Are the R waves regular? Again, measure with calipers or a paper.ĥ. Are the P waves regular? Measure with calipers or a paper.Ĥ. (this is the atrial heart rate – remember the P wave represents the atria contracting).ģ. Are there P waves present? Count how many in 6 sec. What is the heart rate? Count how many R waves in 6 seconds (this is the ventricular heart rate – the QRS complex represents the ventricles contracting).Ģ. If you haven’t already, you may want to watch our video on basic EKG interpretation first – it goes into more detailed steps of how to read an EKG strip and is a good refresher.įirst we’ll go over a simplified 5-step approach to interpreting all EKG strips:ġ. 09 seconds and thus normal.įrom the ECG alone, it would indicate that the patient is in atrial flutter.In this video we’ll be looking at how to interpret an EKG strip, specifically atrial flutter and atrial fibrillation.
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