ch 8 atrial rhythms
TRANSCRIPT
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The ECG Course
Adam Thompson, EMT-‐P, BAS
Chapter 8 Atrial Rhythms
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Atrial Rhythms
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Atrial Rhythms
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Ectopic Atrial Tachycardia
• Rate: 100 -‐ 180 bpm • Rhythm: Regular • P wave: Present, may be different w/ ectopy • P:QRS raHo: 1 to 1 • PR-‐interval: Normal, different w/ ectopy • QRS Width: < 120 ms (0.12 sec)
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WAP/MAT
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WAP/MAT
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Wandering Atrial Pacemaker
• Rate: < 100 bpm • Rhythm: Irregularly-‐Irregular • P wave: At least 3 different morphologies • P:QRS raHo: 1 to 1 • PR-‐interval: Variable • QRS Width: < 120 ms (0.12 sec)
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Multifocal Atrial Tachycardia
• Rate: > 100 bpm • Rhythm: Irregularly-‐Irregular • P wave: At least 3 different morphologies • P:QRS raHo: 1 to 1 • PR-‐interval: Variable • QRS Width: < 120 ms (0.12 sec)
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WAP/MAT
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WAP/MAT
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Atrial Flutter
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Atrial Flutter
• Rate: Atria (250-‐350), Ventricles (125-‐175) • Rhythm: Usually Regular • P wave: Saw toothed “F waves” • P:QRS raHo: Variable, 2:1 is common • PR-‐interval: Variable • QRS Width: < 120 ms (0.12 sec)
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Atrial Flutter
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Atrial Flutter
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Atrial Flutter
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Atrial Flutter
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Atrial Fibrillation
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Atrial Fibrillation
• Rate: Variable, depending on ventricles • Rhythm: Irregularly-‐Irregular • P wave: None, chaoHc atrial acHvity • P:QRS raHo: None • PR-‐interval: None • QRS Width: < 120 ms (0.12 sec)
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Atrial Fibrillation
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Atrial Fibrillation
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Atrial Fibrillation
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Atrial Fibrillation