Chapter06 Ventricular rhythm strips

3. Identify the following rhythm (lead II): ____________________

ANS:

Monomorphic ventricular tachycardia at 150 beats/min

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for monomorphic VT.
4. Identify the following rhythm (lead II): ____________________

ANS:

Sinus bradycardia with a PVC (third complex from the left) and a fusion beat (fourth complex
from the left)
OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.
5. Identify the following rhythm (lead II): ____________________

ANS:

Sinus tachycardia with multiform PVCs

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.
6. Identify the following rhythm (lead II): ____________________

ANS:

Idioventricular rhythm (ventricular escape rhythm)

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for an idioventricular rhythm.
7. Identify the following rhythm (lead II): ____________________

ANS:

Accelerated idioventricular rhythm (AIVR)

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for an accelerated idioventricular rhythm.
8. Complete the following ECG criteria for asystole:

Rhythm
Rate
P waves
PR interval
QRS duration

________________________________________
________________________________________
________________________________________
________________________________________
________________________________________

ANS:

Rhythm
Rate
P waves
PR interval
QRS duration

Ventricular not discernible; atrial may be discernible.

Ventricular not discernible but atrial activity may be observed (i.e.,
P-wave asystole).
Usually not discernible.
Not measurable.
Absent.

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for asystole.
9. Identify the following rhythm (lead II): ____________________

ANS:

Monomorphic ventricular tachycardia

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for monomorphic VT.
10. Identify the following rhythm (lead II): ____________________

ANS:

Sinus bradycardia with an interpolated PVC and ST-segment elevation

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.
11. Identify the following rhythm (lead II): ____________________

ANS:

Sinus tachycardia with frequent uniform PVCs

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.
12. Identify the following rhythm (lead II): ____________________

ANS:

Polymorphic VT
OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for PMVT.
13. Complete the following ECG criteria for an accelerated idioventricular rhythm:

Rhythm
Rate
P waves
PR interval
QRS duration

________________________________________
________________________________________
________________________________________
________________________________________
________________________________________

ANS:

Rhythm
Rate
P waves

Ventricular rhythm is essentially regular.

41 to 100 (41 to 120 per some cardiologists) beats/min.
Usually absent or, with retrograde conduction to the atria, may

PR interval
QRS duration

appear after the QRS (usually upright in the ST segment or T wave).

None.
Greater than 0.12 seconds; the T wave is frequently in the opposite
direction of the QRS complex.

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for an accelerated idioventricular rhythm.
14. Identify the following rhythm (lead II): ____________________

ANS:

Fine ventricular fibrillation

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for ventricular fibrillation.
15. Identify the following rhythm (lead II): ____________________

ANS:

Sinus rhythm at 60 beats/min with an R-on-T interpolated PVC

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.
16. Complete the following ECG criteria for polymorphic ventricular tachycardia:

Rhythm
Rate
P waves
PR interval
QRS duration

________________________________________
________________________________________
________________________________________
________________________________________
________________________________________

ANS:

Rhythm
Rate
P waves
PR interval
QRS duration

Ventricular rhythm may be regular or irregular.

Ventricular rate 150 to 300 beats/min; typically 200 to 250 beats/min.
None.
None.
0.12 seconds or more; there is a gradual alteration in the amplitude
and direction of the QRS complexes; a typical cycle consists of 5 to
20 QRS complexes.

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for PMVT.
17. Identify the following rhythm (lead II): ____________________

ANS:

Sinus rhythm with a run of VT (i.e., nonsustained VT) and one episode of ventricular couplets
OBJ: Explain the terms sustained and nonsustained VT, monomorphic VT, and polymorphic VT.
18. List three potential sites of origin of ectopic beats.
ANS:

Atria (PACs); AV junction (PJCs); and ventricles (PVCs)

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.
19. Identify the following rhythm (lead II): ____________________

ANS:

Sinus tachycardia at 102 beats/min with uniform PVCs; ST-segment elevation

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.
20. Identify the following rhythm (lead II): ____________________

ANS:

Accelerated idioventricular rhythm (AIVR) at 42 beats/min

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for an accelerated idioventricular rhythm.
21. Identify the following rhythm (lead II): ____________________

ANS:

Sinus rhythm with two R-on-T PVCs

25. Identify the following rhythm (lead II): ____________________

ANS:

Polymorphic VT at 250 to 333 beats/min

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for PMVT.
26. Identify the following rhythm (lead II): ____________________

ANS:

Accelerated idioventricular rhythm (AIVR) at 94 beats/min (lead III)

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for an accelerated idioventricular rhythm.
27. Complete the following ECG criteria for an idioventricular rhythm:

Rhythm
Rate
P waves
PR interval
QRS duration

________________________________________
________________________________________
________________________________________
________________________________________
________________________________________

ANS:

Rhythm
Rate
P waves

Ventricular rhythm is essentially regular.

