Sei sulla pagina 1di 43

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Strip 6-1.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-2.

Rhythm:

PR interval:

Rhythm interpretation:

V
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Strip 6-3.

Rhythm:
PR interval:
Rhythm interpretation:

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Strip 6-4.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-5.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 66.

Rhythm:

PR interval:

Rhythm interpretation:

-:-rt

Strip 6-7.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-8.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-9.

Rhythm:
PR interval:
Rhythm interpretation:

_
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Strip 610.

Rhythm:

PR interyal:
Rhythm

Strip 611.

interpretation:

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PR interyal:
Rhythm

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Strip 6-12.

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Strip 6-13.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-14.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-15.

Rhythm: ------------PR interval:


Rhythm interpretation:

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Strip 6-16.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-17.

Rhythm:
PR interval:

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Rhythm interpretation:

Strip 6-18.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-19.

Rhythm:

Rate:

PR interval:

QRS:

Rhythm interpretation:

Strip 6-20.

Rhythm:
PR interval:

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Rate:
QRS:

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Rhythm interpretation:

Strip 6-21.

Rhythm:

Rate:

PR interval:
Rhythm interpretation:

QRS:

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Strip 6-22.

Rhythm:

Rate:

PR interval: ~~~~~~~_
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Strip 6-23.

Rhythm:
PR interval:

Rhythm:
PR interval:
Rhythm interpretation:

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Rate:

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QRS:

Rhythm interpretation:

Strip 6-24.

QRS:

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Rate: _~
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Strip 6-25.

Rhythm:

PR interval:

Rhythm interpretation:

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Strip 6-28.

Rhythm:

Rate:

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Strip 6-29.

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Rate:

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Strip 6-30.

Rhythm:

PR interval:

Rhythm interpretation:

"

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Strip 6-31.

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Strip 6-33.

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Strip 6-32.

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Strip 6-34.

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Rhythm interpretation:

Strip 6-35.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-36.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-37.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-38.

Rhythm:

PR interval:
Rhythm interpretation:

Strip 6-39.

Rhythm:
PR interval:

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Rhythm interpretation: ------------------------------

Rhythm:

Strip 6-40.

PR

interval: ~

Rhythm interpretation:

Strip 6-41.

Rhythm:

PR inten-al:

Rhythm interpretation:

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Strip 6-42.

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Strip 6-37.

Rhythm:

PR interval:

Rhythm interpretation: __

Strip 6-38.

Rhythm:

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Rhythm interpretation:

Strip 6-39.

Rhythm: ------PR interval: __

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Rhythm interpretation:

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Strip 6-43.

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PR interval:

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Rhythm interpretation:

Strip 645.

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Strip 6-44.

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Strip 6-46.

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Rhythm interpretation:

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Strip 6-47.

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Strip 648.

1m

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Strip 6-49.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-50.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-51.

Rhythm:

PR interval:

Rhythm interpretation:

Rhythm:

Strip 6-52.

PR interval:

Rhythm interpretation:

:t:t

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Strip 6-53.

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Strip 6-54.

Rhythm:
PR interval:
Rhythm interpretation:

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Strip 6-55.

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Rhythm:

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Rhythm interpretation:

3H II!!

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Strip 6-57.

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Strip 6-56.

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Strip 6-58.

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Strip 6-59.

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Strip 6-60.

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PR interval:

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Rhythm:

Strip 6-61.

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Rhythm interpretation:

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1++ -;
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t ':I "
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q'

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Strip 6-64.

Rhythm:

ti

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tl

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+
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PR interval:

Rhythm interpretation:

Strip 6-66.

-+

t-

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:t

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PR interval: ------Rhythm interpretation:

Strip 665.

..

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t+

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PR interval:
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Strip 6-67.

PR interval:

Rhythm interpretation:

T
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Strip 6-68.

,~1i.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-69.

,-,

Rhythm:

PR interval:

Rhythm interpretation:

T$'I

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+

j.

tt

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Strip 6-70.

,::f:

PR interval: _~~~~~_
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,
1

':;:r::;:

,.

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Strip 6-72.

j-

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Strip 6-71.

--

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j-

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t-

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Strip 6-73.

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+----

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nt$l

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"

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:

.mm~
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't

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f-

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Strip 675.

