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Click or tap the cards to see the answer
1
Sinus brady — heart rate is less than 60
2
Normal sinus rhythm
3
Normal sinus rhythm
4
Supraventricular tachycardia (SVT) narrow complex tachycardia
5
Sinus tachycardia — heart rate greater than 100
6
Normal sinus rhythm
7
Normal sinus rhythm
8
Sinus arrhythmia (rhythm slightly irregular)
9
Supraventricular tachycardia (SVT) narrow complex tachycardia
10
Sinus bradycardia (heart rate less than 60)
11
Sinus bradycardia — 1st degree AV block (PR 0.22 seconds)
12
Sinus tachycardia — heart rate greater than 100
13
Wandering atrial pacemaker (p waves look different)
14
Atrial fibrillation (rate 140): irregular without discernible P waves
15
Sinus rhythm with a PAC: 4th beat is early and narrow with compensatory pause
16
Atrial fibrillation (rate 100): irregular without discernible P waves
17
Sinus arrhythmia (rhythm slightly irregular)
18
Atrial fibrillation rate of 90 (irregular with no discernable P waves)
19
Second degree AV block (Second degree heart block) type I (wenckebach) PR longer, longer, dropped beat
20
Sinus rhythm with multifocal PVCs (PVCs look different from each other)
21
Sinus rhythm with a PVC (premature wide complex beat)
22
Sinus arrhythmia with wandering atrial pacemaker
23
Accelerated junctional rhythm (heart rate is 80)
24
Sinus bradycardia with 1st degree AV block (PR 0.22 seconds) HR=50
25
Atrial flutter with varying conduction (saw tooth baseline); however, from a cardiologist or EP perspective, this is coarse atrial fibrillation (pseudo flutter waves changing morphology and rate)
26
Sinus tachycardia ECG shows — heart rate greater than 100
27
Normal sinus rhythm
28
Normal sinus rhythm
29
Atrial fibrillation (irregular rhythm without discernible P waves)
30
Atrial fib (would accept atrial flutter) at rate of 140
31
Second degree AV block type I (wenckebach) PR longer, longer, dropped beat
32
Atrial flutter (basic) ttrial tachycardia with block if more advanced
33
Atrial fibrillation/flutter goes between no discernible P's and flutter waves.
34
Sinus arrhythmia (basic) sinus rhythm with blocked PAC if more advanced
35
Atrial flutter with 3:1 conduction
36
Sinus tachycardia — heart rate greater than 100
37
Normal sinus rhythm
38
Accelerated junctional rhythm (heart rate is 70)
39
Sinus rhythm with PVC
40
Junctional rhythm (rate of 30)
41
Sinus rhythm with premature atrial contraction (PAC 3rd beat)
42
Normal sinus rhythm
43
Sinus rhythm with a PAC (second beat)
44
Atrial flutter (basic) atrial tachycardia with block if more advanced
45
Sinus tachycardia — heart rate greater than 100
46
Ventricular fibrillation
47
Sinus rhythm with ventricular bigeminy (PVC every other beat)
48
Ventricular fibrillation
49
Sinus bradycardia with 1st degree AV block (PR 0.26 seconds) HR=50
50
Sinus rhythm with 1st degree AV block (PR -.26 seconds)
51
Atrial fibrillation (irregular rhythm without discernible P waves)
52
Sinus rhythm (could call this sinus tachycardia HR 100)
53
Normal sinus rhythm
54
Sinus bradycardia HR 40
55
Normal sinus rhythm
56
Sinus rhythm with premature atrial contraction (PAC 4th beat)
57
Atrial fibrillation (Atrial fibrillation ecg)
58
Sinus rhythm with ventricular bigeminy (PVC every other beat)
59
Sinus rhythm with AV sequential pacing (atrial firing and conducting)
60
Sinus bradycardia (HR=50)
61
Normal sinus rhythm
62
Atrial fibrillation (irregular rhythm without discernible P waves)
63
Normal sinus rhythm
64
Sinus rhythm with 1st degree AV block (PR -.26 seconds)
65
Atrila fibrillation (with a few flutter beats)
66
Junctional rhythm (P waves occur after the QRS with HR 50)
67
2nd degree AV block mobitz I (wenckebach) PR gets longer, longer then dropped QRS
68
SR (beginning) to supraventricular tachycardia (SVT) : narrow complex tachycardia
69
Sinus rhythm with ventricular bigeminy (PVC every other beat)
70
Sinus tachycardia — heart rate greater than 100
71
Atrial fibrillation (irregular rhythm without discernible P waves)
72
Wandering atrial pacemaker (p waves look different)
73
Sinus bradycardia (heart rate less than 60)
74
Complete heart block (3rd degree heart block) with ventricular (wide) response
75
Sinus tachycardia — heart rate greater than 100
76
Sinus arrhythmia
77
Sinus tachycardia — heart rate greater than 100
78
Junctional rhythm (rate of 60)
79
Normal sinus rhythm
80
Normal sinus rhythm
81
Sinus tachycardia
82
Asystole
83
