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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1.Easy
II25 mm/s · 10 mm/mV

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
2.Easy
II25 mm/s · 10 mm/mV

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.

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/mVfirst-degree AV blocknormal sinus rhythmsinus bradycardiajunctional rhythm

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. 1first-degree AV block
  2. 2normal sinus rhythm
  3. 3sinus bradycardia
  4. 4junctional rhythm
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/mVthird-degree (complete) AV blocksinus bradycardiasecond-degree AV block type I (Wenckebach)second-degree AV block type II

This lead II strip shows a conduction problem between the atria and the ventricles. 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. 1third-degree (complete) AV block
  2. 2sinus bradycardia
  3. 3second-degree AV block type I (Wenckebach)
  4. 4second-degree AV block type II
6.Hard
II25 mm/s · 10 mm/mVdual-chamber (AV) paced rhythmpaced rhythm, failure to captureventricular paced rhythmsinus rhythm with wide QRS

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. 1dual-chamber (AV) paced rhythm
  2. 2paced rhythm, failure to capture
  3. 3ventricular paced rhythm
  4. 4sinus rhythm with wide QRS

Answer key

  1. 1. QRS = 0.1 s
  2. 2. heart rate = 65 bpm
  3. 3. junctional rhythm
  4. 4. QTc = 0.46 s
  5. 5. second-degree AV block type II
  6. 6. ventricular paced rhythm

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