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Published by: Department of Educational Development and Resources, OSU Medical Center 1
© December 2001 by The Ohio State Univeristy Medical Center All Rights Reserved
ECG review – ACLS Program Ohio State University Medical Center
Rhythm ECG Characteristics Example
Published by: Department of Educational Development and Resources, OSU Medical Center 2
© December 2001 by The Ohio State Univeristy Medical Center All Rights Reserved
ECG review – ACLS Program Ohio State University Medical Center
Rhythm ECG Characteristics Example
qRs: usually normal
Published by: Department of Educational Development and Resources, OSU Medical Center 4
© December 2001 by The Ohio State Univeristy Medical Center All Rights Reserved
PVC PVC
ECG review – ACLS Program Ohio State University Medical Center
Rhythm ECG Characteristics Example
Premature Ventricular Rate: Dependent upon
Complex (PVC) underlying rhythm
Causes: Rhythm: R – R ≠
Gastric overload P waves: Usually absent, if
Stress present, not associated
Caffeine, Alcohol, with PVC
Nicotine qRs: 0.12 second or greater;
Heart Disease bizarre and notched
Acid-Base Imbalance ST & T: Often opposite in
Electrolyte Imbalance direction to the qRs.
Cyclic Antidepressants
Hypoxia Timing
Acidosis One on a strip = Rare
Acute MI One in a row = Isolated
Two in a row = Pair, couplet
Three in a row = V Tachycardia
Pattern
Every other = Bigeminy
Every third = Trigeminy
Morphology
Similar shape = Uniformed
Different shape = Multiformed
Location
R – on – T = PVC falls on the T
wave of the complex before the
PVC
Published by: Department of Educational Development and Resources, OSU Medical Center 6
© December 2001 by The Ohio State Univeristy Medical Center All Rights Reserved
ECG review – ACLS Program Ohio State University Medical Center
Rhythm ECG Characteristics Example
Published by: Department of Educational Development and Resources, OSU Medical Center 7
© December 2001 by The Ohio State Univeristy Medical Center All Rights Reserved
ECG review – ACLS Program Ohio State University Medical Center
Rhythm ECG Characteristics Example
= non-conducted P wave
Published by: Department of Educational Development and Resources, OSU Medical Center 8
© December 2001 by The Ohio State Univeristy Medical Center All Rights Reserved
ECG review – ACLS Program Ohio State University Medical Center
Published by: Department of Educational Development and Resources, OSU Medical Center 9
© December 2001 by The Ohio State Univeristy Medical Center All Rights Reserved