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Accelerated Junctional Rhythm - Junctional Dysrhythmias.

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  • 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

junctional ecg image 11

Analyze this tracing using the five steps of rhythm analysis.

Show Answer
  • Rhythm: Regular
  • Rate: 83
  • P wave: inverted
  • PR interval: 0.08 sec
  • QRS: 0.08 sec
  • Interpretation: Accelerated Junctional Rhythm

Authors and Reviewers

Authored by Thomas O'Brien
Medically reviewed by Dr. Jonathan Keroes, MD, Cardiology
Last Update: 11/8/2020

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