Sign in or Join to use this module.

Ventricular Pacemaker Rhythm - Pacemaker Rhythms.

Please sign in. This module is premium content.

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

pacemaker ecg image ventricular

Analyze this tracing using the five steps of rhythm analysis

Show Answer
  • 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

Authors and Reviewers

Authored by Thomas O'Brien
Medically reviewed by Dr. Jonathan Keroes, MD, Cardiology
Last Update: 11/8/2020

An error has occurred. This application may no longer respond until reloaded. Reload 🗙