Welch Allyn Means ECG Physicians Manual for CP Series Electrocardiographs - User Manual - Manual (Page 44)

MEANS Physicians Manual
Welch Allyn
44
3.7 Group 4: Regular rhythms with P/QRS

0.15
Say: “idioventricular rhythm (no atrial activity detected”
if: QRS duration

120 ms
and heart rate < 40 BPM
Say:
“AV junctional rhythm with aberrant ventricular conduction or”
“ accelerated idioventricular rhythm (no atrial activity detected)”
if: QRS duration  120 ms
and 40

heart rate < 60 BPM
Say:
“accelerated AV junctional rhythm with aberrant ventricular conduction or”
“ accelerated idioventricular rhythm (no atrial activity detected)”
if: QRS duration

120 ms
and 60

heart rate < 100 BPM
Say:
“AV junctional tachycardia with aberrant ventricular conduction,”
“ consider ventricular tachycardia (no atrial activity detected)”
if: QRS duration

120 ms
and 100  heart rate < 120 BPM
Say:
“supraventricular tachycardia with aberrant ventricular conduction,” “consider ventricular tachycardia”
if: QRS duration

120 ms
and 120

heart rate < 140 BPM
Say:
“supraventricular tachycardia with aberrant ventricular conduction,” “consider ventricular tachycardia”
if: QRS duration  120 ms
and 140

heart rate < 200 BPM
Say:
“supraventricular tachycardia with aberrant ventricular conduction and very high ventricular rate,”
“ or ventricular tachycardia”
if: QRS duration

120 ms
and heart rate

200 BPM
Say:
“AV junctional rhythm (no atrial activity detected)”
if: QRS duration < 120 ms
and heart rate < 60 BPM
Say:
“accelerated AV junctional rhythm (no atrial activity detected”
if: QRS duration < 120 ms
and 60

heart rate < 100 BPM
Say:
“AV junctional tachycardia (no atrial activity detected)”
if: QRS duration < 120 ms
and 100  heart rate < 120 BPM
Say:
“supraventricular tachycardia, consider atrial flutter with 2:1 A-V conduction”
if: QRS duration < 120 ms
and 120  heart rate < 140 BPM
Say:
“supraventricular tachycardia (atrial flutter or atrial tachycardia)”
if: QRS duration < 120 ms
and 140

heart rate < 200 BPM
Say:
“supraventricular tachycardia with very high ventricular rate”
if: QRS duration < 120 ms
and heart rate

200 BPM