Junctional rhythm is an escape or replacement rhythm originating in the AV node. When the rate is below 50 bpm it is called a junctional escape rhythm. When the rate is above 50 bpm it is called an accelerated junctional rhythm and, if above 100 bpm, junctional tachycardia.

Electrocardiographic Criteria

  • It may present with negative P waves in the inferior leads (II, III and aVF) and a short PR interval; or with absent P waves; or with a negative P wave in the inferior leads after the QRS complex

ECG in Junctional Rhythm

Coming soon…

References

  1. Samesima N, God EG, Kruse JCL, Leal MG, et al. Diretriz da Sociedade Brasileira de Cardiologia sobre a Análise e Emissão de Laudos Eletrocardiográficos – 2022. Arq Bras Cardiol. 2022;93(3 Suppl 2):2–19.