ECG Quest > Rhythms > Junctional Rhythms > Junctional escape

Junctional escape

A junctional escape is an arrhythmia that is slow (40-50 bpm), regular and originating from the AV node. The QRS complexes can be narrow. This rhythm is also known as Nodal rhythm.

See also: Junctional Rhythms

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In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea Bradycardia Irregular Normal Axis Absent P waves Hidden P waves Narrow QRS Short PR Change in rhythm Junctional escape Multiple rhythms Sinus arrhythmia Sinus bradycardia 12-Lead Dr Smith's ECG Blog Dr Ken Grauer CC BY-NC
What is the Rhythm?

This ECG is from a young man who presented shortly after a 45 min episode of palpitations, shortness of breath, chest pressure and presyncope. He was an athlete.

This ECG shows marked sinus bradycardia with AV dissociation by default (not AV block) with junctional escape beats.

In the ECGquest archives, this ECG has been tagged with: - Dizziness Bradycardia Normal Axis Regular Absent P waves Atrial fibrillation Junctional escape Third degree AV block 12-Lead ECG of the Week CC-BY-NC-SA
ECG of the Week – 17th September 2018 – Interpretation

This ECG is from a woman in her 70s who complained of dizziness on a background of ischaemic heart disease, atrial fibrillation and diabetes.