ECG Rate Interpretation

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mso-fareast-font-family:"Times New Roman"'>1mm (<em><span style='font-family:"Palatino Linotype","serif"'>small square</span></em>) = 0.04 sec<o:p></o:p></span></li> <li class=MsoNormal style='color:#222222;mso-margin-top-alt:auto;mso-margin-bot tom-alt: auto;line-height:18.0pt;mso-list:l2 level1 lfo2;tab-stops:list 36.0pt; background:#F1F4F9'><span style='font-size:11.5pt;font-family:"Palatino Lin otype","serif"; mso-fareast-font-family:"Times New Roman"'>5mm (<em><span style='font-family:"Palatino Linotype","serif"'>big square</span></em>) = 0.2 sec<o:p></o:p></span></li> </ul> </blockquote> <p style='line-height:18.0pt;background:#FCFCFC'><span style='font-size:11.5pt; font-family:"Palatino Linotype","serif";color:#222222'>If a different paper speed is used, calculations will have to be modified appropriately.<o:p></o:p></ span></p> <p style='line-height:18.0pt;background:#FCFCFC'><span style='font-size:11.5pt; font-family:"Palatino Linotype","serif";color:#222222'>Calculate atrial and ventricular rates separately if they are different (e.g. <a href="http://lifeinthefastlane.com/ecg-library/basics/complete-heart-block/">com plete heart block</a>).<o:p></o:p></span></p> <p style='line-height:18.0pt;background:#FCFCFC'><span style='font-size:11.5pt; font-family:"Palatino Linotype","serif";color:#222222'>There are multiple methods to estimate the rate:<o:p></o:p></span></p> <blockquote style='border:ridge #DDDDDD 2.25pt;mso-border-alt:three-d-emboss #DD DDDD 2.25pt; padding:8.0pt 15.0pt 0cm 11.0pt;margin-left:11.25pt;margin-right:11.25pt; margin-bottom:11.25pt'> <ul type=disc> <li class=MsoNormal style='color:#222222;mso-margin-top-alt:auto;mso-margin-bot tom-alt: auto;line-height:18.0pt;mso-list:l8 level1 lfo3;tab-stops:list 36.0pt; background:#F1F4F9'><strong><span style='font-size:11.5pt;font-family: "Palatino Linotype","serif";mso-fareast-font-family:"Times New Roman"'>For regular rhythms</span></strong><span style='font-size:11.5pt;font-family: "Palatino Linotype","serif";mso-fareast-font-family:"Times New Roman"'>: Rate = 300 / number of <em><span style='font-family:"Palatino Linotyp e","serif"'>large</span></em> squares in between each consecutive R wave.<o:p></o:p></span></li> <li class=MsoNormal style='color:#222222;mso-margin-top-alt:auto;mso-margin-bot tom-alt: auto;line-height:18.0pt;mso-list:l8 level1 lfo3;tab-stops:list 36.0pt; background:#F1F4F9'><strong><span style='font-size:11.5pt;font-family: "Palatino Linotype","serif";mso-fareast-font-family:"Times New Roman"'>For very fast rhythms</span></strong><span style='font-size:11.5pt;font-family: "Palatino Linotype","serif";mso-fareast-font-family:"Times New Roman"'>: Rate = 1500 / number of <em><span style='font-family:"Palatino Linoty pe","serif"'>small</span></em> squares in between each consecutive R wave.<o:p></o:p></span></li> <li class=MsoNormal style='color:#222222;mso-margin-top-alt:auto;mso-margin-bot tom-alt: auto;line-height:18.0pt;mso-list:l8 level1 lfo3;tab-stops:list 36.0pt;
