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Junctional Escape Rhythm



  • Junctional escape is an impulse generated by a focus at the AV junction when the supraventricular conduction system fails, such as due to sinus arrest or complete AV block.
    • Look For

    • Bradycardia with rate 40 - 60 bpm
    • Narrow QRS complexes
    • Absence of P waves
    • Junctional escape beat:
    • Junctional escape beat
    • Junctional escape rhythm:
    • Junctional 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.