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Rate and rhythm

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Ventricular rate (bpm) can be calculated by dividing 300 by the number of large squares between consecutive R waves (provided that the paper speed is 25 mm/sec). For an irregular ECG report the shortest and longest periods and describe the pattern. Give an average rate.

A regular sinus rhythm is normal in adults. In children, sinus arrhythmia is a variant of normal, resulting in a reduced rate on inspiration.

Abnormalities of rhythm can be divided into:

  • irregular rhythm
  • bradycardia
  • tachycardia

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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