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Study of a patient's cardiac rhythms using an EKG may indicate normal or abnormal conditions. Abnormal rhythms are called arrhythmia or sometimes, dysrhythmia. Arrhythmia is an abnormally slow or fast heart rate or an irregular cardiac rhythm. During a single heart beat, several electrical events occur.

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The five-step approach, in order of application, includes analysis of the following: 1. . 3. Are the QRS complexes similar in appearance across the EKG strip?

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