Accelerated Junctional Rhythm ECG Interpretation


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.
junctional ecg image 12

Practice Strip

accelerated junctional rhythm 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 Sources

Authors and Reviewers


Sources

  • Electrocardiography for Healthcare Professionals, 6th Edition Kathryn Booth and Thomas O'Brien
    ISBN10: 1265013470, ISBN13: 9781265013479
    McGraw Hill, 2023
  • Rapid Interpretation of EKG's, Sixth Edition
    Dale Dublin
    Cover Publishing Company
  • EKG Reference Guide
    EKG.Academy
  • 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
  • ECG Reference Guide
    PracticalClinicalSkills.com






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