'r-!

i,

h..H

., ++ :

1ffiE

Hl

r-H
c

J.

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r---

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Strip 6-74.

iW

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l,

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HI +4"-

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Strip 6-76.

j~i

----+

II

------;

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11 ff it ----:;=

it
I

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---- :;-,-"--: ..
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fit

tl r-

h:

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+'

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Strip 6-77.

-1'1

-- -j-+
-_~:=l.,-

fl

-t

+W,.t':tIf'

,-

'1.

,. ft"

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-_._-

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ti~

-- ...,

--

~-

--

--

it

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PR interval:

Rhythm interpretation:

m
~

"

+---.;...;..

Strip 6-78.

"

.1..:

Rhythm:

PR interval:

Rhythm interpretation;

,~

~. ~

::t :j::::1:"
.~

j
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+
~.

-~

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--+
.;.

,~

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1+ 1
t

t,

~"

i, H
1+

I
j

III

it:
t ';.j:j

Strip 679.

Rhythm:

-i~r
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1

PR interval:

Rhythm interpretation:

'i

t+

"

+-.
+

WW-'--'

tj_.l..

f+1:t

,-

: ~

..

-I-

:
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Rhythm:

Strip 6-80.

+ -t

q::
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-"~

-+.;.

:t,*

-f-

"

t-+~

+",

1,

+-'-+

ti:-

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1

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cj ~

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n-

:~t- t'++
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o +

T;-

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PR interval:

Rhythm interpretation:

i +TI:

,"

"

+++

-r+

,,,

"
.~-

"

+'

"

L.H

I-t+

:
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"

:,

,~

"

:
"

mm

::E=+
-'- .

mI,

4-

;-:
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Strip 6-81.

Rhythm:
PR interval:
Rhythm interpretation:

Im,",

I
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.,
-j

j-r--

"

"

"

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"

"

w.

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+:

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Rhythm:

Strip 6-82.

PR interval:

--

Rhythm interpretation:

:~J~-:
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":T::~

. -.-,
..

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!'-

t-',c'

..

=-.

':-C':

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.j; ..

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t'~: ,.. - I,,,,

..

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.-_ ....

'j

..

.....

...

"j---

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---.

T:-:-

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--.
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Strip 6-83.

..

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I-j
f

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q' x:i:
T.f~l
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+t
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t+

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1.:

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rl

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PR interval:

_-

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.... -....

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mt';F
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fr
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TT

j
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:t-

II

t;

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t 11 t:-et' i.~ltt
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ff,1,t

ttEtBi . E:t

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fC,-

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nr
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$'+

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.,

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4J

.-

"j,

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+
n'

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'1-+

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_14

-I:=!
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'-'-;

.c.

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+.

~ .. -..!. .

:tl~+i
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-+++

~-

+c--

i
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Strip 6-84.

,~

"
T

..

...

,m

Rhythm:
PR interval:
Rhythm interpretation:

.+++-:-.

--

IB

-I_.
:

I=i=t!3=

.-

P=
R=

'

tf

=i=
-+=

~
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;:;::
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1=.

"
1=':'"

"

f-'

"

."

J.

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,-

'L

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1++ "+

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!=1

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lEE :IT
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fE r,

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+

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fit
111

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t:;==i

f',i .,

.,

'+t
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1::-:= +:

~.::-='

~
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1m

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+!

Strip 6-85.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-86.

Rhythm:

PR interval:

Rhythm interpretation:

Strip 6-87.

Rhythm:

PR interval:

Rhythm interpretation:

~,

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..

::, ,,
,

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"

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tj:

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I: ill

Ie

,
,

ill

/\,11

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I
I

Iii

! I; I

il

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_

':,

II

II", H
I

III

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il

11

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,,

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Ii

itt

PR interval:

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",

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.
.

I i[

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Strip 6-89.

,ilf

It
,.

11:

~j:~

If

!-

c'

+
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:t

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h,

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i::
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"
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+.

::It

;;.

-l-i

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!i

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Strip 6-88.

:)

:Iii I H,

I'

II!:

I'

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ili
ill!
,

ii

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Ii'

ill

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,

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t
r

L
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--

T,

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'1:'
,-

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Strip 6-90.

Rhythm:
PR interval:
Rhythm interpretation:

_
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_.

