Sinus Rhythm

SN HAZARIAH
SN MARDHIAH
 Sinus Rhythms

 Rhythms that originate in the sinoatrial node (SA node)

♥ 5 Common Variations of a sinus rhythm:
• Normal sinus rhythm (60 – 100 bpm)
• Sinus bradycardia (< 60 bpm)
• Sinus tachycardia ( >100 bpm)
• Sinus arrhythmia (60 – 100 bpm)
• Sinus pause/arrest
 Normal Sinus Rhythm

 Sinus rhythm is the normal regular rhythm of the heart set

by the natural pacemaker of the heart called the sinoatrial
node. It is located in the wall of the right atrium. Normal
cardiac impulses start there and are transmitted to the atria
and down to the ventricles.
 5 Steps to Identify Normal Sinus Rhythm

1. What is the rate? 60-100 beats per minute

2. What is the rhythm? Atrial rhythm regular Ventricular rhythm

regular

3. Is there a P wave before each QRS? Are Yes

P waves upright and uniform?

4. What is the length of the PR interval? 0.1 0.12-0.20 seconds (3-5 small squares)

5. Do all QRS complexes look alike? What Yes 0.06-0.12 seconds (1 ½ to 3 small
is the length of the QRS complexes? squares)
 Normal Sinus Rhythm Nursing
Interventions

 ▪ No interventions required!! Monitor patient if ordered by

physician.