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    Module2 How To Analyze Rhythm

    Uploaded by

    Takpire DrMadhukar
    This document outlines the steps for analyzing cardiac rhythms on an ECG: 1. Calculate the heart rate by counting R waves over 6 seconds and multiplying by 10 or using the box method 2. Determine if the rhythm is regular by examining R-R intervals 3. Assess P waves for presence, morphology, and relationship to the QRS complex 4. Measure the PR interval 5. Measure the QRS duration When these steps are applied to the provided rhythm strip, the summary is a normal sinus rhythm with a rate of 90-95 bpm and normal P waves, PR interval, and QRS duration.

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    Module2 How To Analyze Rhythm

    Uploaded by

    Takpire DrMadhukar
    67 views13 pages
    This document outlines the steps for analyzing cardiac rhythms on an ECG: 1. Calculate the heart rate by counting R waves over 6 seconds and multiplying by 10 or using the box method 2. Determine if the rhythm is regular by examining R-R intervals 3. Assess P waves for presence, morphology, and relationship to the QRS complex 4. Measure the PR interval 5. Measure the QRS duration When these steps are applied to the provided rhythm strip, the summary is a normal sinus rhythm with a rate of 90-95 bpm and normal P waves, PR interval, and QRS duration.

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    Module2 How to Analyze Rhythm

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    This document outlines the steps for analyzing cardiac rhythms on an ECG: 1. Calculate the heart rate by counting R waves over 6 seconds and multiplying by 10 or using the box method 2. Determine if the rhythm is regular by examining R-R intervals 3. Assess P waves for presence, morphology, and relationship to the QRS complex 4. Measure the PR interval 5. Measure the QRS duration When these steps are applied to the provided rhythm strip, the summary is a normal sinus rhythm with a rate of 90-95 bpm and normal P waves, PR interval, and QRS duration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    67 views13 pages

    Module2 How To Analyze Rhythm

    Uploaded by

    Takpire DrMadhukar
    This document outlines the steps for analyzing cardiac rhythms on an ECG: 1. Calculate the heart rate by counting R waves over 6 seconds and multiplying by 10 or using the box method 2. Determine if the rhythm is regular by examining R-R intervals 3. Assess P waves for presence, morphology, and relationship to the QRS complex 4. Measure the PR interval 5. Measure the QRS duration When these steps are applied to the provided rhythm strip, the summary is a normal sinus rhythm with a rate of 90-95 bpm and normal P waves, PR interval, and QRS duration.

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    You are on page 1of 13

    ECG Rhythm Interpretation

    Module II

    How to Analyze a Rhythm

    1 www.similima.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.

    2 www.similima.com
    Learning Modules

    • ECG Basics
    • How to Analyze a Rhythm
    • Normal Sinus Rhythm
    • Heart Arrhythmias
    • Diagnosing a Myocardial Infarction
    • Advanced 12-Lead Interpretation
    3 www.similima.com
    Rhythm Analysis

    • Step 1: Calculate rate.


    • Step 2: Determine regularity.
    • Step 3: Assess the P waves.
    • Step 4: Determine PR interval.
    • Step 5: Determine QRS duration.
    4 www.similima.com
    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
    5 www.similima.com
    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)
    6 www.similima.com
    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
    7
    bpm www.similima.com
    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
    8 www.similima.com
    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
    9
    every QRS
    www.similima.com
    Step 4: Determine PR interval

    • Normal: 0.12 - 0.20 seconds.


    (3 - 5 boxes)

    Interpretation? 0.12 seconds


    10 www.similima.com
    Step 5: QRS duration

    • Normal: 0.04 - 0.12 seconds.


    (1 - 3 boxes)

    Interpretation? 0.08 seconds


    11 www.similima.com
    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
    12 www.similima.com
    End of Module II
    How to Analyze a Rhythm
    Proceed to Module II Practice Quiz
    on WebCT

    13 www.similima.com

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