IT,

I::' :

~t

.,
I
..

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,,-::

iI

:j

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j'

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t
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fit!

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HI

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il

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--

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Strip 6-91.

Rhythm:~~_~~

PR interval: _~~~~~_
Rhythm interpretation: _~~_~~~~~_~~_~~_~~~~~~~~~~

,..+.

-,

'i'

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u

~ +-

.L+

,tt-i
Strip 6-92.

h:
i""

.--- _.--. ....

f-'-,
, ~E

"I

--....
_.
..

..---

:-;:::

..

----..
.- --

...

Rhythm: _

_.

-1--'-

tm,

-j

--,-_-!-

-'

.;+-

+t-

4-~

-I

~--=Cltt ,
,-

'1

;-

r== 41,
=
illE
Ie

M~
f

,-..

;-

:$=
J:

:.lii

~t1~ I-=-=-

I--! .

---

0"

_I'

..

..

_H

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..

..

-Hi

[,,- =.

_t

....
..
..

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.;

~+

..

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t-'-- ..

..

.. ,

l.b

..

.-

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..

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..

0'

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~::

-l---j.....;

"

+
-0

-'
"t::

-,

+-'--+
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--

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..

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--...

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.-

.'----

..

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t- r---....

--,.-+

_.

tl

..

---

- :

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..

i=;:.

-.-

.-

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t:

..
_. -._--~
t1: -- .-."
-_.... ... -.
._.-. --,..
--.-- t::::.

iit: ~

tt.:!..7

....

.-

11 1::-:
..
--

T'

__.

PR interval:

Rhythm interpretation:

.....
,

.1_~_

+U+,;

,. J
-0-4

J.;

J.

I +

,
--

H
~

"

:j:

1~,

,~+
,'+,

'f

'$1

i.w-.-

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c

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"

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-1

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.,

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:

...
;

-+

.-~ 1

.J.

._.

1-

,;

~~ ~
+

1=

+
,-

'-

'-$j:; :ttf.
Strip 6-93.

Rhythm: ~_~~~~_~_
. PR interval:
Rhythm interpretation:

+#'-

l1

!$

Rate:
_ QRS:
_

_ ...-

~
.

.
..

..

l...

~-. ~
,

..

=:::;

!:L;

-4

..

Ii:

----

!iI:~\J\_--

:lit:

::E
~ ~

.--

ttt:":t

--~--- ..

- ~-.-

""t"

-+

c:.p

J-ti

-+

Strip 6-94.

..

't

-_----..
.
+- ..
i
j + +-- _._-,'~. .-,..
---.
- ...
..

~._

~.

Rhythm: ..

..

~.l.-

"

.,

"

'i
r

~
~tt

"

.. +

:t.1 =;..

"
,

--.

"

..

++

:jl

..

..

t+

~::c..--:t
,~

:it

..

c
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~-=:+

~..
, i

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+J.+

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tt

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. J

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1
+

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t
{,

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t t 11

+.

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4.

.:

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2-=:4'1

.+
J.

t
';

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fITl

tJ
pc., Ii:!:i ::tl

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..

PR interval:

Rhythm interpretation:

Strip 6-95.

"

----

..

._-_.
..
~._--...

.__

Rhythm: _____'"
PR interval:
Rhythm interpretation:

,
_
_

Strip 51

Strip 5-8

Rhythm: Regular
Rate: 79
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.06 to 0.08 seconds
Comment: An inverted T wave is present

Rhythm: Irregular
Rate: 50
P waves: Sinus
PR interval: 0.12 to 0.14 seconds
QRS: 0.08 seconds
Comment: An elevated ST segment and inverted T
wave are present

Strip 5-2

Rhythm: Regular
Rate: 45
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 seconds
Strip 53

Rhythm: Regular
Rate: 88
P waves: Sinus
PR interval: 0.20 seconds
QRS: 0.08 seconds
Comment: A depressed ST segment is present
Strip 54

Rhythm: Irregular
Rate: 50
P waves: Sinus
PR interval: 0.16 to 0.18 seconds
QRS: 0.04 seconds
Strip 55

Rhythm: Regular
Rate: 100
P waves: Sinus
PR interval: 0.20 seconds
QRS; 0.08 seconds
Comment: An extremely elevated ST segment is
present
Strip 5-6

