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Ventricular Rhythms Premature Ventricular Complex (PVC)

This document defines and describes various ventricular rhythms including: Premature ventricular complexes which present with absent P waves, no PR interval, and a wide QRS duration. Couplets and runs are 2 or more sequential PVCs. Other ventricular rhythms discussed include ventricular escape beats, accelerated idioventricular rhythm, ventricular tachycardia, torsades de pointes, ventricular fibrillation, asystole, and pulseless electrical activity. Each rhythm is characterized by its rate, rhythm, P waves, PR interval, and QRS duration.

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138 views3 pages

Ventricular Rhythms Premature Ventricular Complex (PVC)

This document defines and describes various ventricular rhythms including: Premature ventricular complexes which present with absent P waves, no PR interval, and a wide QRS duration. Couplets and runs are 2 or more sequential PVCs. Other ventricular rhythms discussed include ventricular escape beats, accelerated idioventricular rhythm, ventricular tachycardia, torsades de pointes, ventricular fibrillation, asystole, and pulseless electrical activity. Each rhythm is characterized by its rate, rhythm, P waves, PR interval, and QRS duration.

Uploaded by

goobyyplss
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Ventricular Rhythms

Premature ventricular complex (PVC)


Rate= dependant on underlying rhythm
Rhythm= irregular, because of premature complex
P waves= usually absent
PR interval= none
QRS duration= greater than 0.12 seconds; wide and bizarre; T wave usually in opposite
direction of QRS wave
Full compensatory pause= if the normal beat following a PVC occurs when
expected
Fusion beat= a result of an electrical impulse from a supraventricular site
discharging at the same time as an ectopic site in the ventricles
Couplet= 2 sequential PVCs
Runs or Bursts= 3 or more sequential PVCs, known as ventricular
tachycardia
Bigeminal PVCs (Ventricular bigeminy) = every other beat is a PVC
Trigeminal PVCs (Ventricular trigeminy) = every third beat is a PVC
Quadrigeminal PVCs (Ventricular quadrigeminy) = every forth beat is a PVC
Uniform PVCs= PVCs that look the same in the same lead and originate from
the same anatomic site
Multiformed PVCs= PVCs that appear different from one and other in the same
lead
Interpolated PVC= a PVC occurring without interfering with the normal cardiac
cycle, does not have a full compensatory pause
R-on-T PVC= occurs when the R wave of the PVC falls on the T wave of the
preceding beat
Ventricular escape beat
Rate= dependant on underlying rhythm
Rhythm= dependant on underlying rhythm with a pause
P waves= usually absent
PR interval= none
QRS duration= greater than 0.12 seconds; wide and bizarre; T wave usually in opposite
direction of QRS wave
Ventricular escape rhythm (Idioventricular)
Rate= 20-40 beats a minute
Rhythm= regular
P waves= usually absent
PR interval= none
QRS duration= greater than 0.12 seconds; wide and bizarre; T wave usually in opposite
direction of QRS wave
Accelerated idioventricular rhythm

Rate= 60-100 beats a minute


Rhythm= regular
P waves= usually absent
PR interval= none
QRS duration= greater than 0.12 seconds; wide and bizarre; T wave usually in opposite
direction of QRS wave
Ventricular tachycardia
Rate= 101-250 beats a minute
Rhythm= regular
P waves= usually absent
PR interval= none
QRS duration= greater than 0.12 seconds; wide and bizarre; difficult to differentiate
between the QRS and T wave
Monomorphic= having the same shape
Polymorphic= varying in shape
Torsades de pointes
Rate= 150-300 beats a minute
Rhythm= regular or irregular
P waves= usually absent
PR interval= none
QRS duration= greater than 0.12 seconds; gradual alteration in amplitude and direction of
the QRS complex
Ventricular fibrillation (V-Fib)
Rate= unable to determine
P waves= unable to determine
PR interval= unable to determine
QRS duration= unable to determine
Fine= ventricular fibrillation with low amplitude waves (less than 3 mm)
Coarse= waves that are more easily visible (greater than 3 mm)
Asystole
Rate= no ventricular activity
Rhythm= unable to determine
P waves= unable to determine
PR interval= unable to determine
QRS duration= absent
Pulseless electrical activity (PEA)
Rate= underlying rhythm
Rhythm= underlying rhythm
P waves= underlying rhythm

PR interval= underlying rhythm


QRS duration= underlying rhythm
***No palpable pulse***

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