Regular
Results:
Atrial Flutter 1:1 Conduction
Key Points: Rare, high-risk rhythm. 1:1 flutter can drive ventricular rates into the 240–320 bpm range and can rapidly cause hypotension, ischemia, or collapse. It often mimics VT. Ask “how…
Atrioventricular Nodal Reentry Tachycardia (AVNRT)
Key Points: AVNRT is a paroxysmal, regular, usually narrow-complex SVT caused by a reentry circuit within or adjacent to the AV node. Dual-pathway physiology is typical. Bedside hallmark is a…
Wide & Regular Tachydysrhythmia DDx
Key Points Definition: Wide complex tachycardia (WCT) = QRS >120 ms with a steady R-R interval. This section focuses on regular WCT (RWCT). Wide & irregular rhythms are covered separately…
Regularly Irregular Rhythm: Basics
Key Points: Definition: A regularly irregular rhythm occurs when the distance between R-R intervals or P-P intervals varies in a consistent, repeating pattern throughout the ECG tracing. Significance: Determining the…
Regular Rhythm: Basics
Key Points Rhythm Regularity: Regular rhythm is characterized by equal distances between consecutive P waves (P-P intervals) and QRS complexes (R-R intervals). Verify rhythms with calipers—don’t trust the machine interpretation…
Atrial Flutter 2:1 Conduction
Key Points Mechanism: Atrial flutter results from a macro re-entry circuit typically located within the right atrium, causing rapid and regular atrial activation (~300 bpm commonly). ECG Appearance: Classic “saw-tooth”…
Narrow & Regular Tachycardia: DDx
Key Points Narrow regular tachycardia = QRS <120 ms with a steady R–R interval. The big three DDx: sinus tachycardia, SVT (AVNRT/AVRT/junctional), and atrial flutter with fixed AV conduction (commonly…
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