ECG Rules:)
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Sinus Rhythm Rate | 60-100 BPM
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Sinus Rhythm Rhythm | Regular
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Sinus Rhythm Pwaves | (+),One For Every QRS
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Sinus Rhythm PRI | 0.12-0.20 sec
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Sinus Rhythm QRS | 0.10 sec or less, unless abnormally conducted
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Sinus Bradycardia Rate | Less Than 60 BPM
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Sinus Bradycardia Rhythm | Regular
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Sinus Bradycardia Pwaves | (+),One For Every QRS
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Sinus Bradycardia PRI | 0.12-0.20 sec
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Sinus Bradycardia QRS | 0.10 sec or less, unless abnormally conducted
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Sinus Tachycardia Rate | 101-180 BPM
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Sinus Tachycardia Rhythm | Regular
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Sinus Tachycardia Pwaves | (+),One For Every QRS
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Sinus Tachycardia PRI | 0.12-0.20 sec
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Sinus Tachycardia QRS | 0.10 sec or less, unless abnormally conducted
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Sinus Arrhythmia Rate | Usually 60-100 BPM
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Sinus Arrhythmia Rhythm | Irregular, Typically Phasic with Respirations
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Sinus Arrhythmia Pwaves | (+),One For Every QRS
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Sinus Arrhythmia PRI | 0.12-0.20 sec
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Sinus Arrhythmia QRS | 0.10 sec or less, unless abnormally conducted
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SA Block Rate | Varies
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SA Block Rhythm | Regular Except For The Event; Drops A P-P Interval
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SA Block Pwaves | When Present,(+),One For Every QRS
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SA Block PRI | When Present,0.12-0.20 sec
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SA Block QRS | 0.10 sec or less, unless abnormally Conducted
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Sinus Arrest Rate | Varies
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Sinus Arrest Rhythm | Regular Except For The Event; Pause Of Undetermined Length
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Sinus Arrest Pwaves | When Present,(+),One For Every QRS
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Sinus Arrest PRI | When Present, 0.12-0.20 sec
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Sinus Arrest QRS | 0.10 sec or less, unless abnormally Conducted
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PACs Rate | Usually Within Normal Range, But Depends On Underlying Rhythm
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PACs Rhythm | Regular With Premature Beats
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PACs Pwaves | Premature,(+), One For Every QRS, Differ Than Sinus Pwaves, Maybe Lost In Preceding Twave
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PACs PRI | Maybe Normal Or Prolonged
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PACs QRS | 0.10 sec or Less Unless Abnormally Conducted
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Wandering Atrial Pacemaker Rate | Usually 60-100 BPM; If Rate Greater Than 100 BPM, Rhythm Is Called Multifocal Atrial Tachycardia
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Wandering Atrial Pacemaker Rhythm | Maybe Irregular As Pacemaker Site Shifts From SA Node To Ectopic Atrial Locations And AV Junction
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Wandering Atrial Pacemaker Pwaves | Size, Shape, And Direction mau Change From Beat To Beat
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Wandering Atrial Pacemaker PRI | Varies
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Wandering Atrial Pacemaker QRS | 0.10 sec Or Less Unless Abnormally Conducted
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Atrial Tachycardia Rate | 100-250 BPM
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Atrial Tachycardia Rhythm | Regular
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Atrial Tachycardia Pwaves | Atrial Pwaves Differ From Sinus Pwaves; Isoelectric Baseline Usually Present Between Pwaves
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Atrial Tachycardia PRI | Maybe Shorter Or Longer Than Normal
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Atrial Tachycardia QRS | 0.10 Sec Or Less Unless Abnormally Conducted
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AVNRT Rate | 150-250 BPM
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AVNRT Rhythm | Ventricular Rhythm Is Usually Very Regular
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AVNRT Pwaves | Pwaves Often Hidden In QRS Complex
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AVNRT PRI | If Pwaves Are Seen, The PRI Will Usually 0.12-0.20sec
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AVNRT QRS | 0.10 sec or Less Unless Abnormally Conducted
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Atria Flutter Rate | Atrial Rate 250-450BPM, Typically 300BPM, Ventricular Rate Variable-Determined By AV Blockade
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Atria Flutter Rhythm | Atrial Regular, Ventricular Regular or irregular
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Atria Flutter Pwaves | No Identifiable P Waves; Saw-toothed "flutter" Waves Present
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Atria Flutter PRI | Not Measurable
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Atria Flutter QRS | 0.10 sec or less unless abnormally Conducted
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AFib Rate | Atrial Rate 400-600 BPM; Ventricular Rate Variable
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AFib Rhythm | Ventricular Rhythm Usually Irregularly Irregular
