Junctional Escape Complex

A junctional escape complex (JEC) typically arrives to help sustain a rhythm that is faltering. It often arrives after the sinus node experiences either an exit block or a temporary arrest (pause). The JEC helps maintain adequate blood flow. Similar to a PJC, a JEC combines a narrow QRS complex with an inverted or absent P wave. JECs are often associated with sinus node disease or toxicities that effect the heart’s nodal cells i.e. digitalis, amiodarone, calcium channel blockers. JECs can continue dependably – called a junctional escape rhythm or simply a junctional rhythm.

sinus bradycardia with a HR of 48, sinus pause, and jec

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Completion Card
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Reference materials included
Dynamic ECG rhythm interpretation
Static ECG rhythm interpretation
Clinical Impact Mapping
Acute Coronary Syndromes Overview
Acute Coronary Syndromes In-Depth
ST Segment & T Wave Differential
Identify Bundle Branch Blocks
15 | 18 Lead View Mapping
Electrical Axis
R Wave Progression
Left Bundle Branch Blocks with ACS
Atypical Findings
Acute Non-Ischemic Disease Conditions
Special Cases

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