Rhythm: Regular
Rate: 136
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.06 to 0.08 seconds

Strip 59

Rhythm: Regular
Rate: 94
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.06 to 0.08 seconds
Comment: A depressed ST segment is present

Strip 61

Rhythm: Regular
Rate: 40
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus bradycardia

Strip 62

Rhythm: Regular
Rate: 58
P waves: Sinus
PR interval: 0.18 to 0.20 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus bradycardia; a U
wave is present

Strip 6-3

Rhythm: Regular
. Rate: 94
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 to 0.10 seconds
Rhythm interpretation: Normal sinus rhythm; ST
depression is present

Strip 64
Strip 57

Rhythm: Regular
Rate: 68
P waves: Sinus
PR interval: 0.16 to 0.18 seconds
QRS: 0.12 to 0.14 seconds
Comment: A U wave is present

Rhythm: Regular
Rate: 107
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 to 0.10 seconds
Rhythm interpretation: Sinus tachycardia; T wave
inversion is present

Strip 6-5

Strip 6-10

Rhythm: Regular
Rate: 56
P waves: Sinus
PR interval: 0.16 to 0.18 seconds
QRS: 0.04 to 0.06 seconds
Rhythm interpretation: Sinus bradycardia

Rhythm: Regular
Rate: 125
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus tachycardia; ST
segment depression is present

Strip 6-6

Strip 6-11

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm 100
P waves: Sinus in basic rhythm; absent during
pause
PR interval: 0.16 to 0.20 seconds
QRS: 0.08 to 0.10 seconds in basic rhythm
Rhythm interpretation: Normal sinus rhythm with
sinus block; an inverted T wave is present

Rhythm: Regular
Rate: 88
P waves: Sinus
PR interval: 0.16 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Normal sinus rhythm

Strip 6-7

Rhythm: Regular
Rate: 45
P waves: Sinus
PR interval: 0.18 to 0.20 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus bradycardia; T wave
inversion is present

Strip 6-8

Rhythm: Irregular
Rate: 50
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.04 seconds
Rhythm interpretation: Sinus arrhythmia; sinus
bradycardia

Strip 6-12

Rhythm: Regular
Rate: 54
P waves: Sinus
PR interval: 0.16 to 0.18 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus bradycardia; an
inverted T wave is present
Strip 6-13

Rhythm: Irregular
Rate: 60
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 to 0.10 seconds
Rhythm interpretation: Sinus arrhythmia
Strip 6-14

Strip 6-9

Rhythm: Regular
Rate: 68
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Normal sinus rhythm; a U
wave is present

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm rate 60
P waves: Normal in basic rhythm; absent during
pause
PR interval: 0.18 to 0.20 seconds in basic rhythm;
absent during pause
QRS: 0.04 to 0.06 seconds in basic rhythm; absent
during pause
Rhythm interpretation: Normal sinus rhythm with
sinus arrest; a U wave is present

Rhythm: Basic rhythm irregular


Rate: Basic rhythm rate 60
P waves: Sinus
PR interval: 0.16 to 0.18 seconds
QRS: 0.08 to 0.10 seconds
Rhythm interpretation: Sinus arrhythmia with
sinus arrest/block; ST segment depression and T
wave inversion are present

Strip 6-15

Strip 6-16

Strip 6-22

Rhythm: Regular
Rate: 115
P waves: Sinus
PR interval: 0.16 to 0.18 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus tachycardia; a
depressed ST segment and an inverted T wave are
present

Rhythm: Regular
Rate: 100
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.04 to 0.06 seconds
Rhythm interpretation: Normal sinus rhythm; an
extremely elevated ST segment is present

Strip 6-17

Rhythm: Irregular
Rate: 50
P waves: Sinus
PR interval: 0.12 to 0.16 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus arrhythmia; sinus
bradycardia

Strip 6-23

Rhythm: Regular
Rate: 58
P waves: Sinus
PR interval: 0.12 to 0.16 seconds
QRS: 0.04 seconds
Rhythm interpretation: Sinus bradycardia; T wave
inversion is present

Strip 6-24
Strip 6-18

Rhythm: Irregular
Rate: 40
P waves: Sinus
PR interval: 0.16 to 0.18 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus arrhythmia/sinus
bradycardia; ST segment depression is present
Strip 6-19

