Cardiophile MD Archive

Posts Tagged ‘junctional rhythm

Junctional rhythm, anterior and inferior wall infarction

Posted by: Johnson Francis on: 07 Nov, 2009

Junctional rhythm, inferior and anterior wall infarction Click on the image for an enlarged view QS complexes in inferior and anterior leads indicate old anterior and inferior wall infarction. It is a slow rhythm with no P waves preceding the QRS complexes, a feature of junctional rhythm. Notch at the proximal region of the ST [...]

Dome and dart P wave

Posted by: Johnson Francis on: 20 Sep, 2009

Dome and dart P wave is seen in: A. Left atrial rhythm B. Right atrial rhythm C. Sinus rhythm D. Junctional rhythm Answer: A The dome and dart P wave in left atrial rhythm is seen in Lead V1. The initial dome represents the left atrial activation and the terminal dart represents the right atrial [...]

AVNRT

Posted by: Johnson Francis on: 19 Sep, 2009

Which of the following rhythms is taken as a marker of successful ablation of atrioventricular nodal re-entrant tachycardia (AVNRT)? A. Ventricular tachycardia B. Sinus rhythm C. Junctional rhythm D. Atrial fibrillation Answer: C Usually a short run of accelerated junctional rhythm occurs during successful radiofrequency catheter ablation of AVNRT. Non inducibility of tachycardia is an [...]

ECG Quiz 25

Posted by: Johnson Francis on: 13 Dec, 2008

Click on image for an enlarged view  Regular narrow QRS rhythm at 60 per minute is seen with normal QRS and T waves. P waves are not seen. The first possibility is a junctional rhythm. In a mid junctional rhythm the P waves will be within the QRS and not visible. In a high junctional [...]