Junctional Bradycardia

[adrian73341]

the music makes it seem as if death was coming for your patient

[brownace530ene]

i thank i have this junctional bradycardia. for shure i have bradycardia i realy dount under stand the junctional thang... 

[gigi14becay]

i work in the ICU and this is what im seeing every day..

[gigi14becay]

no p wave and bradycaria

[Sequoyahism]

lol nice scary music

[AJAXKID123]

P waves in Junct...all inverted.

Where they are depends on where initiation of the impulse in the AV occurs.

Think of the AV divided into 3rds.

Top 3rd: impulse closer to the atria. It will depolarize before the QRS. So: P wave inverted before QRS.

Middle 3rd: impulse same distance from atria and ventricles. Both depolarize at same time. QRS is stronger and hides the P wave. P wave buried.

Lower 3rd: impulse closer to ventricles. QRS depolarizes 1st. So: P wave inverted after QRS.

Cheers!

[nakeya52]

whr are the inverted p waves?

[ffe225]

1. the p waves are inverted, that's what makes it a junctional rhythm, they can also follow the QRS in a junctional rhythm but these are inverted. 2. its called a junctional rhythm not junctional bradycardia

[nakeya52]

@ffe225 It may manifest as a sick sinus syndrome thus bradycardia dizziness n syncope....although i agree it is knwn as junctional rhythm n not junctional bradycardia

[crist1819]

where is the P wave? I just can see QRS complex and T waves

[yonigga223]

@crist1819 In Junctional rhythms the p-wave can be absent or inverted.

[AJAXKID123]

@crist1819

The P wave is either inverted before the QRS, buried in the QRS or inverted after the QRS. It depends on where, in the AV the impulse was initiated.

Of course, after 8 months (which I just noticed) I'm sure you've long since figured this out :D

[crist1819]

@AJAXKID123 thancks for your response

[31MegaMike]

@crist1819 in junctional rhythm p wave is negatively deflected or none

[tahajah]

treat the rate

[polarjack]

what do you dooooo?