Rhythm: Regular
Rate: 79
P waves: Sinus
PR interval: 0.16 to 0.20 seconds
QRS: 0.06 seconds
Rhythm interpretation: Normal sinus rhythm

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm rate 84
P waves: Sinus
PR interval: 0.16 seconds in basic rhythm; absent
during pause
QRS: 0.08 seconds in basic rhythm; absent during
pause
Rhythm interpretation: Normal sinus rhythm with
sinus arrest
Strip 6-25

Rhythm: Regular
Rate: 115
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.08 to 0.10 seconds
Rhythm interpretation: Sinus tachycardia

Strip 6-20

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm rate 88
P waves: Sinus in basic rhythm; absent during
pause
PR interval: 0.14 to 0.16 seconds in basic rhythm
QRS: 0.08 seconds in basic rhythm
Rhythm interpretation: Normal sinus rhythm with
sinus block; a U wave is present

Strip 6-26

Rhythm: Regular
Rate: 48
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus bradycardia; a U
wave is present
Strip 6-27

Strip 6-21

Rhythm: Regular
Rate: 136
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 to 0.10 seconds
Rhythm interpretation: Sinus tachycardia

Rhythm: Regular
Rate: 94
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.06 to 0.08 seconds
.
Rhythm interpretation: Normal sinus rhythm; ST
segment depression is present

Strip 6-28

Strip 6-33

Rhythm: Irregular
Rate: 60
P waves: Sinus
PR interval: 0.12 to 0.16 seconds
QRS: 0.08 to 0.10 seconds
Rhythm interpretation: Sinus arrhythmia

Rhythm: Regular
Rate: 136
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.04 to 0.06 seconds
Rhythm interpretation: Sinus tachycardia; ST
segment depression is present

Strip 6-29

Strip 6-34

Rhythm: Regular
Rate: 75
P waves: Sinus
PR interval: 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Normal sinus rhythm

Rhythm: Regular
Rate: 88
P waves: Sinus
PR interval: 0.18 to 0.20 seconds
QRS: 0.08 seconds
Rhythm interpretation: Normal sinus rhythm; ST
segment depression is present

Strip 6-30

Strip 6-35

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm rate 68; rate slows to 63
following pause; rate suppression can occur
following a pause in the basic rhythm; after several
cycles the rate returns to the basic rate
P waves: Sinus in basic rhythm; absent during
pause
PR interval: 0.16 seconds in basic rhythm; absent
during pause
QRS: 0.06 to 0.08 seconds in basic rhythm; absent
during pause
Rhythm interpretation: Normal sinus rhythm with
sinus arrest; a U wave is present

Rhythm: Irregular
Rate: 60
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus arrhythmia
Strip 6-36

Rhythm: Regular
Rate: 52
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus bradycardia; ST
segment elevation and T wave inversion are
present

Strip 6-31

Rhythm: Regular
Rate: 56
P waves: Sinus
PR interval: 0.12 to 0.14 seconds
QRS: 0.08 to 0.10 seconds
Rhythm interpretation: Sinus bradycardia; ST
segment depression and T wave inversion are
present

Strip 6-37

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm rate 88
P waves: Sinus
PR interval: 0.20 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Normal sinus rhythm with
sinus arrest; ST segment depression is present

Strip 6-32

Rhythm: Irregular
Rate: 50
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus arrhythmia; sinus
bradycardia; ST segment depression is present

Strip 6-38

Rhythm: Regular
Rate: 115
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus tachycardia

Strip 639

Strip 6-44

Rhythm: Regular
Rate: 125
P waves: Sinus
PR interval: 0.12 to 0.14 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus tachycardia; ST
segment depression and T wave inversion are
present

Rhythm: Irregular
Rate: 50
P waves: Sinus
PR interval: 0.18 to 0.20 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus arrhythmia; sinus
bradycardia; a U wave is present
Strip 6-45

Strip 6-40

Rhythm: Regular
Rate: 47
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus bradycardia; ST
segment depression is present

Strip 6-41

Rhythm: Regular
Rate: 100
P waves: Sinus
PR interval: 0.18 to 0.20 seconds
QRS: 0.08 seconds
Rhythm interpretation: Normal sinus rhythm; ST
segment depression is present

