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Cardioperfect workstation – Welch Allyn Cardioperfect Workstation, PEDMEANS ECG Interpretation Module - Physicians - User Manual User Manual

Page 38

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CardioPerfect Workstation

PEDMEANS ECG Interpretation Module Physicians Manual

DIR 80015051 Rev. C

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3.11 Group 8: Irregular rhythms with P/QRS

0.15

Say:

“atrial fibrillation with slow mean ventricular response”

if:

heart rate < LLN

– 10 BPM


Say:

“atrial fibrillation with normal mean ventricular response”

if:

LLN

– 10 BPM

heart rate < ULN


Say:

“atrial fibrillation with rapid mean ventricular response”

if:

ULN

heart rate < ULN + 80 BPM


Say:

“atrial fibrillation with very rapid mean ventricular response”

if:

heart rate

ULN + 80 BPM


Say:

“with long RR intervals”

if:

there is an RR interval > 1.6 s

3.12 Group 9: rhythms with paroxysmal acceleration or deceleration of
ventricular rate

The program defines a p

aroxysmal acceleration (“run”) as a sequence of three or more dominant

complexes with a rate that exceeds the inherent rate of the subsidiary pacemaker by 40%. Once a run
has been detected and classified, the complexes are discarded. The remaining rhythm, which may be
perfectly regular, is classified separately.

Say:

“with run of dominant complexes”

if:

there is a run

and

run rate < ULN + 40 BPM


Say:

“with episode of paroxysmal junctional tachycardia”

if:

there is a run

and

ULN + 40 < run rate

ULN + 60 BPM


Say:

“with episode of paroxysmal atrial tachycardia”

if:

there is a run

and

run rate > ULN + 60 BPM


An arrest is defined as a transient disturbance in impulse formation giving rise to an RR interval which
is at least 50% longer than the average RR interval and has a duration of at least 2 s.

Say:

“with ventricular arrest”

if:

there is an arrest