Ventricular Pacemaker Rhythm - Course # 317-6

Ventricular Pacemaker Rhythm

  • This rhythm is easily identified by the conspicuous presence of a pacing spike immediately preceding the QRS complexes.
  • Sometimes there will be P waves in the tracing, sometimes there will not.
  • Follow the five-steps of rhythm analysis and document as always.
image P118 ventricular pace

Practice Strip

  • Analyze this tracing using the five steps of rhythm analysis
  • Compare your answers with the answers on the next slide
pacemaker ecg image ventricular

Practice Strip Answers

  • Rhythm: regular
  • Rate 83
  • P Wave: absent
  • The PR interval: n/a
  • QRS: 0.16 sec, wide and bizarre with spikes
  • Interpretation: Ventricular Pacemaker Rhythm with 100% capture

317 Ventricular Pacemaker Rhythm - Course # 317-6