Overview

• 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:
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• • Junctional escape rhythm:
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