Junctional Escape Rhythm EKG Interpretation with Rhythm Strip

EKG Features

Rate: Slow (40-60 bpm)
Rhythm: Regular
P Wave: Present before, during (hidden) or after QRS, if visible it is inverted
PR Interval: Not measurable
QRS: Normal (0.06-0.10 sec)

Junctional escape rhythms arise at the atrioventricular junction (AV node and bundle of His). This rhythm’s rate is slow, 40-60 beats per minute. Junctional escape rhythms can be observed with regular rhythm but late beats.