2012-09-26 0.8.7 Rhythm 10 9216 Sinus Rhythm MDC_ECG_RHY_SINUS_RHY Pattern, Sinus Rhythm, Base pattern | ECG, Heart | CVS Sinus Rhythm 9216 SR SR MDC_ECG_RHY_SINUS_NORMAL_RHY Pattern, Normal Sinus Rhythm, Base pattern | ECG, Heart | CVS Normal Sinus Rhythm 9232 NSR _RATE_LIMIT_LOW_GE [50] _RATE_LIMIT_HIGH_LT [90] NSR (N MDC_ECG_RHY_SINUS_BRADY Pattern, Sinus Bradycardia, Base pattern | ECG, Heart | CVS Sinus Bradycardia 9248 SBRAD _RATE_LIMIT_LT [50] (SBR MDC_ECG_RHY_SINUS_TACHY Pattern, Sinus Tachycardia, Base pattern | ECG, Heart | CVS Sinus Tachycardia 9264 STACH _RATE_LIMIT_GE [90] Sinus Arrhythmia (originating from the SA node) MDC_ECG_RHY_SINUS_ARRHY Pattern, Sinus Arrhythmia, Base pattern | ECG, Heart | CVS Sinus Arrhythmia 9280 SAR SARRH MDC_ECG_RHY_RESP_ARRHY Pattern, Respiratory Sinus Arrhythmia, Base pattern | ECG, Heart | CVS Respiratory Sinus Arrhythmia 9296 RSAR MDC_ECG_RHY_NON_RESP_ARRHY Pattern, Non-Respiratory Sinus Arrhythmia, Base pattern | ECG, Heart | CVS Non-Respiratory Sinus Arrhythmia 9312 NRSAR MDC_ECG_RHY_WANDP_ARRHY Pattern, Wandering Sinus Pacemaker, Base pattern | ECG, Heart | CVS Wandering Sinus Pacemakerwithin the sinus node gradual P-wave morphology change, relatively constant P-R interval 9328 WANDP WANDP MDC_ECG_RHY_WANDPAV_ARRHY Pattern, Wandering Pacemaker, Base pattern | ECG, Heart | CVS Wandering Pacemakerfrom the sinus node to (and from) the A-V node gradual positive/negative P-wave morphology changes, variable P'-R interval 9344 WANDPAV Atrial Ectopic Rhythm (atrial sites other than the SA node) MDC_ECG_RHY_ATR_ECT_RHY Pattern, Atrial Ectopic Rhythm, Base pattern | ECG, Heart | CVS Atrial Ectopic Rhythm 9360 AER EAR MDC_ECG_RHY_ATR_BIGEM Pattern, Atrial Bigeminy, Base pattern | ECG, Heart | CVS Atrial Bigeminy 9376 AB ABIG (AB MDC_ECG_RHY_ATR_TACHY Pattern, Atrial Tachycardia, Base pattern | ECG, Heart | CVS Atrial Tachycardia 9392 AT _AV_COND _RATE_LIMIT_GE [100] ATACH (AT MDC_ECG_RHY_ATR_TACHY_PAROX Pattern, Paroxsysmal Atrial Tachycardia, Base pattern | ECG, Heart | CVS Paroxsysmal Atrial Tachycardia ("abrupt") 9408 PAT _AV_COND _RATE_LIMIT_LOW_GE [140] _RATE_LIMIT_HIGH_LT [220] PAT (PAT MDC_ECG_RHY_ATR_TACHY_MF Pattern, Multifocal Atrial Tachycardia, Base pattern | ECG, Heart | CVS Multifocal Atrial Tachycardia ("chaotic") 9424 MAT _RATE_LIMIT_LOW_GE [100] _RATE_LIMIT_HIGH_LT [250] MDC_ECG_RHY_ATR_TACHY_AUTO Pattern, Automatic Atrial Tachycardia, Base pattern | ECG, Heart | CVS Automatic Atrial Tachycardia (with "warmup" ) 9440 AUTOTACH _RATE_LIMIT_LOW_GE [150] _RATE_LIMIT_HIGH_LT [200] MDC_ECG_RHY_ATR_FLUT Pattern, Atrial flutter, Base pattern | ECG, Heart | CVS Atrial flutter 9456 AFLUT _AV_COND _RATE_LIMIT_LOW_GE [220] _RATE_LIMIT_HIGH_LT [450] AFLT (AFL MDC_ECG_RHY_ATR_FIB Pattern, Atrial fibrillation, Base pattern | ECG, Heart | CVS Atrial fibrillation 9472 AFIB _RATE_LIMIT_LOW_GE [350] _RATE_LIMIT_HIGH_LT [650] AFIB (AFIB Supraventricular (atrial or junctional) Ectopic Rhythms MDC_ECG_RHY_SV_ECT_RHY Pattern, Supraventricular (atrial