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5 MINUTE SPEEDY SESSION

Telemetry: PAC/PJC/PVC
Sinus Rhythm:
Just a baseline to compare to the other
strips. Notice that every P wave has a
prompt QRS and everything marches
out uniformly. 1

PAC: Premature Atrial Contraction


Pic 2 shows 2 occurrences of PAC
(beat 3 and 7) where a P wave comes
before it should which makes the pre-
ceding T wave look abnormally large. 2
You can tell this is a PAC because the
following QRS is identical to the other
sinus beats.

PJC: Premature Junctional Contraction


Here we see beat 7 is the Junctional
beat. The QRS is not preceded by a P
wave, but the width of the QRS is unaf-
fected. The PJC seems very similar to 3
the sinus QRSs but is not identical.

PVC: Premature Ventricular Contraction


Beats 2, 4, 6 and 8 are clearly PVCs.
They do not follow a P wave and are
very wide complexes compared to the
sinus beat QRSs. 4

Retrieved from ECGs Made easy and Created by Kristin Olson, RN 12/26/2013
http://www.rnceus.com/course_frame.asp?exam_id=16&directory=ekg

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