NCM 118 MIDTERMS PG 7

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FIRST PACEMAKER SECOND PACEMAKER

SINUS SINUS PREMATURE ATRIAL PAROXYSMAL ATRIAL ATRIAL


BRADYCARDIA TACHYCARDIA CONTRACTIONS SUPRAVENTRICULAR FLUTTER FIBRILLATION
TACHYCARDIA
P-wave NORMAL NORMAL ABNORMAL ABSENT/ABNORMAL ABSENT ABSENT/
CHAOTIC
PR interval SHORT SHORT
QRS complex NORMAL NORMAL NORMAL NORMAL NORMAL NORMAL
ST segment NORMAL NORMAL
T-wave NORMAL NORMAL INDEFINITE ABSENT/
CHAOTIC
Other <60 BPM >100 BPM (+) skip beat, AV node re-excitation of atria saw tooth, (+) (+) quivering,
as pacemaker flutter waves chaotic, (+)
fibrillatory
waves, 300-600
BPM

THIRD PACEMAKER
JUNCTIONAL RHYTHM AV BLOCKS, “branch blocks”
or DYSRHYTHMIA
1º 2º 3º
MOBITZ 1 MOBITZ 2
P-wave ABNORMAL/INVERTED NORMAL to FLAT NORMAL to FLAT ABSENT NORMAL to FLAT
(hidden in QRS)
PR interval PROLONGED PROLONGED NORMAL VARIABLE
QRS complex NORMAL NORMAL with 1 PROLONGED NORMAL to
BLOCKED PROLONGED
ST segment
T-wave
Other No management, PR P>QRS; no PR “Complete heart
interval (>20 secs) lengthening compared to block”
Mobitz 1

LAST PACEMAKER
PREMATURE VENTRICULAR TACHYCARDIA VENTRICULAR FIBRILLATION ASYSTOLE
VENTRICULAR
CONTRACTIONS
P-wave ABNORMAL/HIDDEN ABNORMAL ABSENT
PR interval DISTORTED
QRS complex WIDE/DISTORTED DISTORTED ABNORMAL ABSENT
ST segment ABNORMAL ABSENT
T-wave LARGE ABNORMAL ABSENT
Other (+) ectopic beat vertical projections, high amplitude, (+) quivering, derangement flat, no electrical
150-250 BPM, no resting phase chaotic rate, low amplitude, activity
also Pulseless V-Tach

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