A junctional rhythm occurs when the electrical activation of the heart originates near or within the atrioventricular node, rather than from the sinoatrial node. Because the normal ventricular ...
The compensatory pause after the PVC is slightly longer than the junctional escape interval and allows the junctional rhythm to escape for 5 beats. During this period, the P waves from the sinus ...
There is a regular rhythm, although the fourth and ninth QRS complexes (*) are slightly early — ie, a shorter RR interval. The QRS complexes are narrow and have a normal morphology and axis. The rate ...