT Interval: .32
Diagnosis: Sinus Tachy

Front 5

Back 5

Regularity:regular Atrial Rate: 80 Ventricular Rate: 40
P waves: upright before QRS P-R Interval: .12
QRS Complex:narrow .08 QT Interval: .44
Diagnosis: Mobitz II second degree AV Block

Front 6

Back 6

Regularity: regular Atrial Rate: 60
Ventricular Rate:60
P waves: upright varying shapes P-R Interval: .12
QRS Complex:narrow .06 QT Interval: .40
Diagnosis:Wandering Pacemaker

Front 7

Back 7

Regularity:regular Atrial Rate:60
Ventricular Rate: 40
P waves: upright before QRS
P-R Interval: increasing QRS Complex: narrow .08
QT Interval: .48
Diagnosis: 3rd Degree/Complete Heart Block

Front 8

Back 8

Regularity: regular Atrial Rate:100 Ventricular Rate: 60
P waves: upright independent of QRS
P-R Interval: unmeasurable QRS Complex: .12
QT Interval: .32
Diagnosis: Third Degree AV Heart Block

Front 9

Back 9

Regularity: regular Atrial Rate: 60 Ventricular Rate: 90
P waves:upright before QRS 1,2,4,5,7,8 P-R Interval: .20
QRS Complex: narrow .06 beats 1,2,4,5,7,8
wide .16 beats 3,6,9
QT Interval: .44
Diagnosis: Sinus with trigeminal PVCs

Front 10

Back 10

Regularity: irregular Atrial Rate:unmeasurable Ventricular Rate: 50
P waves:unmeasurable P-R Interval: unmeasurable
QRS Complex:narrow .06 QT Interval: unmeasurable
Diagnosis:Atrial Fibrillation slow response

Front 11

Back 11

Regularity:regular Atrial Rate: 30 Ventricular Rate:60
P waves:upright before QRS P-R Interval: .16
QRS Complex:narrow .06 beats 1,2,3,5;
wide .16 beats 4,6
QT Interval: .36
Diagnosis: Sinus Brady with multifocal PVCs

Front 12

Back 12

Regularity: regular Atrial Rate: unmeasurable Ventricular Rate: 190
P waves: unmeasurable P-R Interval: unmeasurable
QRS Complex: narrow .06 QT Interval: .32
Diagnosis: Supraventricular Tachycardia

Front 13

Back 13

Regularity: regular Atrial Rate: 0 Ventricular Rate:60
P waves: absent P-R Interval: unmeasurable
QRS Complex:narrow .08 QT Interval: .44
Diagnosis: Junctional Escape with 1 fusion beat

Front 14

Back 14

Regularity: irregular Atrial Rate:unmeasurable Ventricular Rate: 50
P waves:unmeasurable P-R Interval: unmeasurable
QRS Complex:narrow .06 QT Interval: unmeasurable
Diagnosis:Atrial Fibrillation slow response

Front 15

Back 15

Regularity: regular Atrial Rate: 0 Ventricular Rate:40
P waves: absent P-R Interval: absent
QRS Complex:wide .16 QT Interval: unmeasurable
Diagnosis: Idioventricular Rhythm

Front 16

Back 16

Regularity:regular except pause Atrial Rate: 70 Ventricular Rate: 70
P waves: upright before QRS P-R Interval: .16
QRS Complex: .08 QT Interval: .40
Diagnosis: Sinus Rhythm with Sinus pause/arrest

Front 17

Back 17

Regularity:regular Atrial Rate:300 Ventricular Rate:70
P waves:flutter waves P-R Interval: unmeasurable
QRS Complex: narrow .06 QT Interval:unmeasurable
Diagnosis:Atrial Flutter 4:1

Front 18

Back 18

Regularity:regular Atrial Rate: 0 Ventricular Rate: 60
P waves: absent P-R Interval: unmeasurable
QRS Complex: wide .16 QT Interval: .40
Diagnosis: Accelerated Idioventricular

Front 19

Back 19

Regularity: regular Atrial Rate: 60 Ventricular Rate: 40
P waves:upright independent QRS
P-R Interval:unmeasurable QRS Complex: wide .12
QT Interval: .56
Diagnosis:Third Degree AV Block

Front 20

Back 20

Regularity:regular Atrial Rate:0 Ventricular Rate: 68
P waves: absent P-R Interval: absent
QRS Complex:narrow .06 QT Interval: .36
Diagnosis:Accelerated Junctional

Front 21

Back 21

Regularity: regular Atrial Rate: unmeasurable Ventricular Rate: 240
P waves: unmeasurable P-R Interval: unmeasurable
QRS Complex: narrow .04 QT Interval: .12
Diagnosis: Supraventricular Tachycardia

