ch 8 atrial rhythms

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The ECG Course Adam Thompson, EMTP, BAS Chapter 8 Atrial Rhythms

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Page 1: Ch 8   atrial rhythms

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

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