Junctional rhythm

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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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

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

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

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

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.

See also

• Arrhythmia
• Atrioventricular node
• Sinoatrial node

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