A junctional rhythm is bad.
A junctional rhythm is bad as the junctional rhythm can make the heartbeat too fast or too slow.
If you do have a junctional rhythm you may or may not have symptoms although the junctional rhythm can make you feel out of breath, weak or feel faint.
Junctional rhythm is an irregular heart rhythm that stems from a natural pacemaker in the heart known as the atrioventricular junction.
Your heart has several built-in pacemakers that help control its rhythm.
Complications of junctional rhythm are usually limited to symptoms such as dizziness, dyspnea, or presyncope.
Accidental injury may result from syncope if the arrhythmia is not tolerated well.
Exacerbation of cardiac comorbidities, such as congestive heart failure and rate-related cardiac ischemia, may occur.
If junctional rhythm is due to symptomatic sick sinus syndrome, permanent pacemaker implantation is indicated.
If ectopic junctional tachycardia, which usually occurs in the pediatric population, is incessant and symptomatic, then radiofrequency ablation via a percutaneous approach is indicated.
Junctional bradycardia is a potential risk factor of stroke.
A junctional rhythm does not always have symptoms but can include dizziness, fainting (or the feeling that you might faint), fatigue, or heart palpitations.
There are many causes for junctional rhythm, including underlying conditions and medications.
Junctional rhythms will have an inherent rate between 40 and 60 beats per minute.
And the P wave is inverted.
That is not normal.
That's the other big clue that this is a junctional rhythm.
Symptomatic junctional rhythm is treated with atropine.
Doses and alternatives are similar to management of bradycardia in general.
Triggers of junctional rhythms include.
Severe sinus bradycardia.
Sinus arrest.
Sino-atrial exit block.
High-grade second degree AV block.
Third degree AV block.
Hyperkalaemia.
Drugs: beta-blocker, calcium-channel blocker or digoxin poisoning.