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ECG Arrhythmias: Interpretation Guide

This document is a medical PowerPoint presentation about ECG rhythm interpretation and arrhythmias. It covers normal sinus rhythm, 13 common rhythm disturbances, myocardial infarction detection on ECGs, and various types of arrhythmias including atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, ventricular tachycardia, and ventricular fibrillation. For each arrhythmia, it discusses characteristics like rate and regularity, presence of P waves, and QRS width, and provides explanations of causes and mechanisms. The presentation encourages viewers to practice interpretation on example ECG rhythms and directs them to a quiz. It also advertises a website for additional free medical presentations.

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Sergiu Helciug
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
80 views24 pages

ECG Arrhythmias: Interpretation Guide

This document is a medical PowerPoint presentation about ECG rhythm interpretation and arrhythmias. It covers normal sinus rhythm, 13 common rhythm disturbances, myocardial infarction detection on ECGs, and various types of arrhythmias including atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, ventricular tachycardia, and ventricular fibrillation. For each arrhythmia, it discusses characteristics like rate and regularity, presence of P waves, and QRS width, and provides explanations of causes and mechanisms. The presentation encourages viewers to practice interpretation on example ECG rhythms and directs them to a quiz. It also advertises a website for additional free medical presentations.

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

FOR MORE FREE MEDICAL

POWERPOINT PRESENTATIONS
VISIT WEBSITE

www.medicalppt.
blogspot.com
For more presentatio

ECG Rhythm Interpretation


Module IV b
Supraventricular and
Ventricular Arrhythmias
For more presentations www.medi
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.
For more presentatio

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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Arrhythmias

Sinus Rhythms
Premature Beats
Supraventricular Arrhythmias
Ventricular Arrhythmias
AV Junctional Blocks
For more presentatio

Supraventricular Arrhythmias
Atrial Fibrillation
Atrial Flutter
Paroxysmal Supraventricular
Tachycardia

For more presentatio

Rhythm #5

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

100 bpm
irregularly irregular
none
none
0.06 s

Interpretation? Atrial Fibrillation


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Atrial Fibrillation
Deviation from NSR
No 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
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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).
For more presentatio

Rhythm #6

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

70 bpm
regular
flutter waves
none
0.06 s

Interpretation? Atrial Flutter


For more presentatio

Atrial Flutter
Deviation from NSR
No 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).
For more presentatio

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).

For more presentatio

Rhythm #7

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

74 148 bpm
Regular
regular
Normal none
0.16 s none
0.08 s

Interpretation? Paroxysmal Supraventricular


more presentatio
TachycardiaFor(PSVT)

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

For more presentatio

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

Ventricular Arrhythmias
Ventricular Tachycardia
Ventricular Fibrillation

For more presentatio

Rhythm #8

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

160 bpm
regular
none
none
wide (> 0.12 sec)

Interpretation? Ventricular Tachycardia


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Ventricular Tachycardia
Deviation from NSR
Impulse is originating in the ventricles
(no P waves, wide QRS).

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

Rhythm #9

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

none
irregularly irreg.
none
none
wide, if recognizable

Interpretation? Ventricular Fibrillation


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Ventricular Fibrillation
Deviation from NSR
Completely abnormal.

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Ventricular Fibrillation
Etiology: The ventricular cells are
excitable and depolarizing randomly.
Rapid drop in cardiac output and death
occurs if not quickly reversed

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End of Module IV b
Supraventricular and
Ventricular Arrhythmias
Proceed to Module IV b Practice Quiz
on WebCT
For more presentations www.medi
calppt.blogspot.com

FOR MORE FREE MEDICAL


POWERPOINT PRESENTATIONS
VISIT WEBSITE

www.medicalppt.
blogspot.com
For more presentatio

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