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Rhythm
Route
P Wave PR Interval
QRS
Rate
Rate
Rhythm
Regularity
Life
Threatening
No
Dependant
on Cause
Normal Sinus
Normal
Sinus Bradycardia Normal
0.12-0.20
0.12-0.20
<0.12
<0.12
60-100
<60
Regular
Regular
0.12-0.20
<0.12
>100, usually
100-150
Regular
No
Depends on
length and
frequency
Dependant
on
ventricular
rate
Atrial Pause
Irregular
Atrial Flutter
Saw
tooth
Regular or
Irregular
None
<0.12
Atrial rate
250-400
Causes
Normal Finding
Sleep, inactivity, athletic, vagal
tone, drugs, MI, K+, respiratory
arrest
Caffeine, exercise, fever, anxiety,
heart failure, drugs, pain, hypoxia,
hypotension, volume depletion
Elderly, digoxin toxicity, MI,
rheumatic fever
Valvular heart disease, MI, CHF,
pericarditis
Atrial Fibrillation
Wavy
None
unident
ifiable
<0.12
Atrial rate
>400
Irregular
Junctional
Rhythm
INVERT
ED
before
or after
QRS or
absent
INVERT
ED
before
or after
QRS or
absent
INVERT
ED
before
or after
QRS or
absent
Pointed
or
hidden
in T
<0.12
<0.12
40-60
Regular
<0.12
<0.12
60-100
Regular
Dependant
on
ventricular
rate
<0.12
<0.12
>100
Regular
Dependant
on
ventricular
rate
Same as SVT
Immeasur
able
<0.12
150-250
Regular
Dependant
on rate and
patient
ability to
tolerate
Accelerated
Junctional
Rhythm
Junctional
Tachycardia
Supraventricular
Tachycardia
Dependant
on
ventricular
rate
Dependant
on
ventricular
rate
Idioventricular
Rhythm
None
None
20-40
Regular
Yes
150-250
Regular
Yes, may
have pulse
None
>0.11
wide and
bizarre
>0.11
wide and
bizarre
None
Ventricular
Tachycardia
None
None
Ventricular
Fibrillation
None
None
Yes, no
pulse
Possibl
e
Normal
None
None
None
Irregular, vary
in size, shape
and height
No QRS
Asystole
Yes
>0.20
<0.12
Varies
Usually Not
2 AV Block Type
I
Normal
Varies:
progressiv
ely
prolonged
<0.12
Varies
2 AV Block Type
II
Normal
Consistent Normal or
normal or wide
prolonged
Usually slow
Regular or
irregular
Regularly
irregular: QRS
dropped after
progressively
prolonged PRI
Regular or
irregular;
occasionally
dropped QRS
3 AV Block
Normal
No
Wide
relationshi
p between
PR & QRS
Slow
1 AV Block
Regular
Usually Not
Dependant
on overall
ventricular
rate, may
progress to
3 AV Block
Yes:
pacemaker
needed
Premature Atrial
Contractions
Premature
Junctional
Contractions
Premature
Ventricular
Contractions
Yes,
PAC P
wave
shaped
differe
nt
Inverte
d
before
or after
QRS or
absent
None
Rate of
underlying
rhythm
PAC
complexes
come early
No
<0.12
<0.12
Rate of
underlying
rhythm
PJC make it
irregular
No
N/A
>0.11
wide and
bizarre
Dependant
on
underlying
rhythm
Irregular due
to premature
beat
Depends on
frequency
and how
close to T
wave
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