background:#F1F4F9'><strong><span style='font-size:11.5pt;font-family: "Palatino Linotype","serif";mso-fareast-font-family:"Times New Roman"'>For slow or irregular rhythms</span></strong><span style='font-size:11.5pt; font-family:"Palatino Linotype","serif";mso-fareast-font-family:"Times New Roman"'>: Rate = number of complexes on the rhythm strip x 6 (this gives the <em><span style='font-family:"Palatino Linotype","serif"'>average</span ></em> rate over a ten-second period).<o:p></o:p></span></li> </ul> </blockquote> <p style='line-height:18.0pt;background:#FCFCFC'><em><span style='font-size: 11.5pt;font-family:"Palatino Linotype","serif";color:#222222'>The machine reading can also be used and is usually correct however, it may occasionally be inaccurate in the presence of abnormal QRS/T-wave morphology, e.g. may count peaked T waves as QRS complexes or miss QRS complexes with reduced amplitude. </span></em><span style='font-size:11.5pt;font-family:"Palatino Linotype","serif"; color:#222222'><o:p></o:p></span></p> <p style='line-height:18.0pt;background:#FCFCFC'><strong><span style='font-size:11.5pt;font-family:"Palatino Linotype","serif";color:#222222'>I nterpretation (adults)</span></strong><span style='font-size:11.5pt;font-family:"Palatino Lino type","serif"; color:#222222'><o:p></o:p></span></p> <blockquote style='border:ridge #DDDDDD 2.25pt;mso-border-alt:three-d-emboss #DD DDDD 2.25pt; padding:8.0pt 15.0pt 0cm 11.0pt;margin-left:11.25pt;margin-right:11.25pt; margin-bottom:11.25pt'> <ul type=disc> <li class=MsoNormal style='color:#222222;mso-margin-top-alt:auto;mso-margin-bot tom-alt: auto;line-height:18.0pt;mso-list:l0 level1 lfo4;tab-stops:list 36.0pt; background:#F1F4F9'><span style='font-size:11.5pt;font-family:"Palatino Lin otype","serif"; mso-fareast-font-family:"Times New Roman"'>60100</span><span style='font-size:11.5pt;mso-fareast-font-family:"Times New Roman"'> </span><s pan style='font-size:11.5pt;font-family:"Palatino Linotype","serif"; mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:"Palatino Li notype"'>beats/min </span><span style='font-size:11.5pt;font-family:"Palatino Linotype","serif "; mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></li> </ul> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; margin-left:94.5pt;text-indent:-18.0pt;line-height:18.0pt;mso-list:l0 level2 lfo 4; tab-stops:list 72.0pt;background:#F1F4F9'><![if !supportLists]><span style='font-size:10.0pt;mso-bidi-font-size:11.5pt;font-family:"Courier New"; mso-fareast-font-family:"Courier New";color:#222222'><span style='mso-list: Ignore'>o<span style='font:7.0pt "Times New Roman"'> </span></ span></span><![endif]><span style='font-size:11.5pt;font-family:"Palatino Linotype","serif";mso-fareast-font
-family: "Times New Roman";color:#222222'>Normal<o:p></o:p></span></p> <ul type=disc> <li class=MsoNormal style='color:#222222;mso-margin-top-alt:auto;mso-margin-bot tom-alt: auto;line-height:18.0pt;mso-list:l0 level1 lfo4;tab-stops:list 36.0pt; background:#F1F4F9'><span style='font-size:11.5pt;font-family:"Palatino Lin otype","serif"; mso-fareast-font-family:"Times New Roman"'>>100</span><span style='font-size:11.5pt;mso-fareast-font-family:"Times New Roman"'> </span><s pan style='font-size:11.5pt;font-family:"Palatino Linotype","serif"; mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:"Palatino Li notype"'>beats/min </span><span style='font-size:11.5pt;font-family:"Palatino Linotype","serif "; mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></li> </ul> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; margin-left:94.5pt;text-indent:-18.0pt;line-height:18.0pt;mso-list:l0 level2 lfo 4; tab-stops:list 72.0pt;background:#F1F4F9'><![if !supportLists]><span style='font-size:10.0pt;mso-bidi-font-size:11.5pt;font-family:"Courier New"; mso-fareast-font-family:"Courier New";color:#222222'><span style='mso-list: Ignore'>o<span style='font:7.0pt "Times New Roman"'> </span></ span></span><![endif]><span style='font-size:11.5pt;font-family:"Palatino