This lead II rhythm is regular. Count the small boxes between two consecutive R waves and use the 1500 method to find the heart rate in beats per minute, rounded to a whole number.
ECG rhythm strip interpretation worksheet with answers
1.Easy
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
2.Easy
Measure the QRS duration on this lead II strip, in seconds.
lead II, 25 mm/s, 10 mm/mV1 small box = 0.04 s, 1 large box = 0.20 sstrip length 6 s
QRS = s
3.Medium
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
- 1atrial fibrillation
- 2sinus rhythm with PVCs
- 3normal sinus rhythm
- 4ventricular bigeminy
4.Medium
Measure the QT interval on this lead II strip, in seconds.
lead II, 25 mm/s, 10 mm/mV1 small box = 0.04 s, 1 large box = 0.20 sstrip length 6 s
QT = s
5.Hard
This lead II strip shows an AV block, so the atria and the ventricles beat at different rates. Measure the P–P interval and find the atrial rate in beats per minute (1500 method, whole number).
lead II, 25 mm/s, 10 mm/mV1 small box = 0.04 s, 1 large box = 0.20 sstrip length 6 s
atrial rate = bpm
6.Hard
Interpret this lead II strip with the five steps in order: rate, rhythm, P waves, PR interval, QRS duration. At which step do you find the first abnormal finding? Click it.
lead II, 25 mm/s, 10 mm/mV1 small box = 0.04 s, 1 large box = 0.20 sstrip length 6 s
- 1rate
- 2rhythm
- 3P waves
- 4PR interval
- 5QRS duration
Answer key
- 1. heart rate = 50 bpm
- 2. QRS = 0.08 s
- 3. sinus rhythm with PVCs
- 4. QT = 0.48 s
- 5. atrial rate = 88 bpm
- 6. QRS duration
Full step-by-step solutions: practise this topic on examproblems.com.