Sinus rhythm with vetricular couplet (two PVCs in a row)
84
Sinus rhythm with a premature atrial contraction (PAC 7th beat)
85
Ventricular tachycardia
86
Accelerated junctional rhythm (regular, no P waves, rate >60)
87
Wandering atrial pacemaker with PAC
88
2nd degree AV block mobitz I (wenckebach) PR gets longer, longer then dropped QRS
89
Sinus tachycardia — heart rate greater than 100
90
Atrial flutter with 2:1 conduction (would accept SVT)
92
Ventricular tachycardia
93
Sinus rhythm with PVCs
94
Atrial fibrillation (irregular rhythm without discernible P waves)
95
Sinus tachycardia — heart rate greater than 100
96
Sinus bradycardia — heart rate 40
97
Sinus rhythm with 1st degree AV block (PR -.30 seconds)
98
Sinus bradycardia with a sinus pause
99
Sinus rhythm with atrial bigeminy (PAC every other beat)
100
Sinus tachycardia — heart rate greater than 100
101
Normal sinus rhythm
102
Sinus tachycardia — heart rate greater than 100
103
Junctional rhythm
104
Junctional tachycardia
105
Junctional rhythm
106
Accelerated junctional rhythm (Inverted P wave Rate >60)
107
Sinus tachycardia — heart rate greater than 100
108
Sinus rhythm with atrial bigeminy (PAC every other beat)
109
Sinus rhythm with PVCs
110
Atrial flutter (advanced atrial tachycardia with block)
111
Atrial fibrillation
112
Sinus arrhythmia
113
Sinus rhythm
114
Sinus rhythm with PACs
115
Sinus tachycardia — heart rate greater than 100
116
Accelerated junctional rhythm
117
Sinus bradycardia with 1st degree AV block of .26 seconds
118
Mobitz I heart block (the last beat is actually a junctional beat)
119
Sinus rhythm with a 1st degree AV Block
120
3rd degree heart block (complete heart block)
121
2nd degree AV block mobitz II (2 or more P waves for every QRS)
122
Sinus rhythm with 1st degree AV block
123
2nd degree AV block mobitz type I (wenckebach) PR longer, longer, dropped QRS
124
Multifocal atrial tachycardia
125
Sinus rhythm (could be junctional tachycardia). Hard to see P waves
126
Wandering atrial pacemaker
127
Sinus tachycardia — heart rate greater than 100
128
Normal sinus rhythm
129
Sinus rhythm changing into SVT
130
Sinus rhythm with a PAC
131
Complete heart block (3rd degree heart block) with ventricular (wide) response
132
Second degree AV block type II 2:1 block
133
Complete heart block (3rd degree)
134
Sinus tachycardia — heart rate greater than 100
135
Sinus tachycardia — possibility of atrial flutter with 2:1 block
136
Sinus rhythm with PACs
137
Sinus rhythm
138
Sinus rhythm with ventricular bigeminy
139
Atrial flutter with 4:1 block (sawtooth baseline)
140
Sinus rhythm with frequent PVCs and a ventricular couplet
141
Supraventricular tachycardia (SVT) narrow complex tachycardia
142
Sinus rhythm with multifocal PVCs (PVCs look different from each other)
143
Sinus bradycardia (HR 40)
144
Atrial fibrillation (irregular rhythm without discernible P waves)
145
Sinus rhythm with premature atrial contractions (PACs)
146
Sinus rhythm with frequent PACs
147
Atrial fibrillation (irregular rhythm without discernible P waves)
148
Atrial flutter with 4:1 block (sawtooth baseline)
149
Sinus rhythm with a sinus pause
150
Sinus bradycardia
151
Sinus rhythm with PAC (3rd beat)
152
Atrial fibrillation (irregular rhythm without discernible P waves)
153
Sinus rhythm with premature atrial contraction
154
Sinus rhythm (note the ST elevation)
155
Sinus rhythm with PAC (2nd beat)
156
Sinus tachycardia
157
Supraventricular tachycardia (SVT) narrow complex tachycardia
158
Atrial flutter with variable block
159
Sinus rhythm with 1st degree AV block (PR 0.22 seconds) and PACs
160
Ventricular tachycardia
161
Atrial fibrillation
162
Complete heart block (3rd degree) with ventricular (wide) response
163
Second degree AV block mobitz type II
164
Sinus rhythm with 1st degree AV block and a pacer with failure to sense
165
Sinus rhythm with a run of PAT (would accept run of SVT)
166
Ventricular tachycardia (polymorphic VT or torsades de pointes)
167
Sinus rhythm with ventricular bigeminy (PVC every other beat)
168
Sinus rhythm with vetricular quadrigeminy (PVC every 4th beat)
169
Sinus arrhythmia
170
Sinus bradycardia
171
Sinus tachycardia with 1st degree AV block (0.24 seconds PR)
172
Supraventricular tachycardia (SVT) narrow complex tachycardia
173
Ventricular fibrillation
174
Ventricular tachycardia
175
Asystole
176
Ventricular fibrillation
177
Ventricular tachycardia
Written by
Judith Haluka
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