Linotype","serif";mso-fareast-font -family: "Times New Roman";color:#222222'>Tachycardia<o:p></o:p></span></p> <ul type=disc> <li class=MsoNormal style='color:#222222;mso-margin-top-alt:auto;mso-margin-bot tom-alt: auto;line-height:18.0pt;mso-list:l0 level1 lfo4;tab-stops:list 36.0pt; background:#F1F4F9'><span style='font-size:11.5pt;font-family:"Palatino Lin otype","serif"; mso-fareast-font-family:"Times New Roman"'><60</span><span style='font-size:11.5pt;mso-fareast-font-family:"Times New Roman"'> </span><s pan style='font-size:11.5pt;font-family:"Palatino Linotype","serif"; mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:"Palatino Li notype"'>beats/min </span><span style='font-size:11.5pt;font-family:"Palatino Linotype","serif "; mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></li> </ul> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; margin-left:94.5pt;text-indent:-18.0pt;line-height:18.0pt;mso-list:l0 level2 lfo 4; tab-stops:list 72.0pt;background:#F1F4F9'><![if !supportLists]><span style='font-size:10.0pt;mso-bidi-font-size:11.5pt;font-family:"Courier New"; mso-fareast-font-family:"Courier New";color:#222222'><span style='mso-list: Ignore'>o<span style='font:7.0pt "Times New Roman"'> </span></ span></span><![endif]><span style='font-size:11.5pt;font-family:"Palatino Linotype","serif";mso-fareast-font -family: "Times New Roman";color:#222222'>Bradycardia<o:p></o:p></span></p>
</blockquote> <p style='line-height:18.0pt;background:#FCFCFC'><strong><span style='font-size:11.5pt;font-family:"Palatino Linotype","serif";color:#222222'>N ormal Heart Rates in Children</span></strong><span style='font-size:11.5pt; font-family:"Palatino Linotype","serif";color:#222222'><o:p></o:p></span></p> <blockquote style='border:ridge #DDDDDD 2.25pt;mso-border-alt:three-d-emboss #DD DDDD 2.25pt; padding:8.0pt 15.0pt 0cm 11.0pt;margin-left:11.25pt;margin-right:11.25pt; margin-bottom:11.25pt'> <ul type=disc> <li class=MsoNormal style='color:#222222;mso-margin-top-alt:auto;mso-margin-bot tom-alt: auto;line-height:18.0pt;mso-list:l3 level1 lfo5;tab-stops:list 36.0pt; background:#F1F4F9'><span style='font-size:11.5pt;font-family:"Palatino Lin otype","serif"; mso-fareast-font-family:"Times New Roman"'>Newborn: 110 150 bpm<o:p></ o:p></span></li> <li class=MsoNormal style='color:#222222;mso-margin-top-alt:auto;mso-margin-bot tom-alt: auto;line-height:18.0pt;mso-list:l3 level1 lfo5;tab-stops:list 36.0pt; background:#F1F4F9'><span style='font-size:11.5pt;font-family:"Palatino Lin otype","serif"; mso-fareast-font-family:"Times New Roman"'>2 years: 85 125 bpm<o:p></o :p></span></li> <li class=MsoNormal style='color:#222222;mso-margin-top-alt:auto;mso-margin-bot tom-alt: auto;line-height:18.0pt;mso-list:l3 level1 lfo5;tab-stops:list 36.0pt; background:#F1F4F9'><span style='font-size:11.5pt;font-family:"Palatino Lin otype","serif"; mso-fareast-font-family:"Times New Roman"'>4 years: 75 115 bpm<o:p></o :p></span></li> <li class=MsoNormal style='color:#222222;mso-margin-top-alt:auto;mso-margin-bot tom-alt: auto;line-height:18.0pt;mso-list:l3 level1 lfo5;tab-stops:list 36.0pt; background:#F1F4F9'><span style='font-size:11.5pt;font-family:"Palatino Lin otype","serif"; mso-fareast-font-family:"Times New Roman"'>6 years+: 60 100 bpm<o:p></ o:p></span></li> </ul> </blockquote> <p style='line-height:18.0pt;background:#FCFCFC'><span style='font-size:11.5pt; font-family:"Palatino Linotype","serif";color:#222222'> <o:p></o:p></span>< /p> </div> </div> </div> </div> </div>
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