Heart Rhythms - Heart Rhythm Strips


Evaluation of a patient's heart rhythm using an EKG may indicate normal or abnormal conditions. Abnormal rhythms are called arrhythmia or sometimes, dysrhythmia. Arrhythmia is an abnormally slow or fast heart rate or an irregular heart rhythm. During a single heart beat, several electrical events occur. These events are part of an EKG tracing and are called P, Q, R, S, T and U.

The first movement of the ECG tracing (usually upwards) is the P wave, indicating electrical activity that triggers atrial contraction. The QRS complex indicates ventricular depolarization and contraction and are usually of greater amplitude than the P wave. The PR interval indicates the electrical signal traveling from the sinus node to the ventricles.

T wave is normally a smaller (than QRS) upwards waveform, indicating ventricular repolarization.

heart rhythms ekg tracing

rhythm strip

Reference Guide

Our rhythm strips guide provides information on essential dysrhythmia categories: \

  • Atrial
    • Premature Atrial Contractions
    • Atrial Flutter
    • Atrial Fibrillation
    • Multifocal Atrial Tachycardia
    • Wandering Atrial Pacemaker
  • Junctional
    • Junctional Rhythm
    • Junctional Tachycardia
    • Premature Junctional Contraction
    • Supraventricular Tachycardia
  • Ventricular
    • Premature Ventricular Contractions (several type of)
    • Accelerated Idioventricular Rhythm
    • Ventricular Fibrillation
    • Monomorphic Ventricular Tachycardia
    • Polymorphic Ventricular Tachycardia
  • Heart Blocks
    • First Degree Heart Block
    • Second Degree Heart Block, Type 1 - Mobitz I
    • Second Degree Heart Block, Type 2 - Mobitz II
    • Third Degree Heart Block
  • Sudden Arrhythmic Death Syndrome

For each heart rhythm category we provide one or more ECG tracings. A synopsis of the heart rhythm (dysrhythmia) is provided and electronic calipers can be used to study each tracing.

Heart Rhythms Strip Guide

Training Tools

Learn about heart rhythms using these tools:

  • Strips Drills
  • Rhythms Quiz
  • ECG Guide
  • Basic Training Lessons

Each of these training methods is summarized below.

EKG Lessons

A basic EKG course is available using the link below. Essential ECG features are explained along with step-by-step analysis techniques. This includes rhythm evaluation, determining heart rate and assessing multiple components of the EKG waveform. Heart rhythm strip exercises provide interactive learning reinforcement.

EKG Strips Lessons

Heart Rhythms Strips and Drills

Users are challenged to identify each type of arrhythmia based upon the heart rhythm strip. After each answer, immediate feedback and coaching is available.

Heart Rhythm Strip Drill

External References

Johns Hopkins Medicine