CodeBlue
EKG Reference

Atrial & SVT · Watch

Atrial Fibrillation

● Live · lead II25 mm/s · 10 mm/mV
II

10-second rhythm strip · count the boxes

II
RateAtrial 350–600; ventricular variable (RVR > 100)
RegularityIrregularly irregular
P wavesAbsent; fibrillatory (f) baseline
PR intervalNone
QRSNarrow (unless aberrancy or pre-excitation)

Key features

  • No two R-R intervals alike
  • Chaotic, wavy baseline with no discrete P waves
  • Pulse deficit common at fast rates