Learn EKGs

Atrial Fibrillation

Regularity: R-R intervals are irregular, overall rhythm is irregularly irregular.  The ventricles conduct from differnt atrial foci, which is what causes the irregularity.

Rate:  Atrial rate usually exceeds 350 The ventricular rate is between 60 and 100 beats/min.  This is known as "controlled" A-fib.  If the ventricular rate is more than 100, it's consider A-Fib with Rapid Ventricular Response (RVR), also known as uncontrolled A-Fib.

P WAVE:  Due to the atria firing so rapidly from multiple foci, there are no obvious P waves in the rhythm.  The baseline appears chaotic because the atria are fibrillationg, therefore no P waves are produced.

PRI:  Because there are no P waves, PRI cannot be measured.

QRS:  Measures less than 0.12 seconds.