ECG RHYTHM LAB
Junctional Rhythm
An escape rhythm arising near the AV junction. This example shows small inverted P waves.
Generated six-second Lead II example · 48 bpm target rate · not a patient recording.
- Typical rate
- Usually 40–60 bpm
- Regularity
- Regular
- P waves
- Absent, inverted, or retrograde
- PR interval
- Short if P precedes QRS
- QRS
- Usually narrow
What to look for
A regular narrow rhythm at 40–60 bpm with inverted P waves and a short PR.