Front 22

Back 22

Regularity:regular Atrial Rate:300 Ventricular Rate:50
P waves:flutter waves P-R Interval: unmeasurable
QRS Complex: narrow .04 QT Interval:unmeasurable
Diagnosis:Atrial Flutter 7:1

Front 23

Back 23

Regularity:regular Atrial Rate:20 Ventricular Rate:60 for first 2 beats, 150 for rest
P waves:upright before QRS(1&2) P-R Interval: .32
QRS Complex:narrow .08(1&2) wide .12(remainder)
QT Interval: .40
Diagnosis: Sinus with 1o AV block into V Tachy

Front 24

Back 24

Regularity: regular Atrial Rate: 60 Ventricular Rate: 50
P waves: present P-R Interval: .16 QRS Complex: .04
QT Interval: 48
Interpretation: Sinus Arrhythmia

Front 25

Back 25

Regularity:regular footprint Atrial Rate:60 Ventricular Rate:50
P waves: upright before QRS conducted beats
P-R Interval: lengthening QRS Complex: narrow .08
QT Interval: .44
Diagnosis: Wenkebach Mobitz I

Front 26

Back 26

Regularity: regular Atrial Rate: 40 Ventricular Rate: 40
P waves: biphasic, before QRS P-R Interval: .20
QRS Complex: narrow .08
QT Interval: .44
Diagnosis: Sinus Brady

Front 27

Back 27

Regularity:regular Atrial Rate:130 Ventricular Rate: 40
P waves:upright march out P-R Interval:insignificant
QRS Complex:wide .20 QT Interval: .44
Diagnosis: Third Degree AV Block with
Idioventricular Escape Rhythm

Front 28

Back 28

Regularity:regular Atrial Rate: 80 Ventricular Rate: 80
P waves: upright before QRS P-R Interval: .24
QRS Complex: .08 QT Interval: .32
Diagnosis: Sinus with first degree AV block

Front 29

Back 29

Regularity:regular Atrial Rate:300 Ventricular Rate:100
P waves:flutter waves P-R Interval: unmeasurable
QRS Complex: narrow .06 QT Interval:unmeasurable
Diagnosis:Atrial Flutter 4:1

Front 30

Back 30

Regularity: regular Atrial Rate: 75 Ventricular Rate: 75
P waves: inverted before QRS P-R Interval: .12
QRS Complex:narrow .08 QT Interval:.32
Diagnosis:Accelerated Junctional

Front 31

Back 31

Regularity:irregular Atrial Rate:unmeasurable Ventricular Rate:unmeasurable
P waves: not present P-R Interval: unmeasurable
QRS Complex:unmeasurable QT Interval:unmeasurable
Diagnosis: Ventricular Fibrillation

Front 32

Back 32

Regularity:regular Atrial Rate:60 (1,2,3); 37(4,5)
Ventricular Rate:60 (1,2,3); 37(4,5)
P waves:upright before QRS P-R Interval: .12
QRS Complex:narrow .08 QT Interval: .40
Diagnosis:Sinus Arrhythmia

Front 33

Back 33

Regularity: regular Atrial Rate:85 Ventricular Rate: 40
P waves:upright before QRS P-R Interval: .16
QRS Complex:narrow .08 QT Interval: .44
Diagnosis: Mobitz II, 2 to 1 AV Block

Front 34

Back 34

Regularity:regular Atrial Rate:160 Ventricular Rate:160
P waves:upright on top of T waves P-R Interval: .20
QRS Complex:narrow .06 QT Interval: .36
Diagnosis: Atrial Tachy

Front 35

Back 35

Regularity:regular Atrial Rate: 80 Ventricular Rate: 40
P waves:upright independent QRS
P-R Interval: unmeasurable QRS Complex: narrow .08
QT Interval: .40
Diagnosis:Third Degree AV block

Front 36

Back 36

Regularity: irregular Atrial Rate:unmeasurable Ventricular Rate: 50
P waves:unmeasurable P-R Interval: unmeasurable
QRS Complex:narrow .08 QT Interval: unmeasurable
Diagnosis:Atrial Fibrillation slow response

Front 37

Back 37

Regularity: irregular Atrial Rate: 0
Ventricular Rate:unmeasurable
P waves:absent P-R Interval: absent
QRS Complex:irregular QT Interval:unmeasurable
Diagnosis: Ventricular Fibrillation

