Understanding EKG Rhythms

Introduction

Electrocardiography (EKG or ECG) is a diagnostic tool that measures the electrical activity of the heart. By analyzing EKG rhythms, healthcare professionals can assess heart function, detect arrhythmias, and diagnose various cardiac conditions.

Normal Sinus Rhythm (NSR)

  • The expected rhythm of a healthy heart
  • P wave present before every QRS complex
  • Regular rate (60-100 bpm)

Common Arrhythmias

1. Bradycardia (Slow Heart Rate)

  • Sinus Bradycardia: Regular but slow rhythm (<60 bpm)
  • Heart Blocks: Delay or blockage in the electrical signal
    • First-degree AV block: Prolonged PR interval
    • Second-degree AV block: Occasional missed QRS complexes
    • Third-degree AV block: No conduction between atria and ventricles

2. Tachycardia (Fast Heart Rate)

  • Sinus Tachycardia: Regular but fast rhythm (>100 bpm)
  • Atrial Fibrillation (AFib): Irregular rhythm, no distinct P waves
  • Atrial Flutter: Regular, “sawtooth” flutter waves
  • Supraventricular Tachycardia (SVT): Sudden onset, very fast rhythm

3. Ventricular Arrhythmias

  • Premature Ventricular Contractions (PVCs): Early, wide QRS complexes
  • Ventricular Tachycardia (VTach): Rapid, wide QRS complexes (life-threatening)
  • Ventricular Fibrillation (VFib): Chaotic, disorganized electrical activity (requires immediate defibrillation)

Conclusion

EKG rhythms provide essential insights into heart health. Recognizing normal and abnormal rhythms helps in early detection and treatment of cardiac disorders. Regular checkups and prompt medical attention for symptoms like palpitations, dizziness, or chest pain are crucial for heart health.

Source recommendations

1. American Heart Association Guidelines for Electrocardiography

  1. https://www.heart.org/en/health-topics/heart-attack/diagnosing-a-heart-attack/electrocardiogram-ecg-or-ekg
  2. https://www.ahajournals.org/doi/10.1161/circulationaha.108.191095
  3. https://pubmed.ncbi.nlm.nih.gov/19281932/
  4. https://www.ahajournals.org/doi/10.1161/circulationaha.106.180200
  5. https://pubmed.ncbi.nlm.nih.gov/10483977/

2. European Society of Cardiology Guidelines on Arrhythmias

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Ventricular-Arrhythmias-and-the-Prevention-of-Sudden-Cardiac-Death
  2. https://academic.oup.com/eurheartj/article/43/40/3997/6675633
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Supraventricular-Tachycardia
  4. https://pubmed.ncbi.nlm.nih.gov/36017572/
  5. https://www.ahajournals.org/doi/10.1161/01.cir.0000091380.04100.84

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