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{{Infobox medical condition | |||
| name = Junctional rhythm | |||
| image = [[File:ECG_of_Junctional_Rhythm.png]] | |||
| caption = Electrocardiogram showing junctional rhythm | |||
| field = [[Cardiology]] | |||
| synonyms = Junctional escape rhythm | |||
| symptoms = [[Bradycardia]], [[dizziness]], [[fatigue]] | |||
| complications = [[Syncope]], [[heart failure]] | |||
| onset = Any age | |||
| duration = Variable | |||
| causes = [[Sick sinus syndrome]], [[digitalis toxicity]], [[myocardial infarction]] | |||
| risks = [[Heart disease]], [[medication side effects]] | |||
| diagnosis = [[Electrocardiogram]] | |||
| differential = [[Atrial fibrillation]], [[ventricular tachycardia]] | |||
| prevention = Avoidance of precipitating factors | |||
| treatment = [[Pacemaker]], [[medication adjustment]] | |||
| prognosis = Generally good with treatment | |||
| frequency = Common in certain populations | |||
}} | |||
'''Junctional rhythm''' is a type of abnormal heart rhythm, or [[arrhythmia]], that originates in the [[atrioventricular node]] (AV node) rather than the [[sinoatrial node]] (SA node), which is the heart's normal pacemaker. This condition can be caused by various factors, including heart disease, drug toxicity, and electrolyte imbalances. | '''Junctional rhythm''' is a type of abnormal heart rhythm, or [[arrhythmia]], that originates in the [[atrioventricular node]] (AV node) rather than the [[sinoatrial node]] (SA node), which is the heart's normal pacemaker. This condition can be caused by various factors, including heart disease, drug toxicity, and electrolyte imbalances. | ||
== Causes == | == Causes == | ||
Junctional rhythm can be caused by a variety of factors. These include: | Junctional rhythm can be caused by a variety of factors. These include: | ||
* [[Heart disease]]: Conditions such as [[coronary artery disease]], [[heart failure]], and [[myocarditis]] can lead to junctional rhythm. | * [[Heart disease]]: Conditions such as [[coronary artery disease]], [[heart failure]], and [[myocarditis]] can lead to junctional rhythm. | ||
* [[Drug toxicity]]: Certain medications, particularly those used to treat heart conditions, can cause junctional rhythm. | * [[Drug toxicity]]: Certain medications, particularly those used to treat heart conditions, can cause junctional rhythm. | ||
* [[Electrolyte imbalances]]: Abnormal levels of electrolytes, such as potassium and magnesium, can disrupt the normal electrical activity of the heart and lead to junctional rhythm. | * [[Electrolyte imbalances]]: Abnormal levels of electrolytes, such as potassium and magnesium, can disrupt the normal electrical activity of the heart and lead to junctional rhythm. | ||
== Symptoms == | == Symptoms == | ||
The symptoms of junctional rhythm can vary depending on the severity of the condition. Some people may not experience any symptoms, while others may experience: | The symptoms of junctional rhythm can vary depending on the severity of the condition. Some people may not experience any symptoms, while others may experience: | ||
* [[Palpitations]]: A feeling of a rapid, fluttering, or pounding heartbeat. | * [[Palpitations]]: A feeling of a rapid, fluttering, or pounding heartbeat. | ||
* [[Fatigue]]: Feeling tired or weak. | * [[Fatigue]]: Feeling tired or weak. | ||
* [[Dizziness]]: Feeling lightheaded or faint. | * [[Dizziness]]: Feeling lightheaded or faint. | ||
* [[Shortness of breath]]: Difficulty breathing, particularly during physical activity. | * [[Shortness of breath]]: Difficulty breathing, particularly during physical activity. | ||
== Diagnosis == | == Diagnosis == | ||
Junctional rhythm is typically diagnosed through an [[electrocardiogram]] (ECG), which records the electrical activity of the heart. Other tests, such as a [[Holter monitor]] or an [[event monitor]], may also be used to diagnose this condition. | Junctional rhythm is typically diagnosed through an [[electrocardiogram]] (ECG), which records the electrical activity of the heart. Other tests, such as a [[Holter monitor]] or an [[event monitor]], may also be used to diagnose this condition. | ||
