This is a big difference in how you tell if the rhythm is a-flutter or a-fib. No p-waves will be present BUT a wave of f-wave called SAW-TOOTH WAVES.In atrial flutter, you will always have the following: PR interval is not measurable because you don’t have p-waves and the QRS complex is usually less than 0.12 seconds.On the heart monitor you would see a fluctuating heart rate of 110-200 when the a-fib is not controlled. Typically there are 6-10 r-waves in a-fib in 6 seconds, BUT if the patient is having what is called a-fib with RVR (rapid ventricular response) you can have many r-waves varying from 11-200.R-waves will be irregular because of the random fibrillary waves quivering at various times.P-waves are not present so you can’t measure if the p-waves are regular.Therefore, you cannot count the atrial rate. The little humps you are seeing are called f-waves (fibrillary waves). In atrial fibrillation, you will always have the following: And QRS complex will measure less than 0.12 seconds. PR interval will be measurable and be a length of 0.12-0.20 seconds.There will be 6-10 QRS complexes in 6 seconds to equal a ventricular rate of 60-100 bpms.P-waves will be present with atrial rate of 60-100 bpms (meaning there will be 6-10 p-waves present in 6 seconds). In Normal Sinus Rhythm (NSR), you will always have the following: But first, let’s look at a normal rhythm. Now, let’s talk about the difference between the two rhythms.
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I wouldn’t be where I am without her.”Īnd, of course, there are his teammates he trains with day in and day out. She believed I could get there if I worked my butt off in swim practice. After one practice Coach Rose came to me and talked about it. “I didn’t think I could get fast enough to move up to Silver and went into Senior Developmental. “After Coach Rose helped me I started progressing a lot and doing really good after I turned 13,” Kopecki said. “She put me in butterfly which is my best stroke.”Īnd there was former SOFLO coach Megan Garland the past three years. “She was one of the big coaches who helped me the first year,” Kopecki said. I started working towards that.”įirst there was SOFLO veteran age group coach Coach Rose Lockie encouraging him. “I would see the older groups swim at meets and everyone would congratulate them after they would win. “When I first started, I was a slower kind of swimmer, I wasn’t fast at all,” Kopecki said. 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