Atrial Fibrillation EKG Interpretation with Rhythm Strip

EKG Features

Rate: Very fast (> 350 bpm) for Atrial, but ventricular rate may be slow, normal or fast
Rhythm: Irregular
P Wave: Absent - erratic waves are present
PR Interval: Absent
QRS: Normal but may be widened if there are conduction delays
Not all fibrillatory waves are created equal. The "f" waves can be coarse (majority measure 3 mm or more) or can be fine (majority of waveforms measure less than 3 mm) to almost absent.
Atrial fibrillation is a common type of supraventricular tachycardia (SVT) arrhythmia, characterized by chaotic, quivering atria. These atrial fibrillations result in atrial contractions that are ineffective and out of coordination with the ventricles.
National Institutes of Health

Atrial Fibrillation EKG Interpretation Example

ekg rhythm strip for reference guide



Return to EKG Reference Guide Index



Authors, Reviewers and Developers EKG rhythms classes: Thomas O'Brien.
EKG monitor simulation: Steve Collmann
12 Lead Lecture: Dr. Michael Mazzini, MD, Cardiologist.
Spanish EKG: Breena R. Taira, MD, MPH
Medical review: Dr. Jonathan Keroes, MD, Cardiologist,
Dr. Barbara Erickson, PhD, RN, CCRN.
EKG tracings review: Dr. Pedro Azevedo, MD, Cardiology
Last Update: 11/10/2022

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