Scribd
Upload
38 views12 pages

ECG Rhythm Interpretation: How To Analyze A Rhythm

The document outlines the steps to analyze an ECG rhythm: 1) Calculate the heart rate, 2) Determine regularity, 3) Assess P waves, 4) Measure the PR interval, and 5) Measure the QRS duration. It provides examples of analyzing a rhythm strip and determining it has a rate of 90-95 bpm, is regular, with normal P waves, a PR interval of 0.12 seconds, and a QRS duration of 0.08 seconds, consistent with normal sinus rhythm.

Uploaded by

Fauzi Rahman
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
38 views12 pages

ECG Rhythm Interpretation: How To Analyze A Rhythm

The document outlines the steps to analyze an ECG rhythm: 1) Calculate the heart rate, 2) Determine regularity, 3) Assess P waves, 4) Measure the PR interval, and 5) Measure the QRS duration. It provides examples of analyzing a rhythm strip and determining it has a rate of 90-95 bpm, is regular, with normal P waves, a PR interval of 0.12 seconds, and a QRS duration of 0.08 seconds, consistent with normal sinus rhythm.

Uploaded by

Fauzi Rahman
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
You are on page 1/ 12

ECG Rhythm Interpretation

Module II How to Analyze a Rhythm

Course Objectives
To recognize the normal rhythm of the heart - Normal Sinus Rhythm.

To recognize the 13 most common rhythm disturbances.


To recognize an acute myocardial infarction on a 12-lead ECG.

Learning Modules
ECG Basics How to Analyze a Rhythm Normal Sinus Rhythm Heart Arrhythmias Diagnosing a Myocardial Infarction Advanced 12-Lead Interpretation

Rhythm Analysis

Step 1: Step 2: Step 3: Step 4: Step 5:

Calculate rate. Determine regularity. Assess the P waves. Determine PR interval. Determine QRS duration.

Step 1: Calculate Rate


3 sec 3 sec

Option 1
Count the # of R waves in a 6 second rhythm strip, then multiply by 10. Reminder: all rhythm strips in the Modules are 6 seconds in length.

Interpretation? 9 x 10 = 90 bpm

Step 1: Calculate Rate


R wave

Option 2
Find a R wave that lands on a bold line. Count the # of large boxes to the next R wave. If the second R wave is 1 large box away the rate is 300, 2 boxes - 150, 3 boxes - 100, 4 boxes - 75, etc. (cont)

Step 1: Calculate Rate


3 1 1 0 5 0 7 6 5 0 0 0 5 0 0

Option 2 (cont)
Memorize the sequence: 300 - 150 - 100 - 75 - 60 - 50

Interpretation? Approx. 1 box less than 100 = 95 bpm

Step 2: Determine regularity


R R

Look at the R-R distances (using a caliper or markings on a pen or paper). Regular (are they equidistant apart)? Occasionally irregular? Regularly irregular? Irregularly irregular? Interpretation?

Regular

Step 3: Assess the P waves

Are there P waves? Do the P waves all look alike? Do the P waves occur at a regular rate? Is there one P wave before each QRS? Interpretation? Normal P waves with 1 P wave for every QRS

Step 4: Determine PR interval

Normal: 0.12 - 0.20 seconds. (3 - 5 boxes)

Interpretation? 0.12 seconds

Step 5: QRS duration

Normal: 0.04 - 0.12 seconds. (1 - 3 boxes)

Interpretation? 0.08 seconds

Rhythm Summary

Rate Regularity P waves PR interval QRS duration Interpretation?

90-95 bpm regular normal 0.12 s 0.08 s

Normal Sinus Rhythm

You might also like