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Successful EKG interpretation requires the same stepwise method with each attempt. Like all aspects of electrocardiographic interpretation, accurate and rapid rhythm identification is paramount to providing the appropriate treatment to patients. This activity reviews the process of EKG rhythm interpretation and reviews the role of the interprofessional team in evaluating and treating patients with cardiac arrhythmias. Objectives: Identify the fundamental concepts of EKG rhythm interpretation. Evaluate the issues of concern in regard to EKG rhythm interpretation. Interpret the appropriate evaluation of the clinical significance of EKG rhythm. Strategize how the interprofessional team can improve care coordination and communication to advance EKG rhythm interpretation and improve outcomes. Access free multiple choice questions on this topic.
Rapid electrocardiogram (EKG) interpretation can reveal arrhythmias before a patient becomes symptomatic. An EKG can reveal underlying cardiac problems and uncover electrolyte imbalances that, if left untreated, could lead to morbidity and mortality.[1] The key to successful EKG interpretation is utilizing the same stepwise method with each attempt. A simple approach used by many practitioners is as follows: rate, rhythm, axis, intervals, ST-segment, and T waves. The rhythm on an EKG refers to what is driving the ventricular rate. Like all aspects of electrocardiographic interpretation, accurate and rapid rhythm identification is paramount to treating patients appropriately (see Image. EKG Rhythm Flowchart).
Fast and accurate rhythm identification is an important skill for medical professionals in many disciplines. EKGs are performed in the prehospital setting, physicians' offices, emergency department, surgery, and hospital. The healthcare team is responsible for recognizing potentially dangerous rhythms to ensure proper patient care before it becomes life-threatening. Quick and accurate rhythm identification by anybody in the healthcare team can improve morbidity and mortality in any of these patients. It is important to look at the patient as a whole when interpreting EKG rhythms since the knowledge of an individual patient on whom an EKG is ordered may result in a more critical rhythm assessment and might account for the higher accuracy of rhythm interpretation.[10]