Strip 6-42

Rhythm: Irregular
Rate: 40
P waves: Sinus
PR interval: 0.18 to 0.20 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus arrhythmia with
sinus bradycardia; ST segment elevation is present

Strip 6-43

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm rate 63
P waves: Sinus in basic rhythm; absent during
pause
PR interval: 0.18 to 0.20 seconds in basic rhythm;
absent during pause
QRS: 0.04 to 0.06 seconds in basic rhythm; absent
during pause
Rhythm interpretation: Normal sinus rhythm with
sinus arrest; ST segment depression is present

Rhythm: Regular
Rate: 26
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 to 0.10 seconds
Rhythm interpretation: Sinus bradycardia, ST
segment depression is present
Strip 6-46

Rhythm: Regular
Rate: 68
P waves: Sinus
PR interval: 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Normal sinus rhythm; sinus
arrhythmia; a U wave is present
Strip 6-47

Rhythm: Regular
Rate: 125
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus tachycardia; ST
segment depression and T wave inversion are
present
Strip 6-48

Rhythm: Irregular
Rate:ZQ
P waves: Sinus
PR interval: 0.16 to 0.20 seconds
QRS: 0.04 to 0.06 seconds
Rhythm interpretation: Sinus arrhythmia; a U wave
is present
Strip 6-49

Rhythm: Regular
Rate: 47
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus bradycardia; a U
wave is present

Strip 6-50

Strip 6-56

Rhythm: Regular
Rate: 94
P waves: Sinus
PR interval: 0.16 to 0.18 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Normal sinus rhythm

Rhythm: Regular
Rate: 125
P waves: Sinus
PR interval: 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus tachycardia; ST
segment depression is present

Strip 6-51

Rhythm: Regular
Rate: 107
P waves: Sinus
PR interval: 0.12 to 0.14 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus tachycardia
Strip 6-52

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm rate 68
P waves: Sinus in basic rhythm; absent during
pause
PR interval: 0.18 to 0.20 seconds in basic rhythm;
absent during pause
QRS: 0.06 to 0.08 seconds in basic rhythm; absent
during pause
Rhythm interpretation: Normal sinus rhythm with
sinus arrest; a U wave is present

Strip 6-57

Rhythm: Irregular
Rate: 50
P waves: Sinus
PR interval: 0.20 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus arrhythmia; sinus
bradycardia; a U wave is present

Strip 6-58

Rhythm: Regular
Rate: 68
P waves: Sinus
PR interval: 0.16 to 0.20 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Normal sinus rhythm; ST
segment depression and T wave inversion are
present

Strip 6-53

Rhythm: Irregular
Rate: 50
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus arrhythmia; sinus
bradycardia; a U wave is present
Strip 654

Rhythm: Regular
Rate: 42
P waves: Sinus
PR interval: 0.20 seconds
QRS: 0.08 to 0.10 seconds
Rhythm interpretation: Sinus bradycardia; ST
segment elevation is present
Strip 6-55

Rhythm: Regular
Rate: 65
P waves: Sinus
PR)nterval: 0.16 to 0.18 seconds
QRS: 0.06 seconds
Rhythm interpretation: Normal sinus rhythm

Strip 6-59

Rhythm: Regular
Rate: 50
P waves: Sinus
PR interval: 0.20 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus bradycardia; ST
segment depression and T wave inversion are
present

Strip 6-60

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm rate 88
P waves: Sinus in basic rhythm; absent during
pause
PR interval: 0.14 to 0.20 seconds in basic rhythm;
absent during pause
QRS: 0.08 to 0.10 seconds in basic rhythm; absent
during pause
Rhythm interpretation: Normal sinus rhythm with
sinus block; ST segment depression is present

Strip 661

Strip 667

Rhythm: Regular
Rate: 60
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Normal sinus rhythm; a U
wave is present

Rhythm: Regular
Rate: 44
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus bradycardia; a U
wave is present

Strip 6-62

Rhythm: Regular
Rate: 125
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.04 seconds
Rhythm interpretation: Sinus tachycardia; ST
segment depression is present

Strip 6-68

Rhythm: Regular
Rate: 94
P waves: Sinus
PR interval: 0.16 to 0.20 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Normal sinus rhythm; ST
segment depression and a T wave inversion are
present