Ventricular rate 20 to 40 beats/min.
Usually absent or, with retrograde conduction to the atria; may

PR interval
QRS duration

appear after the QRS (usually upright in the ST segment or T

wave).
None.
0.12 seconds or greater; the T wave is frequently in the opposite
direction of the QRS complex.

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for an idioventricular rhythm.
28. Identify the following rhythm (lead II): ____________________

ANS:

Sinus bradycardia at 54 beats/min with ventricular bigeminy; ventricular rate approximately

100 beats/min if PVCs counted in the rate
OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.
29. Identify the following rhythm (lead II): ____________________

ANS:

Coarse ventricular fibrillation

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for ventricular fibrillation.
30. Identify the following rhythm (lead II): ____________________

ANS:

Idioventricular rhythm at less than 25 beats/min (may also be called an agonal rhythm when
ventricular rate is less than 20 beats/min)
OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for an idioventricular rhythm.

31. Identify the following rhythm (lead II): ____________________

ANS:

P-wave asystole
OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for asystole.
32. Identify the following rhythm (lead II): ____________________

ANS:

Polymorphic VT
OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for PMVT.
33. Identify the following rhythm: ____________________

ANS:

Sinus rhythm at 94 beats/min with an episode of couplets and a run of VT (i.e., nonsustained
VT)
OBJ: Explain the terms sustained and nonsustained VT, monomorphic VT, and polymorphic VT.
34. Identify the following rhythm (lead II): ____________________

ANS:

Sinus rhythm at 94 beats/min

OBJ: Describe the ECG characteristics of a sinus rhythm.
35. Identify the following rhythm (lead II): ____________________

ANS:

Ventricular fibrillation, shock (defibrillation), idioventricular rhythm at 40 beats/min

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for an idioventricular rhythm.
36. Identify the following rhythm (lead II): ____________________

ANS:

Sinus rhythm at 62 beats/min with an interpolated PVC; inverted T waves

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.
37. Identify the following rhythm (lead II): ____________________

ANS:

Narrow-QRS tachycardia (SVT) at 147 beats/min with ST-segment depression

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for atrioventricular nodal reentrant tachycardia (AVNRT).
38. Identify the following rhythm (lead II): ____________________

ANS:

Sinus rhythm at 88 beats/min with a PVC and a run of VT, ST-segment depression, inverted T
waves
OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.
39. Identify the following rhythm (lead II): ____________________

ANS:

Sinus rhythm at 94 beats/min to monomorphic ventricular tachycardia (VT) at 150 beats/min

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for monomorphic VT.
40. Identify the following rhythm (lead II): ____________________

ANS:

Agonal rhythm, asystole

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for asystole.
41. Identify the following rhythm (lead II): ____________________

ANS:

Sinus rhythm at 83 beats/min with ventricular trigeminy

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.

42. Identify the following rhythm (lead II): ____________________

ANS:

Atrial fibrillation with a rapid ventricular response of 150 to 250 beats/min and a run of VT.
OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for monomorphic VT.
43. Identify the following rhythm (lead II): ____________________

ANS:

Sinus bradycardia at 30 beats/min with ventricular bigeminy (ventricular rate approximately

60 if PVCs counted), inverted T waves, horizontal ST-segments
OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.
44. Identify the following rhythm: ____________________

ANS:

Sinus rhythm at 86 beats/min with uniform PVCs

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature ventricular complexes.
45. Identify the following rhythm: ____________________

ANS:

Monomorphic VT at 150 beats/min

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for monomorphic VT.
46. Identify the following rhythm (lead II): ____________________

ANS:

Coarse ventricular fibrillation

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for ventricular fibrillation.
47. Identify the following rhythm (lead II): ____________________

ANS:

Sinus rhythm at 60 beats/min with a PAC

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for premature atrial complexes.
48. Identify the following rhythm: ____________________

ANS:

Sinus bradycardia at 52 beats/min

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and emergency
management of sinus bradycardia.
49. Identify the following rhythm (lead II): ____________________

ANS:

Accelerated junctional rhythm at 79 beats/min with ST-segment elevation

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for an accelerated junctional rhythm.
50. Identify the following rhythm (lead II): ____________________

ANS:

Sinus beat to junctional escape rhythm at 52 beats/min with inverted T waves

OBJ: Describe the ECG characteristics, possible causes, signs and symptoms, and initial emergency
care for a junctional escape rhythm.