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Strip 5·5Rhythm: RegularRate: 100P waves: SinusPR interval: 0.20 secondsQRS; 0.08 secondsComment: An extremely elevated ST segment ispresent
Strip 5-6Rhythm: RegularRate: 136P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.06 to 0.08 seconds
Strip 5·7Rhythm: RegularRate: 68P waves: SinusPR interval: 0.16 to 0.18 secondsQRS: 0.12 to 0.14 secondsComment: A U wave is present
Strip 5-8Rhythm: IrregularRate: 50P waves: SinusPR interval: 0.12 to 0.14 secondsQRS: 0.08 secondsComment: An elevated ST segment and inverted Twave are present
Strip 5·9Rhythm: RegularRate: 94P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.06 to 0.08 secondsComment: A depressed ST segment is present
Strip 6-9Rhythm: Basic rhythm regular; irregular duringpauseRate: Basic rhythm rate 60P waves: Normal in basic rhythm; absent duringpausePR interval: 0.18 to 0.20 seconds in basic rhythm;absent during pauseQRS: 0.04 to 0.06 seconds in basic rhythm; absentduring pauseRhythm interpretation: Normal sinus rhythm withsinus arrest; a U wave is present
Strip 6-10Rhythm: RegularRate: 125P waves: SinusPR interval: 0.12 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus tachycardia; STsegment depression is present
Strip 6-11Rhythm: RegularRate: 88P waves: SinusPR interval: 0.16 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Normal sinus rhythm
Strip 6-12Rhythm: RegularRate: 54P waves: SinusPR interval: 0.16 to 0.18 secondsQRS: 0.08 secondsRhythm interpretation: Sinus bradycardia; aninverted T wave is present
Strip 6-13Rhythm: IrregularRate: 60P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.08 to 0.10 secondsRhythm interpretation: Sinus arrhythmia
Strip 6-14Rhythm: RegularRate: 68P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.08 secondsRhythm interpretation: Normal sinus rhythm; a Uwave is present
Strip 6-15Rhythm: Basic rhythm irregularRate: Basic rhythm rate 60P waves: SinusPR interval: 0.16 to 0.18 secondsQRS: 0.08 to 0.10 secondsRhythm interpretation: Sinus arrhythmia withsinus arrest/block; ST segment depression and Twave inversion are present
Strip 6-16Rhythm: RegularRate: 115P waves: SinusPR interval: 0.16 to 0.18 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus tachycardia; adepressed ST segment and an inverted T wave arepresent
Strip 6-17Rhythm: RegularRate: 58P waves: SinusPR interval: 0.12 to 0.16 secondsQRS: 0.04 secondsRhythm interpretation: Sinus bradycardia; T waveinversion is present
Strip 6-18Rhythm: IrregularRate: 40P waves: SinusPR interval: 0.16 to 0.18 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus arrhythmia/sinusbradycardia; ST segment depression is present
Strip 6-19Rhythm: RegularRate: 79P waves: SinusPR interval: 0.16 to 0.20 secondsQRS: 0.06 secondsRhythm interpretation: Normal sinus rhythm
Strip 6-20Rhythm: Basic rhythm regular; irregular duringpauseRate: Basic rhythm rate 88P waves: Sinus in basic rhythm; absent duringpausePR interval: 0.14 to 0.16 seconds in basic rhythmQRS: 0.08 seconds in basic rhythmRhythm interpretation: Normal sinus rhythm withsinus block; a U wave is present
Strip 6-21Rhythm: RegularRate: 136P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.08 to 0.10 secondsRhythm interpretation: Sinus tachycardia
Strip 6-22Rhythm: RegularRate: 100P waves: SinusPR interval: 0.12 secondsQRS: 0.04 to 0.06 secondsRhythm interpretation: Normal sinus rhythm; anextremely elevated ST segment is present
Strip 6-23Rhythm: IrregularRate: 50P waves: SinusPR interval: 0.12 to 0.16 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus arrhythmia; sinusbradycardia
Strip 6-30Rhythm: Basic rhythm regular; irregular duringpauseRate: Basic rhythm rate 68; rate slows to 63following pause; rate suppression can occurfollowing a pause in the basic rhythm; after severalcycles the rate returns to the basic rateP waves: Sinus in basic rhythm; absent duringpausePR interval: 0.16 seconds in basic rhythm; absentduring pauseQRS: 0.06 to 0.08 seconds in basic rhythm; absentduring pauseRhythm interpretation: Normal sinus rhythm withsinus arrest; a U wave is present
Strip 6-31Rhythm: RegularRate: 56P waves: SinusPR interval: 0.12 to 0.14 secondsQRS: 0.08 to 0.10 secondsRhythm interpretation: Sinus bradycardia; STsegment depression and T wave inversion arepresent
Strip 6-32Rhythm: IrregularRate: 50P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus arrhythmia; sinusbradycardia; ST segment depression is present
