EKG Page
Test 2 Study Guide
PEP 475 Electrocardiography


Diagnosis of Cardiac Rhythm
1. Know the first 4 steps of the "12 lead checklist".
2. What are the 5 steps of the "5-point rhythm checklist"? Know what is contained within each step.

Sinus Rhythms
1. What is the criteria for diagnosing normal sinus rhythm (NSR)?
2. What are the criteria for sinus bradycardia, sinus tachycardia, and sinus arrhythmia?
3. What are some common causes of the conditions listed in question #2?

Atrial/Junctional Rhythms
1. What are the criteria for wandering pacemaker and multi-focal tachycardia?
2. What is reentry? What can cause reentry? Draw a reentry pathway and describe how reentry occurs.
3. What is the criteria for atrial tachycardia? Is it a uni-focal or multi-focal arrhythmia? What causes it?
4. What is the criteria for atrial fibrillation? What is the rate for "controlled" and "uncontrolled" atrial fibrillation? What causes atrial fibrillation? Is this arrhythmia regular or irregular?
5. What is the criteria for atrial flutter? What is an "F-wave"? What is the "F-wave" rate? Is this arrhythmia regular or irregular?
6. What is the general criteria for a rhythm that has a junctional focus? How do you differentiate between a junctional rhythm, accelerated junctional rhythm, and junctional tachycardia?
7. What is supraventricular tachycardia (SVT)? What is the criteria for SVT?

Ventricular rhythms
1. What is the criteria for Idioventricular rhythm (IVR)? What is a cause of IVR? How does accelerated IVR differ from IVR? What is a cause of accelerated IVR?
2. What is ventricular tachycardia? What can cause it? What does "sustained" and "non-sustained" ventricular tachycardia mean?
3. What is ventricular fibrillation? Is it life threatening?
4. What is agonal rhythm? Asystole?

Pre-excitation Syndrome
1. What are the EKG characteristics of Wolff-Parkinson-White (WPW)? Describe and draw the cause of WPW. What type of arrhythmia can WPW cause?

Pacemakers
1. What do we look for on the EKG that tells us someone has a pacemaker?
2. What are the EKG characteristics of a ventricular pacer?
3. What are the EKG characteristics of an atrial pacer? AV sequential pacer?
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