This 6-second lead II strip is irregular, so the 300 and 1500 methods do not work. Use the 6-second method to estimate the ventricular heart rate in beats per minute.
ECG rhythm strip interpretation worksheet with answers
1.Easy
lead II, 25 mm/s, 10 mm/mVstrip length 6 s (marks at 0, 3 and 6 s)
heart rate = bpm
2.Easy
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
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
4.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
- 1normal sinus rhythm
- 2first-degree AV block
- 3atrial fibrillation
- 4junctional rhythm
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
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
- 1ventricular tachycardia
- 2ventricular fibrillation
- 3atrial fibrillation
- 4torsades de pointes
Answer key
- 1. heart rate = 80 bpm
- 2. PR = 0.2 s
- 3. QT = 0.32 s
- 4. junctional rhythm
- 5. atrial rate = 65 bpm
- 6. ventricular tachycardia
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