or junctional) ectopic rhythm, Base pattern | ECG, Heart | CVS Supraventricular (atrial or junctional) ectopic rhythm 9488 SVER MDC_ECG_RHY_SV_TACHY Pattern, Supraventricular tachycardia (atrial or junctional), Base pattern | ECG, Heart | CVS Supraventricular tachycardia (atrial or junctional) 9504 SVTACH _RATE_LIMIT_LOW_GE [?] _RATE_LIMIT_HIGH_LT [?] (SVTA MDC_ECG_RHY_SV_TACHY_PAROX Pattern, Supraventricular Paroxsysmal Tachycardia, Base pattern | ECG, Heart | CVS Supraventricular Paroxsysmal Tachycardia 9520 SVPAT _RATE_LIMIT_LOW_GE [?] _RATE_LIMIT_HIGH_LT [?] PSVT AV Junctional RhythmsFormerly called "nodal", now "AV junctional", since the AV node itself has no automaticity (Circulation 1973; 47:64 and 48:304). The term ‘junctional’ appears to be more widely used today, and several of the mnemonics shown here have been updated, including the "NPC" and "NESC" mnemonics originally used in the MIT-BIH database. MDC_ECG_RHY_JUNC_RHY Pattern, AV junctional (nodal) rhythm, Base pattern | ECG, Heart | CVS AV junctional (nodal) rhythm 9536 JUNC (NOD MDC_ECG_RHY_JUNC_ESC_BEATS Pattern, AV junctional (nodal) escape rhythm, Base pattern | ECG, Heart | CVS AV junctional (nodal) escape rhythm 9552 JESCR _RATE_LIMIT_LOW_GE [40] _RATE_LIMIT_HIGH_LT [60] JESCR MDC_ECG_RHY_JUNC_ACCEL Pattern, Accelerated AV junctional (nodal) rhythm, Base pattern | ECG, Heart | CVS Accelerated AV junctional (nodal) rhythm 9568 JACLR _RATE_LIMIT_LOW_GE [60] _RATE_LIMIT_HIGH_LT [100] ACLJR MDC_ECG_RHY_JUNC_TACHY Pattern, Junctional Tachycardia, Base pattern | ECG, Heart | CVS Junctional Tachycardia 9584 JTACH _AV_COND _RATE_LIMIT_GE [100] JTACH MDC_ECG_RHY_AV_TACHY_RECIP Pattern, AV reciprocating tachycardia, Base pattern | ECG, Heart | CVS AV reciprocating tachycardia 9600 RECPTACH AVRT MDC_ECG_RHY_AV_TACHY_REENTRANT Pattern, Reentrant AV nodal tachycardia, Base pattern | ECG, Heart | CVS Reentrant AV nodal tachycardia 9616 RAVTACH AVNRT Atrioventricular Block and Dissociation MDC_ECG_RHY_AV_HEART_BLK_DEG_1 Pattern, First Degree AV Block, Base pattern | ECG, Heart | CVS First Degree AV BlockPR interval > 0.2 sec; all P waves conducted 9632 1AVB 1AVB (BI MDC_ECG_RHY_AV_HEART_BLK_DEG_2 Pattern, Second Degree AV Block, Base pattern | ECG, Heart | CVS Second Degree AV BlockPR interval may be normal or prolonged; some P-waves do not conduct 9648 2AVB _AV_COND (BII MDC_ECG_RHY_AV_HEART_BLK_DEG_2_I Pattern, Second Degree AV Block Type I, Base pattern | ECG, Heart | CVS Second Degree AV Block Type I (Wenckebach) or (Mobitz Type I)PR interval increases by shorter increments until non-conducted P-wave occurs 9664 2AVBI _AV_COND (BII MDC_ECG_RHY_AV_HEART_BLK_DEG_2_II Pattern, Second Degree AV Block Type II, Base pattern | ECG, Heart | CVS Second Degree AV Block Type II (Mobitz Type II)PR intervals are constant until non-conducted P-wave occurs 9680 2AVBII _AV_COND (BII MDC_ECG_RHY_AV_HEART_BLK_DEG_3 Pattern, Third Degree AV Block, Base pattern | ECG, Heart | CVS Third Degree AV Block (complete AV block) 9696 3AVB (BIII