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AFib Pwaves | No Identifiable Pwaves; Fibrillatory waves present; erratic, Wavy Baseline
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AFib PRI | Not measurable
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AFib QRS | 0.10 sec or less unless abnormally conducted
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WPW Rate | 60-100 BPM, if the underlying rhythm is sinus in origin
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WPW Rhythm | Regular, unless associated with Atrial Fibrillation
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WPW Pwaves | Normal and (+) in lead II unless WPW is associated with AFib
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WPW PRI | If Pwaves are seen, Less than 0.12sec
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WPW QRS | Usually greather than 0.12 sec. Delta wave may be seen in one or more leads
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PJCs Rate | usually within normal range, but depends on underlying rhythm
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PJCs Rhythm | Regular with premature beats
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PJCs Pwaves | may occur before, during, or after QRS, if visiable, the Pwave is Inverted in leads II, III, and aVF
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PJCS PRI | If Pwave occurs before the QRS, the PRI will usually be 0.12 sec or less; if no p wave occurs before The QRS, there will be no PRI
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PJCs QRS | Usually 0.10sec or less unless it is aberrantly conducted or an intraventricular conduction delay exists
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Junctional Escape Beat Rate | usually within normal range, but depends on underlying rhythm
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Junctional Escape Beat Rhythm | Regular with Late Beats
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Junctional Escape Beat Pwaves | may occur before, during, or after QRS, if visiable, the Pwave is Inverted in leads II, III, and aVF
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Junctional Escape Beat PRI | If Pwave occurs before the QRS, the PRI will usually be 0.12 sec or less; if no p wave occurs before The QRS, there will be no PRI
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Junctional Escape Beat QRS | Usually 0.10sec or less unless it is aberrantly conducted or an Intraventricular conduction delay exists
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Junctional Escape Rhythm Rate | 40-60 BPM
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Junctional Escape Rhythm Rhythm | Regular
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Junctional Escape Rhythm Pwaves | may occur before, during, or after QRS, if visiable, the Pwave is Inverted in leads II, III, and aVF
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Junctional Escape Rhythm PRI | If Pwave occurs before the QRS, the PRI will usually be 0.12 sec or less; if no p wave occurs before The QRS, there will be no PRI
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Junctional Escape Rhythm QRS | Usually 0.10 sec or less unless it is aberrantly conducted or an Intraventricular conduction delay exists
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Accelerated Junctional Rhythm Rate | 61-100 BPM
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Accelerated Junctional Rhythm Rhythm | Regular
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Accelerated Junctional Rhythm Pwaves | may occur before, during, or after QRS, if visiable, the Pwave is Inverted in leads II, III, and aVF
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Accelerated Junctional Rhythm PRI | If Pwave occurs before the QRS, the PRI will usually be 0.12 sec or less; if no p wave occurs before The QRS, there will be no PRI
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Accelerated Junctional Rhythm QRS | Usually 0.10sec or less unless it is aberrantly conducted or an Intraventricular conduction delay exists
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Junctional Tachycardia Rate | 101-180 BPM
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Junctional Tachycardia Rhythm | Regular
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Junctional Tachycardia Pwaves | may occur before, during, or after QRS, if visiable, the Pwave is Inverted in leads II, III, and aVF
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Junctional Tachycardia PRI | If Pwave occurs before the QRS, the PRI will usually be 0.12 sec or less; if no p wave occurs before The QRS, there will be no PRI
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Junctional Tachycardia QRS | Usually 0.10sec or less unless it is aberrantly conducted or an Intraventricular conduction delay exists
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PVCs Rate= | Usually within normal range, but depends on underlying rhythm
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PVCs Rhythms= | regular with early beats
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PVCs Pwaves= | usually absent or, with retrograde conduction to the atria, may appears after the QRS(usually upright in ST-segment or Twaves)
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PVCs PRI= | none
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PVCs QRS= | usually 0.12 sec or greater
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Ventricular Escape Beat Rate | Usually within normal range, but depends on underlying rhythm
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Ventricular Escape Beat Rhythm | usually 0.12 sec or greater
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Ventricular Escape Beat Pwaves | usually absent or, with retrograde conduction to the atria, may appears after the QRS(usually upright in ST-segment or Twaves)
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Ventricular Escape Beat PRI | none
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Ventricular Escape Beat QRS | usually 0.12 sec or greater
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IVR Rate | 20-40 BPM
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IVR Rhythm | Essentially Regular
