Arrhythmia Recognition: The Art of Interpretation
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Practice Rhythm Strips

Practice Rhythm Strip 10
Rate:About 200 BPMPR intervals:None
Regularity:RegularQRS width:Wide
P waves:NoneGrouping:None
   Morphology:NoneDropped Beats:Absent
   Axis:NoneRhythm:Ventricular tachycardia
P:QRS ratio:None

The rhythm shows a wide-complex tachycardia at about 200 BPM. The rhythm is very regular and all of the complexes are almost identical morphologically. This is an example of ventricular tachycardia. This could easily be labeled ventricular flutter, and you would not be wrong. The reason that ventricular flutter is not completely correct is that there is still some semblance of demarcation between the QRS complexes and the ST segments and T waves (although this is debatable).

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