Accelerated Junctional Rhythm - Course # 314-10


  • Accelerated junctional rhythm is just a faster version of junctional escape rhythm. The criteria is the same with the only difference being the heart rate range is 60 – 100 bpm.
  • Note the heart rate range. It is the same as the range for normal sinus rhythm.
  • When considering the heart is a pump and if everything else is functioning properly, we should expect a patient with accelerated junctional rhythm to display signs of normal cardiac output i.e. alert and oriented, normotensive, without apparent signs of distress.
junctional ecg image 12

Practice Strip

  • Analyze this tracing using the five steps of rhythm analysis.
  • Compare your answers with the answers on the next slide.
junctional ecg image 11


  • Rhythm: Regular
  • Rate: 83
  • P wave: inverted
  • PR interval: 0.08 sec
  • QRS: 0.08 sec
  • Interpretation: Accelerated Junctional Rhythm
junctional ecg image 10

314 Accelerated Junctional Rhythm - Course # 314-10