Arrhythmia Recognition: The Art of Interpretation
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Practice Rhythm Strips

Practice Rhythm Strip 6
 
Rate:Atrial: None
Ventricular: About 70 BPM
PR intervals:Not applicable
Regularity:Irregularly irregularQRS width:Normal
P waves:f waves presentGrouping:None
   Morphology:f waves Dropped Beats:Not applicable
   Axis:Not applicableRhythm:Atrial fibrillation
P:QRS ratio:Not applicable

The rhythm strip is for the classic patient in atrial fibrillation with the rate controlled by digitalis. The digitalis effect is obvious and appears to be the classic scooped-out or ladle-like appearance. There is a fine f wave pattern visible on the strip, and the irregularly irregular ventricular response is evident.

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