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Atrial Flutter

The document discusses different types of supraventricular and ventricular arrhythmias including atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, ventricular tachycardia, and ventricular fibrillation. It provides details on the characteristics, etiology, and key features of each arrhythmia based on analyzing EKG rhythm strips.

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EdRobertArnad
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167 views17 pages

Atrial Flutter

The document discusses different types of supraventricular and ventricular arrhythmias including atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, ventricular tachycardia, and ventricular fibrillation. It provides details on the characteristics, etiology, and key features of each arrhythmia based on analyzing EKG rhythm strips.

Uploaded by

EdRobertArnad
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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Supraventricular Arrhythmias

Atrial Atrial

Fibrillation

Flutter

Paroxysmal

Supraventricular Tachycardia

Rhythm #5

Rate? Regularity? P waves? PR interval? QRS duration?

100 bpm irregularly irregular none none 0.06 s

Interpretation? Atrial Fibrillation

Atrial Fibrillation
Deviation
No

from NSR

organized atrial depolarization, so no normal P waves (impulses are not originating from the sinus node). Atrial activity is chaotic (resulting in an irregularly irregular rate). Common, affects 2-4%, up to 5-10% if > 80 years old

Atrial Fibrillation

Etiology:

Recent theories suggest that it is due to multiple re-entrant wavelets conducted between the R & L atria. Either way, impulses are formed in a totally unpredictable fashion. The AV node allows some of the impulses to pass through at variable intervals (so rhythm is irregularly irregular).

Rhythm #6

Rate? Regularity? P waves? PR interval? QRS duration?

70 bpm regular flutter waves none 0.06 s

Interpretation? Atrial Flutter

Atrial Flutter
Deviation
No

from NSR

P waves. Instead flutter waves (note sawtooth pattern) are formed at a rate of 250 - 350 bpm. Only some impulses conduct through the AV node (usually every other impulse).

Atrial Flutter
Etiology:

Reentrant pathway in the right atrium with every 2nd, 3rd or 4th impulse generating a QRS (others are blocked in the AV node as the node repolarizes).

Rhythm #7

Rate? 74 148 bpm Regularity? Regular regular P waves? Normal none PR interval? 0.16 s none QRS duration? 0.08 s Interpretation? Paroxysmal Supraventricular Tachycardia (PSVT)

PSVT
Deviation
The

from NSR

heart rate suddenly speeds up, often triggered by a PAC (not seen here) and the P waves are lost.

PSVT

Etiology:

There are several types of PSVT but all originate above the ventricles (therefore the QRS is narrow). common: abnormal conduction in the AV node (reentrant circuit looping in the AV node).

Most

Ventricular Arrhythmias
Ventricular Ventricular

Tachycardia

Fibrillation

Rhythm #8

Rate? Regularity? P waves? PR interval? QRS duration?

160 bpm regular none none wide (> 0.12 sec)

Interpretation? Ventricular Tachycardia

Ventricular Tachycardia
Deviation
Impulse

from NSR

is originating in the ventricles (no P waves, wide QRS).

Ventricular Tachycardia

Etiology:

There is a re-entrant pathway looping in a ventricle (most common cause). tachycardia can sometimes generate enough cardiac output to produce a pulse; at other times no pulse can be felt.

Ventricular

Rhythm #9

Rate? Regularity? P waves? PR interval? QRS duration?

none irregularly irreg. none none wide, if recognizable

Interpretation? Ventricular Fibrillation

Ventricular Fibrillation
Deviation

from NSR
abnormal.

Completely

Ventricular Fibrillation

Etiology:

The ventricular cells are excitable and depolarizing randomly. drop in cardiac output and death occurs if not quickly reversed

Rapid

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