ECG rhythm strip interpretation worksheet with answers

Free printable ECG rhythm strip interpretation worksheet: 6 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy
II25 mm/s · 10 mm/mVregularregularly irregularirregularly irregular

Look at the R–R intervals on this lead II strip. How would you describe the ventricular rhythm? Click your answer.

lead II, 25 mm/s, 10 mm/mV1 small box = 0.04 s, 1 large box = 0.20 sstrip length 6 s
  1. 1regular
  2. 2regularly irregular
  3. 3irregularly irregular
2.Easy
II25 mm/s · 10 mm/mV

The rhythm on this lead II strip is regular. Use the 300 method (300 ÷ the number of large boxes between two consecutive R waves) to estimate the heart rate in beats per minute, rounded to a whole number.

lead II, 25 mm/s, 10 mm/mV1 small box = 0.04 s, 1 large box = 0.20 sstrip length 6 s
heart rate = bpm
3.Medium
II25 mm/s · 10 mm/mVatrial flutter, 4:1 conductionsinus tachycardiaatrial flutter, 3:1 conductionatrial flutter, 2:1 conduction

Interpret this lead II rhythm strip. Which rhythm is it? Click your answer.

lead II, 25 mm/s, 10 mm/mV1 small box = 0.04 s, 1 large box = 0.20 sstrip length 6 s
  1. 1atrial flutter, 4:1 conduction
  2. 2sinus tachycardia
  3. 3atrial flutter, 3:1 conduction
  4. 4atrial flutter, 2:1 conduction
4.Medium
II25 mm/s · 10 mm/mV

Measure the QT interval and the R–R interval on this regular lead II strip, then calculate the rate-corrected QTc with Bazett’s formula QTc = QT/√RR (both in seconds). Give the answer in seconds to three decimals.

lead II, 25 mm/s, 10 mm/mV1 small box = 0.04 s, 1 large box = 0.20 sstrip length 6 s
QTc = s
5.Hard
II25 mm/s · 10 mm/mVasystoletorsades de pointesventricular tachycardiaventricular fibrillation

Identify the rhythm on this lead II strip. Click your answer.

lead II, 25 mm/s, 10 mm/mV1 small box = 0.04 s, 1 large box = 0.20 sstrip length 6 s
  1. 1asystole
  2. 2torsades de pointes
  3. 3ventricular tachycardia
  4. 4ventricular fibrillation
6.Hard
II25 mm/s · 10 mm/mVpaced rhythm, failure to capturesecond-degree AV block type IIidioventricular rhythmdual-chamber (AV) paced rhythm

This patient has a pacemaker. Interpret the lead II strip. Click your answer.

lead II, 25 mm/s, 10 mm/mV1 small box = 0.04 s, 1 large box = 0.20 sstrip length 6 s
  1. 1paced rhythm, failure to capture
  2. 2second-degree AV block type II
  3. 3idioventricular rhythm
  4. 4dual-chamber (AV) paced rhythm

Answer key

  1. 1. regular
  2. 2. heart rate = 67 bpm
  3. 3. atrial flutter, 3:1 conduction
  4. 4. QTc = 0.49 s
  5. 5. ventricular fibrillation
  6. 6. paced rhythm, failure to capture

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