MDC_ECG_RHY_AV_DISSOC Pattern, AV Dissociation, Base pattern | ECG, Heart | CVS AV Dissociation 9712 AVDIS AVDIS MDC_ECG_RHY_AV_DISSOC_INT Pattern, AV dissociation with interference, Base pattern | ECG, Heart | CVS AV dissociation with interferenceatrial and ventricular rates are similar with occassional P-waves conducting to the ventricles 9728 AVDISINT MDC_ECG_RHY_AV_DISSOC_ISO Pattern, Isorhythmic AV dissociation, Base pattern | ECG, Heart | CVS Isorhythmic AV dissociationatrial and ventricular rates are the same but P-waves are not conducted 9744 AVDISISO MDC_ECG_RHY_AV_DISSOC_COMP Pattern, Complete AV dissociation, Base pattern | ECG, Heart | CVS Complete AV dissociationatrial and ventricular rates are different and P-waves are not conducted 9760 AVDISCMP Sino-Atrial Exit Block MDC_ECG_RHY_SA_HEART_BLK_DEG_1 Pattern, First Degree SA Block, Base pattern | ECG, Heart | CVS First Degree SA Block(not observable on surface ECG) 9776 1SAB MDC_ECG_RHY_SA_HEART_BLK_DEG_2_I Pattern, Second Degree SA Block Type I, Base pattern | ECG, Heart | CVS Second Degree SA Block Type I (Wenckebach) 9792 2SABI _SA_COND _AV_COND MDC_ECG_RHY_SA_HEART_BLK_DEG_2_II Pattern, Second Degree SA Block Type II, Base pattern | ECG, Heart | CVS Second Degree SA Block Type II 9808 2SABII _SA_COND _AV_COND MDC_ECG_RHY_SA_HEART_BLK_DEG_3 Pattern, Third Degree SA Block, Base pattern | ECG, Heart | CVS Third Degree SA Block (complete SA block) 9824 3SAB Ventricular Ectopic Rhythms MDC_ECG_RHY_V_RHY Pattern, Ventricular rhythm, Base pattern | ECG, Heart | CVS Ventricular rhythm 9840 VRHY MDC_ECG_RHY_V_IDIO_RHY Pattern, Idioventricular (ventricular escape) rhythm, Base pattern | ECG, Heart | CVS Idioventricular (ventricular escape) rhythmQRS complexes are wide and appear in a regular rhythm 30 to 50 bpm, but may be as low as 15 bpm Atrial and ventricular activity are decoupled 9856 IVR _RATE_LIMIT_LOW_GE [15] _RATE_LIMIT_HIGH_LT [50] IDIOR VESCR (IVR MDC_ECG_RHY_V_PARA Pattern, Ventricular Parasystole, Base pattern | ECG, Heart | CVS Ventricular Parasystole 9872 VPARA MDC_ECG_RHY_V_AIVR Pattern, Accelerated idioventricular rhythm, Base pattern | ECG, Heart | CVS Accelerated idioventricular rhythmP-waves present, decreasing PR interval, then "disappear" in QRS complex Wide QRS complexes, 60 to 120 bpm; onset is gradual 9888 AIVR _RATE_LIMIT_LOW_GE [60] _RATE_LIMIT_HIGH_LT [100] MDC_ECG_RHY_V_IDIO_TACHY Pattern, Slow Ventricular Tachycardia (Idioventricular Tachycardia), Base pattern | ECG, Heart | CVS Slow Ventricular Tachycardia (Idioventricular Tachycardia) 9904 SLOVTACH _RATE_LIMIT_LOW_GE [?] _RATE_LIMIT_HIGH_LT [?] MDC_ECG_RHY_V_BRADY Pattern, Slow Ventricular Rate, beats likely of ventricular origin, Base pattern | ECG, Heart | CVS Slow Ventricular Rate, beats likely of ventricular origin, but existence of P-waves is unknown 10464 VBRADY _RATE_LIMIT_LOW_GE [?] _RATE_LIMIT_HIGH_LT [?] MDC_ECG_RHY_V_BIGEM Pattern, Ventricular Bigeminy, Base pattern | ECG, Heart | CVS Ventricular Bigeminy 9920 VBIGEM (B MDC_ECG_RHY_V_TRIGEM