Front 38

Back 38

Regularity: Irregular Atrial Rate: 0

Vaentricular Rate: Immeasurale

P waves: absent P-R Interval: absent

QRS Complex: Irregular

QT Interval: immeasurable

Diagnosis: Ventricular Fiberillation

Front 39

Back 39

Regularity:regular Atrial Rate: 40
Ventricular Rate: 80
P waves:upright before QRS P-R Interval: .16
QRS Complex:narrow .06; wide .12 beats 4,6,8,9,11,12.
QT Interval: .40
Diagnosis:Sinus with unifocal PVCs

Front 40

Back 40

Regularity:regular Atrial Rate:unmeasurable Ventricular Rate:150
P waves:absent P-R Interval: unmeasurable
QRS Complex:wide .24 QT Interval: unmeasurable
Diagnosis: Ventricular Tachy

Front 41

Back 41

Regularity: regular except early beats
Atrial Rate: 75 Ventricular Rate:75
P waves:upright before QRS except #2 P-R Interval: .16
QRS Complex:narrow .06 QT Interval: .40
Diagnosis: Sinus with Fusion (2) PACs (4,7)

Front 42

Back 42

Regularity:regular Atrial Rate:60 Ventricular Rate: 20
P waves: upright before QRS when conducted
P-R Interval: .28 QRS Complex:narrow .06
QT Interval: .36
Diagnosis: Mobitz II AV Block

Front 43

Back 43

Regularity:regular Atrial Rate: 40 Ventricular Rate: 80
P waves:upright before QRS 1,3,5,7 absent 2,4,6,8
P-R Interval: .08 for 1,3,5,7 absent 2,4,6,8
QRS Complex:narrow .06 - .08 QT Interval: .28
Diagnosis: Junctional with bigeminal PJC

Front 44

Back 44

Regularity:regular Atrial Rate:120 Ventricular Rate:120
P waves: inverted follow QRS
P-R Interval: unmeasurable
QRS Complex: narrow QT Interval: .40
Diagnosis: Junctional Tachy

Front 45

Back 45

Regularity: regular Atrial Rate: 80 Ventricular Rate: 80
P waves: upright before QRS except 4,7,8,9,10,11 P-R Interval: .16
QRS Complex: narrow .06 QT Interval: .32
Diagnosis: Sinus PAC (4,7) PAT 7-11

Front 46

Back 46

Regularity:regular except ectopics Atrial Rate: 85 Ventricular Rate: 85
P waves: inverted before QRS except ectopics
P-R Interval: .20
QRS Complex:narrow .08(1,2,3,6,8,9,10)wide .16 (4,5,7)
QT Interval: .24
Diagnosis:Sinus with multifocal PVC – why not junctional???
Note: lead is V1 p wave can be inverted normally in that lead!

Front 47

Back 47

Regularity:regular Atrial Rate:100 Ventricular Rate:100
P waves: upright
P-R Interval: .24 QRS Complex: .06
QT Interval: .28
Diagnosis: Sinus with 1st Degree AV Block

Front 48

Back 48

Regularity: regular Atrial Rate: unmeasurable Ventricular Rate: 80
P waves:behind QRS P-R Interval: unmeasurable
QRS Complex:narrow .10 QT Interval: .36
Diagnosis:Accelerated Junctional

Front 49

Back 49

Regularity:reg except early beats
Atrial Rate: unmeasurable Ventricular Rate:80
P waves: upright Sinus beats PR Interval: .12
QRS Complex: narrow .08 QT Interval: .36
Diagnosis: Sinus w PAC arrowed beat run SVT rate 170

Front 50

Back 50

Normal Sinus Rhythm (NSR)

Front 51

Back 51

Sinus Bradycardia

Front 52

Back 52

Sinus Tachycardia

Front 53

Back 53

Asystole

Front 54

Back 54

Ventricular Fibrillation (VF)

Front 55

Back 55

Ventricular Tachycardia (VT)

Front 56

Back 56

Junctional Rhythms

Front 57

Back 57

Accelerated Junctional Rhythms

Front 58

Back 58

Premature Ventricular Contractions (PVC) - unifocal

Front 59

Back 59

Premature Ventricular Contractions (PVC) - multifocal

Front 60

Back 60

Atrial Flutter (A-flutter)

Front 61

Back 61

Atrial fibrillation (A-fib)

Front 62

Back 62

1st Degree AV Block

Front 63

Back 63

2nd Degree Block Type 1 (Wenckebach) or (Mobitz I)

Front 64

Back 64

2nd Degree Block Type 2 (Mobitz) or (Mobitz II)

Front 65

Back 65

3rd Degree Block

Front 66

Back 66

Bundle Branch Block

Front 67

Back 67

Supraventricular Tachycardia (SVT)