Junctional Escape Beats and Rhythm
The most common cause of this rhythm in healthy individuals is sinus bradycardia.
It may also be seen in the presence of a high degree or complete AV block. If the ventricular rate is slow, hemodynamic compromise may occur.
Treatment depends upon the underlying cause and the baseline dysrhythmias.
- Atropine or a pacemaker may be used to increase the ventricular rate.
With a junctional rhythm, P waves are inverted in leads where they are usually upright.