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Atrial Escape Rhythm



  • Atrial escape is an impulse generated by an atrial focus in the context of a long sinus pause, such as due to sinus arrest or third degree sinoatrial exit block.
    • Look For

    • Ventricular rate <60bpm
    • Abnormal P wave morphology (e.g inverted or biphasic)
    • Atrial escape beat:
    • Atrial escape beat
    • Atrial escape rhythm:
    • Atrial escape rhythm
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Adan V, Crown LA. Diagnosis and treatment of sick sinus syndrome. American family physician. 2003 Apr;67(8):1725-32.
 Mangrum JM, DiMarco JP. The evaluation and management of bradycardia. New England Journal of Medicine. 2000 Mar 9;342(10):703-9.