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This document outlines the steps for analyzing ECG rhythms: 1. Calculate the heart rate by counting R waves over 6 seconds and multiplying by 10, or finding where R waves land on a grid 2. Determine if the rhythm is regular by examining the spacing between R waves 3. Check for P waves before each QRS, if they look similar and occur at a regular rate 4. Measure the PR interval, which should be between 0.12 to 0.20 seconds 5. Measure the QRS duration, which should be between 0.04 to 0.12 seconds By going through these steps, the example rhythm was determined to be normal sinus rhythm with a rate of 90-95 b

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Sergiu Helciug
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58 views15 pages

WWW - Medicalppt.: For More Free Medical Powerpoint Presentations Visit Website

This document outlines the steps for analyzing ECG rhythms: 1. Calculate the heart rate by counting R waves over 6 seconds and multiplying by 10, or finding where R waves land on a grid 2. Determine if the rhythm is regular by examining the spacing between R waves 3. Check for P waves before each QRS, if they look similar and occur at a regular rate 4. Measure the PR interval, which should be between 0.12 to 0.20 seconds 5. Measure the QRS duration, which should be between 0.04 to 0.12 seconds By going through these steps, the example rhythm was determined to be normal sinus rhythm with a rate of 90-95 b

Uploaded by

Sergiu Helciug
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
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ECG Rhythm Interpretation


Module II
How to Analyze a Rhythm
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calppt.blogspot.com

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.
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Learning Modules

ECG Basics
How to Analyze a Rhythm
Normal Sinus Rhythm
Heart Arrhythmias
Diagnosing a Myocardial Infarction
Advanced 12-Lead Interpretation
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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.
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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
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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)
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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
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Step 2: Determine regularity


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
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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
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Step 4: Determine PR interval

Normal: 0.12 - 0.20 seconds.


(3 - 5 boxes)

Interpretation?

0.12 seconds
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Step 5: QRS duration

Normal: 0.04 - 0.12 seconds.


(1 - 3 boxes)

Interpretation?

0.08 seconds
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Rhythm Summary

Rate
90-95 bpm
Regularity
regular
P waves normal
PR interval
0.12 s
QRS duration 0.08 s
Interpretation?
Normal Sinus Rhythm
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End of Module II
How to Analyze a Rhythm
Proceed to Module II Practice Quiz
on WebCT

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calppt.blogspot.com

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POWERPOINT PRESENTATIONS
VISIT WEBSITE

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