![]() ![]() Escape rhythms may arise from atrial tissue (atrial escape rhythm) the AVN (junctional. Perfusing rhythm is maintained by a junctional or ventricular escape rhythm. ![]() sinus bradycardia with junctional escape at a lower potassium level than. This is called an escape rhythm and it acts to preserve cardiac output. Complete absence of AV conduction to the ventricles Complete Heart Block. APPROACH TO BRADYARRYTHMIAS BRADYCARDIA HRDIAGNOSIS Junctional escape rhythm possible sinus node dysfunction DIFFERENTIAL DIAGNOSIS A) SICK SINUS SYNDROME B) CAD (ACUTE OR CHRONIC) C) CARDIOMYOPATHY D) INFLAMMATORY E) IATROGENIC.Three examples of paroxysmal junctional tachycardia demonstrating varyinig relstonships of P. Junctional beat without retrograde conduction Junctional beat with retrograde conduction ( p wave superimposed on QRS complex) Prolonged return cycle following retrogradely conducted junctional beat (A) Admission ECG revealed complete atrioventricular (AV) block with junctional escape rhythm at the rate of 52 beats/min. junctional escape rhythms after depressing sinus.ECG OF THE WEEK Prof Dr.S.TITO’s UNIT M5 Dr.G.Arunkumar. ![]()
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