Strip 6-33Rhythm: RegularRate: 136P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.04 to 0.06 secondsRhythm interpretation: Sinus tachycardia; STsegment depression is present
Strip 6-34Rhythm: RegularRate: 88P waves: SinusPR interval: 0.18 to 0.20 secondsQRS: 0.08 secondsRhythm interpretation: Normal sinus rhythm; STsegment depression is present
Strip 6·39Rhythm: RegularRate: 125P waves: SinusPR interval: 0.12 to 0.14 secondsQRS: 0.08 secondsRhythm interpretation: Sinus tachycardia; STsegment depression and T wave inversion arepresent
Strip 6-40Rhythm: RegularRate: 47P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus bradycardia; STsegment depression is present
Strip 6-41Rhythm: RegularRate: 100P waves: SinusPR interval: 0.18 to 0.20 secondsQRS: 0.08 secondsRhythm interpretation: Normal sinus rhythm; STsegment depression is present
Strip 6-42Rhythm: IrregularRate: 40P waves: SinusPR interval: 0.18 to 0.20 secondsQRS: 0.08 secondsRhythm interpretation: Sinus arrhythmia withsinus bradycardia; ST segment elevation is present
Strip 6-43Rhythm: Basic rhythm regular; irregular duringpauseRate: Basic rhythm rate 63P waves: Sinus in basic rhythm; absent duringpausePR interval: 0.18 to 0.20 seconds in basic rhythm;absent during pauseQRS: 0.04 to 0.06 seconds in basic rhythm; absentduring pauseRhythm interpretation: Normal sinus rhythm withsinus arrest; ST segment depression is present
Strip 6-44Rhythm: IrregularRate: 50P waves: SinusPR interval: 0.18 to 0.20 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus arrhythmia; sinusbradycardia; a U wave is present
Strip 6-45Rhythm: RegularRate: 26P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.08 to 0.10 secondsRhythm interpretation: Sinus bradycardia, STsegment depression is present
Strip 6-46Rhythm: RegularRate: 68P waves: SinusPR interval: 0.16 secondsQRS: 0.08 secondsRhythm interpretation: Normal sinus rhythm; sinusarrhythmia; a U wave is present
Strip 6-47Rhythm: RegularRate: 125P waves: SinusPR interval: 0.12 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus tachycardia; STsegment depression and T wave inversion arepresent
Strip 6-48Rhythm: IrregularRate:ZQP waves: SinusPR interval: 0.16 to 0.20 secondsQRS: 0.04 to 0.06 secondsRhythm interpretation: Sinus arrhythmia; a U waveis present
Strip 6-49Rhythm: RegularRate: 47P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.08 secondsRhythm interpretation: Sinus bradycardia; a Uwave is present
Strip 6-50Rhythm: RegularRate: 94P waves: SinusPR interval: 0.16 to 0.18 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Normal sinus rhythm
Strip 6-51Rhythm: RegularRate: 107P waves: SinusPR interval: 0.12 to 0.14 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus tachycardia
Strip 6-52Rhythm: Basic rhythm regular; irregular duringpauseRate: Basic rhythm rate 68P waves: Sinus in basic rhythm; absent duringpausePR interval: 0.18 to 0.20 seconds in basic rhythm;absent during pauseQRS: 0.06 to 0.08 seconds in basic rhythm; absentduring pauseRhythm interpretation: Normal sinus rhythm withsinus arrest; a U wave is present
Strip 6-53Rhythm: IrregularRate: 50P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus arrhythmia; sinusbradycardia; a U wave is present
Strip 6·54Rhythm: RegularRate: 42P waves: SinusPR interval: 0.20 secondsQRS: 0.08 to 0.10 secondsRhythm interpretation: Sinus bradycardia; STsegment elevation is present
Strip 6-55Rhythm: RegularRate: 65P waves: SinusPR)nterval: 0.16 to 0.18 secondsQRS: 0.06 secondsRhythm interpretation: Normal sinus rhythm
Strip 6-63Rhythm: RegularRate: 47P waves: SinusPR interval: 0.20 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus bradycardia; STsegment depression is present
Strip 6-64Rhythm: RegularRate: 79P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.04 to 0.06 secondsRhythm interpretation: Normal sinus rhythm; Twave inversion is present
Strip 6·65Rhythm: RegularRate: 125P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.08 to 0.10 secondsRhythm interpretation: Sinus tachycardia; STsegment depression is present
Strip 6·66Rhythm: RegularRate: 100P waves: SinusPR interval: 0.20 secondsQRS: 0.08 secondsRhythm interpretation: Normal sinus rhythm; anextremely elevated ST segment is present
Strip 6·67Rhythm: RegularRate: 44P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.08 secondsRhythm interpretation: Sinus bradycardia; a Uwave is present
Strip 6-68Rhythm: RegularRate: 94P waves: SinusPR interval: 0.16 to 0.20 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Normal sinus rhythm; STsegment depression and a T wave inversion arepresent