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IVR Pwaves | usually absent or, with retrograde conduction to the atria, may appears after the QRS(usually upright in ST-segment or Twaves)
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IVR PRI | none
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IVR QRS | usually 0.12 sec or greater
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AVR Rate | 41-100 BPM (Some Consider the rate 41-120 BPM)
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AVR Rhythm | Essentially Regular
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AVR Pwaves | usually absent or, with retrograde conduction to the atria, may appears after the QRS(usually upright in ST-segment or Twaves)
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AVR PRI | none
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AVR QRS | usually 0.12 sec or greater
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Monomorphic VT Rate | 101-250 BPM (some Consider 121-250 BPM)
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Monomorphic VT Rhythm | Usually Regular
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Monomorphic VT Pwaves | May be present or absent. If present, they have no set relationship to the QRS appearing between the QRSs at a rate different from that of the VT
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Monomorphic VT PRI | None
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Monomorphic VT QRS | 0.12 sec or greater
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Polymorphic VT Rate | 150-300 BPM
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Polymorphic VT Rhythm | Irregular
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Polymorphic VT Pwaves | Inderpendent or none
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Polymorphic VT PRI | none
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Polymorphic VT QRS | 0.12 sec or greater
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VFib Rate | not discernible
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VFib Rhythm | chaotic
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VFib Pwaves | absent
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VFib PRI | none
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VFib QRS | not discernible
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Asystole Rate | none
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Asystole Rhythm | none
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Asystole Pwaves | atrial activiy may be observed ('Pwaves asystole")
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Asystole PRI | none
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Asystole QRS | absent
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1sr-Degree AVB Rate | usually within normal range, but depends on underlying rhythm
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1st-Degree AVB Rhythm | atrial regular, ventricular regular
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1st-Degree AVB Pwaves | normal, one for every QRS
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1st-Degree AVB PRI | Greater than 0.20 sec and constant
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1st-Degree AVB QRS | usually 0.10 sec or less unless an intraventricular conduction delay exists
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2nd-Degree AVB Type I Rate | atrial rate greater than ventricular rate; both often within normal limits
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2nd-Degree AVB Type I Rhythm | atrial regular, ventricular irregular
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2nd-Degree AVB Type I Pwaves | normal in size and shape, some pwaves are not followed by a QRS (more Pwaves Than QRS)
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2nd-Degree AVB Type I PRI | lengthens with each cycle until a pwave appears without a QRS
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2nd-Degree AVB Type I QRS | usually 0.10 sec or less unless an intraventricular conduction delay exists
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2nd-Degree AVB Type II Rate | atrial rate greater than ventricular rate; ventricular rate often slow
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2nd-Degree AVB Type II Rhythm | atrial regular, ventricular often slow
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2nd-Degree AVB Type II Pwaves | normal in size and shape, some pwaves are not followed by a QRS (more Pwaves Than QRS)
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2nd-Degree AVB Type II PRI | normal or slightly prolonged but constand for conducted beats
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2nd-Degree AVB Type II QRS | usually greater than 0.10 sec, periodically absent after pwaves
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2nd-Degree AVB 2:1 Rate | atial rate greater than ventricular
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2nd-Degree AVB 2:1 Rhythm | atrial regular, ventricular regular
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2nd-Degree AVB 2:1 Pwaves | normal in size and shape, some pwaves are not followed by a QRS (more Pwaves Than QRS)
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2nd-Degree AVB 2:1 PRI | normal in size and shape, every other pwave is not followed by a QRS (More Pwaves Than QRS)
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2nd-Degree AVB 2:1 QRS | constant
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3rd-Degree AVB Rate | atrial rate greater than ventricular rate; ventricular rate determined by origin of escape thythm
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3rd-Degree AVB Rhythm | atrial regular, ventricular regular
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3rd-Degree AVB Pwaves | normal in size and shape, some pwaves are not followed by a QRS (more Pwaves Than QRS)
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3rd-Degree AVB PRI | none- the atria and ventricular beat independently of eavh other. therefor no true PRI
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3rd-Degree AVB QRS | Narrow or wide depending on the location of escape pacemaker and condition of intraventricular conduction system
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