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proacls.com
Normal Sinus Rhythm - ACLS Wiki
To gain an understanding of what is “normal”, we will examine a sinus rhythm. This type of rhythm is defined as any cardiac rhythm where depolarization of the cardiac muscle begins at the sinus node. It is characterized by the presence of correctly-oriented P waves on the electrocardiogram (ECG). Here is an example of evaluating […]
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🫀 Normal Sinus Rhythm vs. Arrhythmia 🫀 Know the difference. Save a life. 💡 ✅ Normal Sinus Rhythm (NSR) • Heart rate: 60–100 bpm • Origin: SA node • Regular PQRST waves • Steady rhythm = Efficient circulation ⚠️ Arrhythmia • Irregular heartbeat (too fast, too slow, or erratic) • Can originate from atria, AV node, or ventricles • Examples: Atrial fibrillation, ventricular tachycardia, bradycardia • May cause dizziness, palpitations, syncope, or even cardiac arrest 💬 Swipe to see ECG examples (
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Differentiating Sinus Tachycardia vs. Atrial Tachycardia: A Quick Guide ⚡️❤️ 🔹 Sinus Tachycardia · Normal P waves (upright in I, II, aVF) · Gradual onset/offset · Rate usually 100–180 bpm · Always 1:1 AV conduction · 🧠 Physiologic response → Treat the underlying cause 🔹 Atrial Tachycardia · Abnormal P-wave morphology (± inverted/notched) · Abrupt onset/offset (may warm-up/cool-down) · Rate typically 130–250 bpm · ❗AV block possible (key clue!) · ⚡ Intrinsic arrhythmia → Treat the rhythm (vaga
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