1. Practice Rhythms Strips
Chapter 3
Practice Rhythms Strips
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2. Figure 3-7
This rhythm strip is from a 33-year-old woman complaining of abdominal pain.
Ventricular rate/rhythm
Atrial rate/rhythm
PR interval
QRS duration
Identification
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3. Figure 3-7
This rhythm strip is from a 33-year-old woman complaining of abdominal pain.
Ventricular rate/rhythm
71 bpm / regular
Atrial rate/rhythm
PR interval
0.12 sec
QRS duration
0.08 sec
Identification
Sinus rhythm at 71 bpm
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4. Figure 3-8 Ventricular rate/rhythm Atrial rate/rhythm PR interval
QRS duration
Identification
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5. Figure 3-8 Ventricular rate/rhythm 85 bpm / regular Atrial rate/rhythm
PR interval
0.16 sec
QRS duration
0.08 sec
Identification
Sinus rhythm at 85 bpm
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6. Figure 3-9 Ventricular rate/rhythm Atrial rate/rhythm PR interval
QRS duration
Identification
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7. Figure 3-9 Ventricular rate/rhythm 95 bpm / regular Atrial rate/rhythm
PR interval
0.16 second
QRS duration
0.08 sec
Identification
Sinus rhythm at 95 bpm
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8. Figure 3-10
This rhythm strip is from a 73-year-old man complaining of chest pain. History of hypertension and lung disease. Medications include aspirin, albuterol, and Lotensin.
Ventricular rate/rhythm
Atrial rate/rhythm
PR interval
QRS duration
Identification
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9. Figure 3-10
This rhythm strip is from a 73-year-old man complaining of chest pain. History of hypertension and lung disease. Medications include aspirin, albuterol, and Lotensin.
U wave
Ventricular rate/rhythm
44 bpm / regular
Atrial rate/rhythm
PR interval
0.16 sec
QRS duration
0.06 sec
Identification
Sinus bradycardia at 44 bpm, ST-segment depression. Note the upright U waves following each T wave.
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10. Figure 3-11 Ventricular rate/rhythm Atrial rate/rhythm PR interval
QRS duration
Identification
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11. Figure 3-11 Ventricular rate/rhythm 94 bpm / regular
Atrial rate/rhythm
PR interval
0.18 sec
QRS duration
0.12 sec
Identification
Sinus rhythm at 94 bpm with a wide (and notched) QRS, ST-segment depression
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12. Figure 3-12
This rhythm strip is from an 86-year-old woman complaining of chest pain that she rates a 4 on a 0 to 10 scale. Blood pressure 142/72.
Ventricular rate/rhythm
Atrial rate/rhythm
PR interval
QRS duration
Identification
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13. Figure 3-12
This rhythm strip is from an 86-year-old woman complaining of chest pain that she rates a 4 on a 0 to 10 scale. Blood pressure 142/72.
Ventricular rate/rhythm
60 bpm / regular
Atrial rate/rhythm
PR interval
0.20 second
QRS duration
0.06 second
Identification
Sinus rhythm at 60 bpm
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14. Figure 3-13 Ventricular rate/rhythm Atrial rate/rhythm PR interval
QRS duration
Identification
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15. Figure 3-13 Ventricular rate/rhythm 71/min, regular Atrial rate/rhythm
PR interval
0.16 to 0.20 sec
QRS duration
0.12 to 0.14 sec
Identification
Sinus rhythm at 71 bpm with a wide QRS,
ST-segment depression
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16. Figure 3-14
These rhythm strips are from a 35-year-old man complaining of a sudden onset of severe substernal chest pain. He has no significant past medical history and takes no medications. His initial blood pressure is 56/0.
Ventricular rate/rhythm
Atrial rate/rhythm
PR interval
QRS duration
Identification
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17. Figure 3-14
These rhythm strips are from a 35-year-old man complaining of a sudden onset of severe substernal chest pain. He has no significant past medical history and takes no medications. His initial blood pressure is 56/0.
Ventricular rate/rhythm
71 bpm / regular
Atrial rate/rhythm
PR interval
0.14 second
QRS duration
0.08 second
Identification
Sinus rhythm at 71 bpm
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18. Figure 3-15
This rhythm strip is from a 79-year-old woman with a nosebleed. Blood pressure is 222/118.
Ventricular rate/rhythm
Atrial rate/rhythm
PR interval
QRS duration
Identification
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19. Figure 3-15
This rhythm strip is from a 79-year-old woman with a nosebleed. Blood pressure is 222/118.
Ventricular rate/rhythm
130 bpm / regular
Atrial rate/rhythm
PR interval
0.16 second
QRS duration
0.12 second
Identification
Sinus tachycardia at 130 bpm with a wide-QRS and ST-segment depression
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20. Figure 3-16
This rhythm strip is from a 39-year-old man complaining of “feeling faint.” Blood pressure is 200/120.
Ventricular rate/rhythm
Atrial rate/rhythm
PR interval
QRS duration
Identification
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21. Figure 3-16
This rhythm strip is from a 39-year-old man complaining of “feeling faint.” Blood pressure is 200/120.
Ventricular rate/rhythm
67 to 83 bpm / irregular
Atrial rate/rhythm
PR interval
0.16 second
QRS duration
0.06 to 0.08 second
Identification
Sinus arrhythmia at 67 to 83 bpm
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22. Figure 3-17
This rhythm strip is from a 61-year-old woman with an altered level of responsiveness. Blood pressure is 112/62. Blood sugar is 42.
Ventricular rate/rhythm
Atrial rate/rhythm
PR interval
QRS duration
Identification
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23. Figure 3-17
This rhythm strip is from a 61-year-old woman with an altered level of responsiveness. Blood pressure is 112/62. Blood sugar is 42.
Ventricular rate/rhythm
65 bpm / regular
Atrial rate/rhythm
PR interval
0.20 second
QRS duration
0.10 second
Identification
Sinus rhythm at 65 bpm with ST-segment depression
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24. Figure 3-18
This rhythm strip is from a 26-year-old man after a seizure.
Ventricular rate/rhythm
Atrial rate/rhythm
PR interval
QRS duration
Identification
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25. Figure 3-18
This rhythm strip is from a 26-year-old man after a seizure.
Ventricular rate/rhythm
64 to 94 bpm / irregular
Atrial rate/rhythm
PR interval
0.16 second
QRS duration
0.06 to 0.08 second
Identification
Sinus arrhythmia at 64 to 94 bpm
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26. Figure 3-19 Ventricular rate/rhythm Atrial rate/rhythm PR interval
QRS duration
Identification
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27. Figure 3-19 Ventricular rate/rhythm 0 to 75 bpm / irregular
Atrial rate/rhythm
PR interval
0.16 second
QRS duration
0.08 second
Identification
Sinus rhythm at 0 to 75 bpm with an episode of sinus arrest; tall T waves
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28. Figure 3-20 Ventricular rate/rhythm Atrial rate/rhythm PR interval
QRS duration
Identification
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29. Figure 3-20 Ventricular rate/rhythm 167 bpm / regular
Atrial rate/rhythm
PR interval
0.12 second
QRS duration
0.06 second
Identification
Sinus tachycardia at 167 bpm
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30. Questions?
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