Strip 6-63

Rhythm: Regular
Rate: 47
P waves: Sinus
PR interval: 0.20 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus bradycardia; ST
segment depression is present

Strip 669

Rhythm: Regular
Rate: 115
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus tachycardia

Strip 6-64

Rhythm: Regular
Rate: 79
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.04 to 0.06 seconds
Rhythm interpretation: Normal sinus rhythm; T
wave inversion is present
Strip 665

Rhythm: Regular
Rate: 125
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.08 to 0.10 seconds
Rhythm interpretation: Sinus tachycardia; ST
segment depression is present

Strip 6-70

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm rate 56; rate slows to 50 after
pause; rate suppression can occur following a
pause in the basic rhythm; after several cycles the
rate returns to the basic rate
P waves: Sinus in basic rhythm; absent during
pause
PR interval: 0.14 to 0.16 in basic rhythm; absent
during pause
QRS: 0.08 to D.I0 seconds in basic rhythm; absent
during pause
Rhythm interpretation: Sinus bradycardia with
sinus arrest

Strip 666

Strip 6-71

Rhythm: Regular
Rate: 100
P waves: Sinus
PR interval: 0.20 seconds
QRS: 0.08 seconds
Rhythm interpretation: Normal sinus rhythm; an
extremely elevated ST segment is present

Rhythm: Irregular
Rate: 60
P waves: Sinus
PR interval: 0.12 to 0.16 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus arrhythmia; a U wave
is present

Strip 6-72

Strip 6-78

Rhythm: Regular
Rate: 72
P waves: Sinus
PR interval: 0.12 to 0.14 seconds
QRS: .04 to .06 seconds
Rhythm interpretation: Normal sinus rhythm; ST
segment depression and T wave inversion are
present

Rhythm: Regular
Rate: 48
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus bradycardia

Strip 673

Rhythm: Regular
Rate: 54
P waves: Sinus
PR interval: 0.16 to 0.18 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus bradycardia

Strip 6-74

Rhythm: Regular
Rate: 88
P waves: Sinus
PR interval: 0.16 to 0.20 seconds
QRS: 0.08 to 0.10 seconds
Rhythm interpretation: Normal sinus rhythm; ST
segment depression is present

Strip 675

Rhythm: Regular
Rate: 94
P waves: Sinus
PR interval: 0.16 to 0.20 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Normal sinus rhythm

Strip 679

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm rate 47
P waves: Sinus in basic rhythm; absent during
pause
PR interval: 0.20 in basic rhythm; absent during
pause
QRS: 0.06 to 0.08 seconds in basic rhythm; absent
during pause
Rhythm interpretation: Sinus bradycardia with
sinus arrest

Strip 6-80

Rhythm: Regular
Rate: 84
P waves: Sinus
PR interval: 0.16 seconds
QRS: 0.04 to 0.06 seconds
Rhythm interpretation: Normal sinus rhythm; ST
segment elevation and T wave inversion are
present

Strip 681
Strip 676

Rhythm: Regular
Rate: 125
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus tachycardia

Rhythm: Irregular
Rate: 60
P waves: Sinus
PR interval: 0.18 to 0.20 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus arrhythmia; a U wave
is present

Strip 677

Rhythm: Regular
Rate: 75
P waves: Sinus
PR interval: 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Normal sinus rhythm; ST
segment elevation is present

Strip 6-82

Rhythm: Regular
Rate: 125
P waves: Sinus
PR interval: 0.14 to 0.16 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus tachycardia

Strip 6-83

Strip 6-88

Rhythm: Basic rhythm irregular


Rate: Basic rhythm rate about 60
P waves: Sinus
PR interval: 0.20 seconds in basic rhythm; absent
during pause
QRS: 0.06 to 0.08 seconds in basic rhythm; absent
during pause
Rhythm interpretation: Sinus arrhythmia with
sinus arrest-block; ST segment depression is
present

Rhythm: Regular
Rate: 100
P waves: Sinus
PR interval: 0.18 to 0.20 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Normal sinus rhythm; ST
segment depression is present

Strip 6-84

Rhythm: Regular
Rate: 54
P waves: Sinus
PR interval: 0.18 to 0.20 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Sinus bradycardia

Strip 6-89

Rhythm: Regular
Rate: 88
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Normal sinus rhythm; T
wave inversion is present