Pattern, Ventricular Trigeminy, Base pattern | ECG, Heart | CVS Ventricular Trigeminy 9936 VTRIGEM (T MDC_ECG_RHY_V_P_C_CPLT Pattern, Ventricular Couplet, Base pattern | ECG, Heart | CVS Ventricular Couplet 9952 VCPLT MDC_ECG_RHY_V_P_C_RUN Pattern, Ventricular Run, Base pattern | ECG, Heart | CVS Ventricular Run 9968 VRUN MDC_ECG_RHY_V_TACHY Pattern, Ventricular Tachycardia (nonparoxysmal), Base pattern | ECG, Heart | CVS Ventricular Tachycardia (nonparoxysmal) 9984 VTACH VT _RATE_LIMIT_LOW_GE [100] _RATE_LIMIT_HIGH_LT [250] (VT MDC_ECG_RHY_V_FLUT Pattern, Ventricular Flutter, Base pattern | ECG, Heart | CVS Ventricular Flutter 10000 VFLUT _RATE_LIMIT_LOW_GE [150] _RATE_LIMIT_HIGH_LT [300] (VFL MDC_ECG_RHY_V_FIB Pattern, Ventricular Fibrillation ("chaotic"), Base pattern | ECG, Heart | CVS Ventricular Fibrillation ("chaotic") 10016 VFIB _RATE_LIMIT_LOW_GE [150] _RATE_LIMIT_HIGH_LT [500] (VFIB MDC_ECG_RHY_V_TACHY_PAROX Pattern, Nonsustained Ventricular Tachycardia (paroxysmal), Base pattern | ECG, Heart | CVS Nonsustained Ventricular Tachycardia (paroxysmal) 10032 NSUSVT _RATE_LIMIT_LOW_GE [100?] _RATE_LIMIT_HIGH_LT [250?] MDC_ECG_RHY_V_TACHY_MONO Pattern, Sustained Monomorphic Ventricular Tachycardia, Base pattern | ECG, Heart | CVS Sustained Monomorphic Ventricular Tachycardia 10048 SUSVT _RATE_LIMIT_LOW_GE [100?] _RATE_LIMIT_HIGH_LT [250?] MDC_ECG_RHY_V_TACHY_POLY Pattern, Polymorphic Ventricular Tachycardia, Base pattern | ECG, Heart | CVS Polymorphic Ventricular Tachycardia 10064 POLYVT MDC_ECG_RHY_V_TACHY_TDP Pattern, Torsades de Pointes Ventricular Tachycardia, Base pattern | ECG, Heart | CVS Torsades de Pointes Ventricular Tachycardia 10080 TDPVT Ventricular pre-excitation (WPW) rhythm MDC_ECG_RHY_PREX Pattern, Pre-excitation (least specific), Base pattern | ECG, Heart | CVS Pre-excitation (least specific) 10096 PREX PREEX (PREX MDC_ECG_RHY_WPW_UNK Pattern, Wolf-Parkinson-White syndrome, Base pattern | ECG, Heart | CVS Wolf-Parkinson-White syndrome (less specific) 10112 WPW WPW (PREX MDC_ECG_RHY_WPW_A Pattern, Wolf-Parkinson Type A, Base pattern | ECG, Heart | CVS Wolf-Parkinson Type A 10128 WPWA WPWA MDC_ECG_RHY_WPW_B Pattern, Wolf-Parkinson Type B, Base pattern | ECG, Heart | CVS Wolf-Parkinson Type B 10144 WPWB WPWB MDC_ECG_RHY_LGL Pattern, Lown-Ganong-Levine syndrome, Base pattern | ECG, Heart | CVS Lown-Ganong-Levine syndrome 10160 LGL Implanted Pacemaker RhythmThe pacemaker rhythm section could be expanded if there is sufficient time and interest (most of this information can be conveyed using BEAT and WAVP annotations, however). MDC_ECG_RHY_EPADM Pattern, Atrial Demand Mode Pacing, Base pattern | ECG, Heart | CVS Atrial Demand Mode Pacing 10176 EPADM MDC_ECG_RHY_EPAC Pattern, Atrial Capture, Base pattern | ECG, Heart | CVS Atrial Capture 10192 EPAC MDC_ECG_RHY_EPAFC Pattern, Atrial Failure to Capture, Base pattern | ECG, Heart | CVS Atrial Failure to Capture 10208 EPAFC MDC_ECG_RHY_EPAFS Pattern, Atrial Failure to Sense, Base pattern | ECG, Heart | CVS Atrial Failure to