Accelerated Junctional Rhythm - Junctional Rhythms
Description
- 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.
Practice Strip
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 Sources
Authors and Reviewers
- EKG heart rhythm modules: Thomas O'Brien.
- EKG monitor simulation developer: Steve Collmann
-
12 Lead Course: Dr. Michael Mazzini, MD.
- Spanish language EKG: Breena R. Taira, MD, MPH
- Medical review: Dr. Jonathan Keroes, MD
- Medical review: Dr. Pedro Azevedo, MD, Cardiology
- Last Update: 11/8/2021
Sources
-
Electrocardiography for Healthcare Professionals, 5th Edition
Kathryn Booth and Thomas O'Brien
ISBN10: 1260064778, ISBN13: 9781260064773
McGraw Hill, 2019 -
Rapid Interpretation of EKG's, Sixth Edition
Dale Dublin
Cover Publishing Company -
12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
Aaron Reed
Create Space Independent Publishing -
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN -
The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG
Jonathan Keroes, David Lieberman
Publisher: Lippincott Williams & Wilkin)
ISBN-10: 0781784425; ISBN-13: 978-0781784429 - Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH
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