- Regular rhythm.
- Rate 50-110 bpm. (<50 is likely ventricular escape, > 110 is VT)
- Three or more ventricular complexes.
- QRS complexes >120ms.
- Fusion and capture beats.
|Maricopa Emergency Medicine Residency|
Commonly seen after ventricular reperfusion, and generally self limiting, this rhythm is important to recognize as managment with antiarrhythmics is not indicated (and may make the situation worse). It is a result of a ventricular rhythm that is faster than the atrial rhythm and will generally resolve once the atrial rhythm exceeds the ventricular pacemaker. Focus on recognizing the underlying causes, treating the cause and not the rhythm, or being watchfully patient as the case may require. Follow the link to LITFL to learn more.
Our thanks to Dr. Tim Davie for assembling the Copa Cardiogram each week. Please follow this link to get to spreadsheet of all Copa Cardiograms.
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