Scribd Logo
Upload

Welcome to Scribd!

  • 4 views

    Assessing Heart Rate ECG Basics - MedSchool

    Uploaded by

    Lonely gladiator

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Assessing Heart Rate ECG Basics - MedSchool

    Uploaded by

    Lonely gladiator
    4 views1 page

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4 views1 page

    Assessing Heart Rate ECG Basics - MedSchool

    Uploaded by

    Lonely gladiator

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    MedSchool Guides Encyclopaedia Study Calculators S…

    Home Investigations ECG Basics Assessing Heart Rate

    Assessing Heart Rate


    Bookmark Share

    On this page: Tachycardia Bradycardia

    View Topic Outline

    The heart rate is the ventricular rate, or the rate of ventricular depolarisation.

    Normal Range 60 - 100bpm

    How to Measure Count the number of large squares between consecutive R waves (the R-R interval), and
    divide 300 by that number.

    Heart rate = 300 / no. of large squares between R waves

    If the rhythm is irregular, the average R-R interval can be used to calculate the rate.

    Tachycardia
    A rapid ventricular rate of >100bpm may be in the context of a variety of rhythms that are clinically classified
    as narrow complex tachycardias (QRS duration <120ms) and wide complex tachycardias (QRS duration
    >120ms).

    Tachyarrhythmias

    Regular Narrow Complex Tachycardia

    Sinus tachycardia

    Focal atrial tachycardia

    Atrial flutter

    AV nodal reentrant tachycardia

    AV reentrant tachycardia

    Irregular Narrow Complex Tachycardia

    Multifocal atrial tachycardia

    Atrial fibrillation

    Atrial flutter with variable block

    Regular Wide Complex Tachycardia

    Monomorphic ventricular tachycardia

    SVT with aberrant conduction (bundle branch block)

    SVT with preexcitation (accessory pathway)

    Pacemaker-mediated tachycardia (atrial tracking or endless loop tachycardia)

    Irregular Wide Complex Tachycardia

    Polymorphic ventricular tachycardia

    AF with aberrant conduction (bundle branch block)

    AF with preexcitation (accessory pathway)

    Other

    Artefact - due to CPR, shivering, shaking or other movements

    Bradycardia
    A slowed ventricular rate of <60bpm (or <50bpm during sleep) may generally be caused by sinus node
    dysfunction, atrioventricular block or escape rhythms in the setting of either of the above.

    Bradyarrhythmias

    Regular

    Sinus bradycardia

    Sinus arrest with escape rhythm

    Complete heart block with escape rhythm

    Irregular

    Sinus arrhythmia

    Sinus arrest

    Second or third degree sinoatrial exit block

    Atrial fibrillation with slow ventricular rate

    Atrial flutter with variable block

    Second or third degree AV block

    Causes of Bradycardia

    Intrinsic (SA or AV Nodal)

    Idiopathic degeneration

    Myocardial infarction

    Congenital - congenital heart disease, neonatal lupus

    Infiltrative disease - sarcoidosis, amyloidosis, haemochromatosis

    Connective tissue disease - SLE, scleroderma, RA

    Cardiac procedures - valvular surgery, correction of congenital heart disease, catheter ablation

    Infections - Lyme disease, endocarditis, viral myocarditis

    Extrinsic

    Physiologic - sleep, athletes

    Autonomic - neurocardiogenic syncope, carotid sinus massage, carotid sinus hypersensitivity

    Drugs - beta blockers, calcium channel blockers, digoxin, adenosine, amiodarone, ivabradine, clonidine,
    acetylcholinesterase inhibitors

    Hypothyroidism

    Hypothermia

    Hyperkalaemia

    Obstructive sleep apnoea

    Raised intracranial pressure

    Next up: Assessing Cardiac Rhythm

    Popular Pages
    Cardiovascular History-… Arterial Blood Gas Inter… Basic History-Taking Travel History

    Gastrointestinal History… Psychiatric History-Taking Chest Pain Nutritional History

    Abdominal Pain Family History

    10 days left in your free trial. Go Premium


    Privacy Policy | Disclaimer | Contact | About Copyright 2021 The Medical

    You might also like