== Treatment == | == Treatment == | ||
The treatment for junctional rhythm depends on the underlying cause and the severity of the symptoms. Treatment options may include: | The treatment for junctional rhythm depends on the underlying cause and the severity of the symptoms. Treatment options may include: | ||
* [[Medication]]: Certain medications can help regulate the heart's rhythm. | * [[Medication]]: Certain medications can help regulate the heart's rhythm. | ||
* [[Pacemaker]]: In severe cases, a pacemaker may be implanted to help regulate the heart's rhythm. | * [[Pacemaker]]: In severe cases, a pacemaker may be implanted to help regulate the heart's rhythm. | ||
* [[Lifestyle changes]]: In some cases, making lifestyle changes, such as reducing stress and avoiding certain medications, can help manage junctional rhythm. | * [[Lifestyle changes]]: In some cases, making lifestyle changes, such as reducing stress and avoiding certain medications, can help manage junctional rhythm. | ||
== See also == | == See also == | ||
* [[Arrhythmia]] | * [[Arrhythmia]] | ||
* [[Atrioventricular node]] | * [[Atrioventricular node]] | ||
* [[Sinoatrial node]] | * [[Sinoatrial node]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Medical conditions]] | [[Category:Medical conditions]] | ||
[[Category:Heart diseases]] | [[Category:Heart diseases]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 21:13, 6 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Junctional rhythm | |
|---|---|
| |
| Synonyms | Junctional escape rhythm |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Bradycardia, dizziness, fatigue |
| Complications | Syncope, heart failure |
| Onset | Any age |
| Duration | Variable |
| Types | N/A |
| Causes | Sick sinus syndrome, digitalis toxicity, myocardial infarction |
| Risks | Heart disease, medication side effects |
| Diagnosis | Electrocardiogram |
| Differential diagnosis | Atrial fibrillation, ventricular tachycardia |
| Prevention | Avoidance of precipitating factors |
| Treatment | Pacemaker, medication adjustment |
| Medication | N/A |
| Prognosis | Generally good with treatment |
| Frequency | Common in certain populations |
| Deaths | N/A |
Junctional rhythm is a type of abnormal heart rhythm, or arrhythmia, that originates in the atrioventricular node (AV node) rather than the sinoatrial node (SA node), which is the heart's normal pacemaker. This condition can be caused by various factors, including heart disease, drug toxicity, and electrolyte imbalances.
Causes[edit]
Junctional rhythm can be caused by a variety of factors. These include:
- Heart disease: Conditions such as coronary artery disease, heart failure, and myocarditis can lead to junctional rhythm.
- Drug toxicity: Certain medications, particularly those used to treat heart conditions, can cause junctional rhythm.
- Electrolyte imbalances: Abnormal levels of electrolytes, such as potassium and magnesium, can disrupt the normal electrical activity of the heart and lead to junctional rhythm.
Symptoms[edit]
The symptoms of junctional rhythm can vary depending on the severity of the condition. Some people may not experience any symptoms, while others may experience:
- Palpitations: A feeling of a rapid, fluttering, or pounding heartbeat.
- Fatigue: Feeling tired or weak.
- Dizziness: Feeling lightheaded or faint.
- Shortness of breath: Difficulty breathing, particularly during physical activity.
Diagnosis[edit]
Junctional rhythm is typically diagnosed through an electrocardiogram (ECG), which records the electrical activity of the heart. Other tests, such as a Holter monitor or an event monitor, may also be used to diagnose this condition.
Treatment[edit]
The treatment for junctional rhythm depends on the underlying cause and the severity of the symptoms. Treatment options may include:
- Medication: Certain medications can help regulate the heart's rhythm.
- Pacemaker: In severe cases, a pacemaker may be implanted to help regulate the heart's rhythm.
- Lifestyle changes: In some cases, making lifestyle changes, such as reducing stress and avoiding certain medications, can help manage junctional rhythm.



