| Dysrhythmia |
Rate |
Rhythm |
P Waves |
PR Interval |
QRS Complex |
| Sinus Bradycardia |
<60 |
Regular |
Upright & Normal |
Normal |
Normal |
| Sinus Tachycardia |
>100 |
Regular |
Upright & Normal |
Normal |
Normal |
| Sinus Dysrhythmia |
60 - 100 |
Irregular |
Upright & Normal |
Normal |
Normal |
| Sinus Arrest |
Normal to slow |
Irregular |
Upright & Normal |
Normal |
Normal |
| First Degree AV Block |
Depends on underlying rhythm |
Usually regular |
Normal |
>0.20 sec |
Usually <0.12 sec |
| Type I Second Degree AV Block |
Atrial - normal, ventricular – normal to slow |
atrial – regular, ventricular -- irregular |
Normal, some P waves not followed by QRS complex |
Increases until QRS drops, then repeats |
Usually <0.12 sec |
| Type II Second Degree AV Block |
Atrial - normal, ventricular – normal to slow |
may be regular or irregular |
Normal, some P waves not followed by QRS complex |
Constant for conducted beats, may be >0.12 sec. |
Normal or >0.12 sec |
| Third Degree AV Block |
Atrial - normal, ventricular – 40 - 60 |
Both atrial and ventricular are regular |
Normal with no correlation to QRS complex |
No relation to QRS complex |
0.12 sec or greater |
| Premature Junctional Contractions |
Depends on underlying rhythm |
Depends on underlying rhythm |
Inverted, may occur after QRS complex |
Normal if P wave occurs before QRS complex |
Usually normal |
| Junctional Escape Complexes and Rhythms |
40 - 60 |
Irregular in single occurrence; regular in escape rhythm |
Inverted, may occur after QRS complex |
Normal if P wave occurs before QRS complex |
Usually normal |
| Accelerated Junction Rhythm |
60 -100 |
Regular |
Inverted, may occur after QRS complex |
Normal if P wave occurs before QRS complex |
Normal |
| Paroxysmal Junctional Tachycardia |
100 - 180 |
Regular |
Inverted, may occur after QRS complex |
Normal if P wave occurs before QRS complex |
Normal |