Accelerated Junctional Rhythm

Lead II

 

12-Lead

 

Interpretation Rules

  • Accelerated junctional rhythm (AJR) occurs when the rate of an AV junctional pacemaker exceeds that of the sinus node.
  • A junctional rhythm with a rate between 60-100 bpm.
  • QRS complexes are typically narrow (< 120 ms).
  • P wave may be present before, during (hidden) or after QRS, if visible it is inverted
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