Ventricular Pacemaker Rhythm - Pacemaker Rhythm.

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.

Practice Strip

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