ECG Practice Drill

Interpret this ECG strip

Score

Questions completed: 0

Learning Resources

We provide short courses, interactive interpretation coaching and a quick reference guide to help improve your EKG interpretation skills. Use the buttons below to learn more.

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ECG Training Modules 2022

Our new ECG modules provide in-depth training in ECG interpretation basics, rhythm analysis and abnormality recognition. Modules include lessons, interactive exercises and a course quiz.

ECG Training Modules

ECG Interpretation Practice Coach

The ECG coach breaks down interpretation into five analysis steps followed by classification of the ECG strip. Scoring based upon both analysis and interpretation are available..

ECG Rhythm Interpretation Coach

ECG Abnormality Examples

Our ECG Examples provides information on reading ECG strips with over forty different abnormal EKG examples. For each arrhythmia, there are EKG strip examples and descriptive text. We also provide an annotated tracing with a summary of the key features and values.

ECG Examples

Authors and Sources

Authors and Reviewers

ECG heart rhythm modules: Thomas O'Brien.
ECG monitor simulation developer: Steve Collmann
12 Lead Course: Dr. Michael Mazzini, MD.
Spanish language ECG: Breena R. Taira, MD, MPH
Medical review: Dr. Jonathan Keroes, MD
Medical review: Dr. Pedro Azevedo, MD, Cardiology
Last Update: 11/8/2021

Sources

Electrocardiography for Healthcare Professionals, 6th Edition Kathryn Booth and Thomas O'Brien
ISBN10: 1265013470, ISBN13: 9781265013479
McGraw Hill, 2023
Rapid Interpretation of EKG's, Sixth Edition
Dale Dublin
Cover Publishing Company
EKG Reference Guide
EKG.Academy
12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
Aaron Reed
Create Space Independent Publishing
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN
The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG Jonathan Keroes, David Lieberman
Publisher: Lippincott Williams & Wilkin)
ISBN-10: 0781784425; ISBN-13: 978-0781784429
Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH
ECG Reference Guide
PracticalClinicalSkills.com

Explanation

Rate: Normal (60-100 bpm)
Rhythm: May be irregular
P Wave:Changing shape and size from beat to beat (at least three different forms)
PR Interval: Variable
QRS: Normal (0.06-0.10 sec)
The electrical impulses causing the atrial activity are moving or wandering. Observe at least three different shaped P waves. No other changes in the tracing may be observed. The rhythm may or may not be regular.
Wandering atrial pacemaker is an arrhythmia originating in shifting pacemaker sites from the SA node to the atria and back to the SA node. On an ECG, the p-waves reflect the pacemaker shifts by shape variations. The PRI interval may vary from one beat to the next.
External Source:http://jan.ucc.nau.edu/~daa/heartlung/lectures/ekg3.html
Nau.edu

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