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Basic EKG Identification

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Josephine Duque

on 20 August 2013

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Transcript of Basic EKG Identification

Basic EKG Identification
Josephine Garcesa-Duque RN, MSN, CCRN
Arrhythmia or Abnormal heart rhythm

Normal Components of the EKG Waveform


Asystole/Ventricular Standstill

Ventricular Tachycardia

Junctional Dysrhythmias
Premature Junctional Contractions

Paroxysmal Ventricular Tachycardia

Sinoatrial Block

Premature Atrial Contractions

Atrial Dysrhythmias
Wandering Atrial Pacemaker

Third Degree AV Block or Complete AV Block

Second Degree AV Block (Mobitz type II)

Heart blocks

Sinus Arrhythmia

Sinus Dysrhythmias

How to Read an EKG Strip

Physiology of Cardiac Conduction

Idioventricular Rhythm

Ventricular Fibrillation

Ventricular Dysrhythmias
Premature Ventricular Contractions

Junctional Escape Beats and Rhythm

Torsade de Pointes

Atrial Fibrillation

Atrial Flutter

Paroxysmal Atrial Tachycardia

Junctional Tachycardia

Multifocal Atrial Tachycardia

Sinus Arrest

Bundle Branch Block

Second Degree AV Block (Mobitz type I, Wenkebach)

Sinus Tachycardia

First Degree AV Block

Electrical Signals and Blood Flow


Autonomic Nervous System

S-A node (sino atrial node)

A-V node (atrio ventricular node

His-Purkinje system
 His Bundle (the start of the system)
 Right bundle branch
Left bundle branch
 Purkinje fibers (the end of the system

Parts of the Electrical System

Heart's Electrical System

Anatomical View of the Human Heart
Anatomical View of the Human Heart
Understand the Anatomy of the heart
Differentiate myocardial cells, electrical cells and pacemaker cells
Describe the cardio-pulmonary blood flow
Explain the effects of the sympathetic and parasympathetic nervous system
Outline the electrical conduction system of the heart
Identify P-waves, QRS-waves, T-waves and measure time on the EKG paper
Differentiate Sinus Arrhythmia, Atrial Arrhythmias, AV Junctional Arrhythmias
Differentiate Sinus Block, AV Blocks, Sinus Arrest,
Identify Ventricular Arrhythmias, Bundle branch Blocks, Pacemaker Rhythms
Step by Step Interpretation of Rhythm Strips

Exterior part of the heart
Heart Chambers
Heart Valves
Coronary Circulation
Coronary Circulation
The Heart Wall
Cardiac Cells

How to Read an EKG Strip

Normal Components of the EKG Waveform

The Basic EKG Waveforms
The P wave
P Waves Example
The PR Intervals
The QRS Complex
QRS Complex
Junctional Rhythm
Full transcript