Strip 6·69Rhythm: RegularRate: 115P waves: SinusPR interval: 0.14 to 0.16 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus tachycardia
Strip 6-70Rhythm: Basic rhythm regular; irregular duringpauseRate: Basic rhythm rate 56; rate slows to 50 afterpause; rate suppression can occur following apause in the basic rhythm; after several cycles therate returns to the basic rateP waves: Sinus in basic rhythm; absent duringpausePR interval: 0.14 to 0.16 in basic rhythm; absentduring pauseQRS: 0.08 to D.I0 seconds in basic rhythm; absentduring pauseRhythm interpretation: Sinus bradycardia withsinus arrest
Strip 6-71Rhythm: IrregularRate: 60P waves: SinusPR interval: 0.12 to 0.16 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus arrhythmia; a U waveis present
Strip 6-72Rhythm: RegularRate: 72P waves: SinusPR interval: 0.12 to 0.14 secondsQRS: .04 to .06 secondsRhythm interpretation: Normal sinus rhythm; STsegment depression and T wave inversion arepresent
Strip 6-86Rhythm: RegularRate: 54P waves: SinusPR interval: 0.12 to 0.16 secondsQRS:0.08 secondsRhythm interpretation: Sinus bradycardia; a Uwave is present
Strip 6-87Rhythm: Basic rhythm regular; irregular duringpauseRate: Basic rhythm rate 84; rate slow to 75 for onecycle following the pause-rate suppression iscommon following pauses in the basic rhythmP waves: Sinus in basic rhythm; absent duringpausePR interval: 0.16 to 0.18 seconds in basic rhythm;absent during pauseQRS: 0.06 to 0.08 seconds in basic rhythm; absentduring pauseRhythm interpretation: Normal sinus rhythm withsinus arrest
Strip 6-88Rhythm: RegularRate: 100P waves: SinusPR interval: 0.18 to 0.20 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Normal sinus rhythm; STsegment depression is present
Strip 6-89Rhythm: RegularRate: 54P waves: SinusPR interval: 0.18 to 0.20 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Sinus bradycardia
Strip 6-90Rhythm: RegularRate: 88P waves: SinusPR interval: 0.12 secondsQRS: 0.08 secondsRhythm interpretation: Normal sinus rhythm; STsegment depression is present
Strip 6-91Rhythm: RegularRate: 83P waves: SinusPR interval: 0.16 to 0.20 secondsQRS: 0.04 to 0.06 secondsRhythm interpretation: Normal sinus rhythm; Twave inversion is present
Strip 6-92Rhythm: IrregularRate: 70P waves: SinusPR interval: 0.12 secondsQRS: 0.04 to 0.06 secondsRhythm interpretation: Sinus arrhythmia; STsegment depression and T wave inversion arepresent
Strip 6-93Rhythm: Basic rhythm regular; irregular duringpauseRate: Basic rhythm rate 65P waves: Sinus in basic rhythm; absent duringpausePR interval: 0.20 seconds in basic rhythm; absentduring pauseQRS: 0.04-0.06 seconds in basic rhythm; absentduring pauseRhythm interpretation: Normal sinus rhythm withsinus arrest
Strip 6-95Rhythm: RegularRate: 107P waves: SinusPR interval: 0.16 to 0.20 secondsQRS: 0.08 secondsRhythm interpretation: Sinus tachycardia; STsegment depression is present
Strip 7·1Rhythm: IrregularRate: 70P waves: Fibrillation wavesPR interval: Not discernibleQRS: 0.06 to 0.08 secondsRhythm interpretation: Atrial fibrillation; someflutter waves are noted
Strip 7-2Rhythm: RegularRate: 188P waves: Hidden in T wavesPR interval: Not measurableQRS: 0.08 secondsRhythm interpretation: Paroxysmal atrialtachycardia
Strip 7-3Rhythm: Basic rhythm regular; irregular with PACRate: Basic rhythm 63P waves: Sinus P waves with basic rhythm;premature P wave with PAC (this P wave closelyresembles that of the sinus node)PR interval: 0.16 seconds (basic rhythm)QRS: 0.06 seconds'Rhythm interpretation: Normal sinus rhythm withone PAC; ST segment depression and T waveinversion are noted
Strip 7-5Rhythm: Basic rhythm regular; irregular with PACRate: Basic rate 84P waves: Sinus P waves are present; premature,abnormal P waves with a premature beatPR interval: 0.16 seconds (basic rhythm)QRS: 0.08 secondsRhythm interpretation: Sinus rhythm with apremature atrial contraction; a U wave is noted
Strip 7-6Rhythm: RegularRate: 167P waves: Pointed, abnormalPR interval: 0.14 to 0.16 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Paroxysmal atrialtachycardia; ST segment depression is present
Strip 7-7Rhythm: Basic rhythm regular; irregular withnonconducted PACRate: Basic rhythm rate 88P waves: Sinus P waves with basic rhythm;premature, abnormal P wave with non conductedPACPR interval: 0.16 secondsQRS: 0.06 to 0.08 secondsRhythm interpretation: Normal sinus rhythm withnonconducted PAC; ST segment depression ispresent