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Based on the provided ECG description (Idioventricular Rhythm), which of the following statements is correct?

A) The P wave is absent, and there are wide QRS complexes, indicating an irregular rhythm at 30 beats per minute due to an idioventricular rhythm with wide complexes.

B) Both P waves and QRS complexes are absent, indicating a complete heart block and an irregular rhythm at 30 beats per minute.

C) The P wave is present, and there are narrow QRS complexes following the P waves, indicating a regular rhythm at 30 beats per minute with an accelerated atrial rate.

D) The P wave is absent, and there are narrow QRS complexes, indicating a regular rhythm at 30 beats per minute due to an idioventricular rhythm with narrow complexes.

1 Answer

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Final answer:

The correct answer is A), indicating an idioventricular rhythm with absent P waves and wide QRS complexes at a slow rate of around 30 beats per minute. Idioventricular rhythm is identified by these characteristics rather than those of an AV block or atrial fibrillation, which present with different ECG findings.

Step-by-step explanation:

Based on the provided ECG description, the correct statement about Idioventricular Rhythm is: A) The P wave is absent, and there are wide QRS complexes, indicating an irregular rhythm at 30 beats per minute due to an idioventricular rhythm with wide complexes. An idioventricular rhythm is a type of cardiac rhythm that originates in the ventricles. It is characterized by the absence of the P wave due to the lack of atrial depolarization and wide QRS complexes because the electrical impulse originates below the atrioventricular (AV) node which results in abnormally slow and wide ventricular depolarization. The rate is typically slow, often around 20-40 beats per minute, depending on the patient.

It is vital to distinguish between idioventricular rhythm and other types of AV blocks or aberrant rhythms such as atrial fibrillation, second-degree AV block, or complete heart block, as the management of these conditions may differ significantly. In a complete or third-degree block, P waves are present but are not followed by QRS complexes, indicating a lack of conduction through the AV node.

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