2 EKG strip questions

  1. 0
    Can you PLEASE help me to identify these 2 rhythm strips?

    I think the first one is Sinus Rhythm with 3 PAC's OR 2nd degree AV block Type 2.
    I think the second is Paroxysmal Atrial Tachycardia.

    (Click image to enlarge).

    Click image for larger version. 

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  2. 39 Comments so far...

  3. 0
    Can you PLEASE help me to identify these 2 rhythm strips?

    I think the first one is Sinus Rhythm with 3 PAC's OR 2nd degree AV block Type 2.
    I think the second is Paroxysmal Atrial Tachycardia.

    (Click image to enlarge).

    Click image for larger version. 

Name:	strips small.jpg 
Views:	388 
Size:	677.6 KB 
ID:	12706
    Last edit by LaceyRN12 on Jun 26, '13
  4. 0
    Can you PLEASE help me to identify these 2 rhythm strips?

    I think the first one is Sinus Rhythm with 3 PAC's OR 2nd degree AV block Type 2.
    I think the second is Paroxysmal Atrial Tachycardia.

    (Click image to enlarge).

    Click image for larger version. 

Name:	strips small.jpg 
Views:	305 
Size:	677.6 KB 
ID:	12707
    Last edit by LaceyRN12 on Jun 26, '13
  5. 0
    I think the first one is sinus arrhythmia/sinus pauses or PJCs, not sure

    I think the second one looks like SVT with a conversion to normal sinus
  6. 0
    Are you guessing or have you really analyzed each strip? Always do the same thing with every EKG strip. What is the atrial rate? What is the ventricular rate? Is there a P wave for every QRS? What is the PR interval? What is the QRS? In the first strip after you ask these questions you will notice that there is a lengthening PR interval then there is a dropped beat or a P wave without a QRS. That would be interpreted as sinus rhythm with 2nd degree AVHB type 1. Type 2 would have a fixed PR interval and would be more serious as this could progress to 3rd degree or complete heart block. Get into the habit of being able to defend your interpretation based what you see and measure on the strip. Look at the second strip and answer the questions you should ask with every EKG.
  7. 0
    I'm not just throwing a random guess. The squares are SO TINY and the EKG line is too thick that it's hard to interpret the strips sometimes and just thought I'd ask for a little help, that's all.

    The second strip is an SVT, which could also be paroxysmal atrial tachycardia because it goes in and out of the rhythm. Correct??



    I think everyone else is confused and not sure themselves. No one's saying anything.
    Last edit by LaceyRN12 on Jun 26, '13
  8. 0
    Strip 1 looks like SR with PACs


    Strip 2 looks like PSVT into SR.
  9. 0
  10. 1
    1st- sinus with pac's ( compensatory pauses)
    2nd SVT to NSR

    ? anyone else
    sallyrnrrt likes this.
  11. 0
    duplicate threads merged.....


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