Strip 6-85

Strip 6-90

Rhythm: Regular
Rate: 115
P waves: Sinus
PR interval: 0.12 to 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus tachycardia

Rhythm: Regular
Rate: 88
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.08 seconds
Rhythm interpretation: Normal sinus rhythm; ST
segment depression is present

Strip 6-86

Rhythm: Regular
Rate: 54
P waves: Sinus
PR interval: 0.12 to 0.16 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus bradycardia; a U
wave is present

Strip 6-91

Strip 6-87

Rhythm: Regular
Rate: 83
P waves: Sinus
PR interval: 0.16 to 0.20 seconds
QRS: 0.04 to 0.06 seconds
Rhythm interpretation: Normal sinus rhythm; T
wave inversion is present

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm rate 84; rate slow to 75 for one
cycle following the pause-rate suppression is
common following pauses in the basic rhythm
P waves: Sinus in basic rhythm; absent during
pause
PR interval: 0.16 to 0.18 seconds in basic rhythm;
absent during pause
QRS: 0.06 to 0.08 seconds in basic rhythm; absent
during pause
Rhythm interpretation: Normal sinus rhythm with
sinus arrest

Rhythm: Irregular
Rate: 70
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.04 to 0.06 seconds
Rhythm interpretation: Sinus arrhythmia; ST
segment depression and T wave inversion are
present

Strip 6-92

Strip 6-93

Strip 7-3

Rhythm: Basic rhythm regular; irregular during


pause
Rate: Basic rhythm rate 65
P waves: Sinus in basic rhythm; absent during
pause
PR interval: 0.20 seconds in basic rhythm; absent
during pause
QRS: 0.04-0.06 seconds in basic rhythm; absent
during pause
Rhythm interpretation: Normal sinus rhythm with
sinus arrest

Rhythm: Basic rhythm regular; irregular with PAC


Rate: Basic rhythm 63
P waves: Sinus P waves with basic rhythm;
premature P wave with PAC (this P wave closely
resembles that of the sinus node)
PR interval: 0.16 seconds (basic rhythm)
QRS: 0.06 seconds
'Rhythm interpretation: Normal sinus rhythm with
one PAC; ST segment depression and T wave
inversion are noted

Strip 7-4
Strip 6-94

Rhythm: Regular
Rate: 150
P waves: Sinus
PR interval: 0.12 seconds
QRS: 0.04 to 0.06 seconds
Rhythm interpretation: Sin~s tachycardia

Rhythm: Irregular
Rate: 100
P waves: Vary in size, shape, position
PR interval: 0.12 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Wandering atrial pacemaker

Strip 7-5

Strip 6-95

Rhythm: Regular
Rate: 107
P waves: Sinus
PR interval: 0.16 to 0.20 seconds
QRS: 0.08 seconds
Rhythm interpretation: Sinus tachycardia; ST
segment depression is present

Rhythm: Basic rhythm regular; irregular with PAC


Rate: Basic rate 84
P waves: Sinus P waves are present; premature,
abnormal P waves with a premature beat
PR interval: 0.16 seconds (basic rhythm)
QRS: 0.08 seconds
Rhythm interpretation: Sinus rhythm with a
premature atrial contraction; a U wave is noted

Strip 7-6

Strip 71

Rhythm: Irregular
Rate: 70
P waves: Fibrillation waves
PR interval: Not discernible
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Atrial fibrillation; some
flutter waves are noted

Strip 7-2

Rhythm: Regular
Rate: 188
P waves: Hidden in T waves
PR interval: Not measurable
QRS: 0.08 seconds
Rhythm interpretation: Paroxysmal atrial
tachycardia

Rhythm: Regular
Rate: 167
P waves: Pointed, abnormal
PR interval: 0.14 to 0.16 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Paroxysmal atrial
tachycardia; ST segment depression is present

Strip 7-7

Rhythm: Basic rhythm regular; irregular with


nonconducted PAC
Rate: Basic rhythm rate 88
P waves: Sinus P waves with basic rhythm;
premature, abnormal P wave with non conducted
PAC
PR interval: 0.16 seconds
QRS: 0.06 to 0.08 seconds
Rhythm interpretation: Normal sinus rhythm with
nonconducted PAC; ST segment depression is
present

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