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The most obvious abnormal finding will be abnormal P waves. One of three options can occur: [12] 1. There are no P waves. This is because of either failure of retrograde flow to the atria or the P wave is hidden in the QRS. If the P wave is hidden that implies the atria depolarize at the same time as the ventricles. 2.
On an EKG, junctional tachycardia exhibits the following classic criteria: [2] P-Waves: The p-wave may be inverted in leads II, III and aVF or may not be visible; Narrow QRS complexes (which is consistent with arrhythmias that conduct through the ventricles using the His-Purkinje system and often originate from the atria or AV junction.)
A P wave with increased amplitude can indicate hypokalemia. [3] It can also indicate right atrial enlargement. [4] A P wave with decreased amplitude can indicate hyperkalemia. [5] P-wave changes in left and right atrial hypertrophy. Bifid P waves (known as P mitrale) indicate left-atrial abnormality - e.g. dilatation [6] or hypertrophy. [1]
An idioventricular rhythm is a cardiac rhythm characterized by a rate of <50 beats per minute (bpm), absence of conducted P waves and widening of the QRS complex. [1] In cases where the heart rate is between 50 and 110 bpm, it is known as accelerated idioventricular rhythm and ventricular tachycardia if the rate exceeds 120 bpm.
On electrocardiogram (ECG), there will be no P wave due to the inactivation of the atrial muscles. [1] Hyperkalemia can lead to sinoventricular conduction, as evidenced on ECG by the P waves becoming flatter and flatter and eventually disappearing. The impulse from the sinus node is still conducted via the internodal tracts to the AV node, and ...
A criterion for sinus rhythm is that P waves and QRS complexes appear 1-to-1, thus implying that the P wave causes the QRS complex. [50] Once sinus rhythm is established, or not, the second question is the rate. For a sinus rhythm, this is either the rate of P waves or QRS complexes since they are 1-to-1.
Ventricular tachycardia is a regular rhythm with a rate of 140-250 bpm, there are no P waves and the main feature is a wide QRS complex (0.12 and greater) Ventricular fibrillation has no p waves or QRS complexes, there are only wavy irregular deflections throughout the heart rhythm, at this point the heart would have a rate of 0 and be ...
Pulseless electrical activity (PEA) is a form of cardiac arrest in which the electrocardiogram shows a heart rhythm that should produce a pulse, but does not.Pulseless electrical activity is found initially in about 20% of out-of-hospital cardiac arrests [1] and about 50% of in-hospital cardiac arrests.