Junctional escape rhythm: ECG quiz video

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A 27-second clip of the Patient Simulator monitor. The rhythm name is never on the screen: the video asks the question, gives a hint, counts down five seconds and then gives the answer.

Hint

What rhythm is this? Slow and narrow. Is there a P wave before each QRS?

Answer

Junctional escape rhythm. No P wave in front of the QRS, only a small inverted one just after it. The AV junction has taken over at about 45.

Transcript

What rhythm is this? Slow and narrow. Is there a P wave before each QRS?

Junctional escape rhythm. No P wave in front of the QRS, only a small inverted one just after it. The AV junction has taken over at about 45.

Practise it yourself for free at patientmonitorsimulator.com.

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