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Module IV a
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Learning Modules
• ECG Basics
• How to Analyze a Rhythm
• Normal Sinus Rhythm
• Heart Arrhythmias
• Diagnosing a Myocardial Infarction
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Arrhythmias
• Sinus Rhythms
• Premature Beats
• Supraventricular Arrhythmias
• Ventricular Arrhythmias
• AV Junctional Blocks
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Sinus Rhythms
• Sinus Bradycardia
• Sinus Tachycardia
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Rhythm #1
• Rate? 30 bpm
• Regularity? regular
• P waves? normal
• PR interval? 0.12 s
• QRS duration? 0.10 s
Interpretation? Sinus Bradycardia
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Sinus Bradycardia
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Sinus Bradycardia
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Rhythm #2
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Sinus Tachycardia
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Premature Beats
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Rhythm #3
• Rate? 70 bpm
• Regularity? occasionally irreg.
• P waves? 2/7 different contour
• PR interval? 0.14 s (except 2/7)
• QRS duration? 0.08 s
Interpretation? NSR with Premature Atrial
Contractions
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Premature Atrial Contractions
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Teaching Moment
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Rhythm #4
• Rate? 60 bpm
• Regularity? occasionally irreg.
• P waves? none for 7th QRS
• PR interval? 0.14 s
• QRS duration? 0.08 s (7th wide)
Interpretation? Sinus Rhythm with 1 PVC
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PVCs
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Teaching Moment
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Ventricular Conduction
Normal Abnormal
Signal moves rapidly Signal moves slowly
through the ventricles through the ventricles
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End of Module IV a
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