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

Measure the PR 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
PR = s
3.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
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 Fridericia’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/mVsinus tachycardiatorsades de pointesventricular fibrillationventricular tachycardia

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. 1sinus tachycardia
  2. 2torsades de pointes
  3. 3ventricular fibrillation
  4. 4ventricular tachycardia
6.Hard
II25 mm/s · 10 mm/mV

This lead II strip shows second-degree AV block type I (Wenckebach). Measure the PR interval of the last conducted beat before a non-conducted P wave (the longest PR), in seconds.

lead II, 25 mm/s, 10 mm/mV1 small box = 0.04 s, 1 large box = 0.20 sstrip length 6 s
longest PR = s

Answer key

  1. 1. irregularly irregular
  2. 2. PR = 0.28 s
  3. 3. QTc = 0.5 s
  4. 4. QTc = 0.452 s
  5. 5. ventricular tachycardia
  6. 6. longest PR = 0.32 s

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