Sense 10224 EPAFS MDC_ECG_RHY_EPVDM Pattern, Ventricular Demand Mode, Base pattern | ECG, Heart | CVS Ventricular Demand Mode 10240 EPVDM MDC_ECG_RHY_EPVC Pattern, Ventricular Capture, Base pattern | ECG, Heart | CVS Ventricular Capture 10256 EPVC MDC_ECG_RHY_EPVFC Pattern, Ventricular Failure to Capture, Base pattern | ECG, Heart | CVS Ventricular Failure to Capture 10272 EPVFC MDC_ECG_RHY_EPVFS Pattern, Ventricular Failure to Sense, Base pattern | ECG, Heart | CVS Ventricular Failure to Sense 10288 EPVFS MDC_ECG_RHY_EPAVT Pattern, Anti-Tachycardia Pacing, Base pattern | ECG, Heart | CVS Anti-Tachycardia Pacing 10304 EPAVT Pause MDC_ECG_RHY_MISSB Pattern, Pause or missing beat, Base pattern | ECG, Heart | CVS Pause or missing beat (due to any reason) 10320 MISSB MDC_ECG_RHY_ASYSTOLE Pattern, Asystole, Base pattern | ECG, Heart | CVS Asystole 10336 ASYSTOLE ASYS Miscellaneous ECG Rhythms and other interval events MDC_ECG_RHY_IRREG Pattern, Irregular rhythm, Base pattern | ECG, Heart | CVS Irregular rhythm 10352 IRREG MDC_ECG_RHY_LHRV Pattern, Low Heart Rate Variability, Base pattern | ECG, Heart | CVS Low Heart Rate Variability 10368 LHRV MDC_ECG_RHY_STELVATION Pattern, ST change from some baseline beyond some threshold, Base pattern | ECG, Heart | CVS ST change from some baseline beyond some threshold 10384 STELEVATION MDC_ECG_RHY_STHILOST Pattern, Absolute ST measurement beyond some threshold, Base pattern | ECG, Heart | CVS Absolute ST measurement beyond some threshold 10400 STHILOST MDC_ECG_RHY_TALT Pattern, T-wave alternans, Base pattern | ECG, Heart | CVS T-wave alternans 10416 TWA MDC_ECG_RHY_BRADY Pattern, Bradycardia of any type, Base pattern | ECG, Heart | CVS Bradycardia of any type 10432 BRADY _RATE_LIMIT_LT [50] MDC_ECG_RHY_CALS Pattern, Calibration signal, Base pattern | ECG, Heart | CVS Calibration signal (sustained) 10448 CALS Pacemaker stimuli that were expected but are missing MDC_ECG_RHY_EPAX Pattern, Atrial pacemaker spike expected but missing, Base pattern | ECG, Heart | CVS Atrial spike expected, but missing 10480 EPAX MDC_ECG_RHY_EPAXLO Pattern, Inadequate atrial pacemaker spike, not capturable (loss of output), Base pattern | ECG, Heart | CVS Inadequate atrial spike, not capturable (loss of output) 10496 EPAXLO MDC_ECG_RHY_EPAXFO Pattern, Atrial pacemaker spike expected but missing (failure to output), Base pattern | ECG, Heart | CVS Atrial spike expected, but missing (failure to output) 10512 EPAXFO MDC_ECG_RHY_EPVX Pattern, Ventricular pacemaker spike expected but missing, Base pattern | ECG, Heart | CVS Ventricular spike expected, but missing 10528 EPVX MDC_ECG_RHY_EPVXLO Pattern, Inadequate ventricular pacemaker spike, not capturable (loss of output), Base pattern | ECG, Heart | CVS Inadequate ventricular spike, not capturable (loss of output) 10544 EPVXLO MDC_ECG_RHY_EPVXFO Pattern, Ventricular pacemaker spike expected but missing (failure to output), Base pattern | ECG, Heart | CVS Ventricular spike expected, but missing (failure to output) 10560 EPVXFO