Page 62 - Basic Monitoring in Canine and Feline Emergency Patients
P. 62

Table 3.5.  Continued.
  VetBooks.ir  Question  Options      What does this mean?  Examples with rhythm diagnosis
                                      Sinus rhythm
             How are P
                        One P wave
              waves
              and QRS     precedes every   (electrical impulse
                                       originated in SA
                          QRS complex
              complexes    at consistent   node and conducted
              related?    P-R interval  through AV node)



                                                       Sinus tachycardia

                        >1 P wave     2nd or 3rd degree AV
                          precedes QRS   block
                          complexes
                          (at least
                          sometimes)




                                                       High-grade 2nd degree AV block (4:1 P:QRS ratio)

                        P waves are   AV dissociation;
                          present but not   suggests either
                          consistently   ventricular ectopy or
                          related to QRS   3rd degree AV block
                          complexes

                                                       Ventricular tachycardia
                        No P waves    Suggests atrial
                          present      fibrillation or atrial
                                       standstill






                                                       Atrial standstill
            Do QRS-T    QRS–T         Past the AV node,
              waveforms   waveforms    electrical impulse
              look normal or  normal   was conducted
              abnormal?                using specialized
                                       conduction system
                                       (His bundle, bundle
                                       branches, Purkinje
                                       system)
                                                       Normal sinus rhythm with single supraventricular
                                                       premature complexes



             54                                                                           J.L. Ward
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