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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  Six Second ECG Intensive Six Second ECG Mastery 12 Lead ECG & ACS 12 Lead Advanced
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Any Six Second ECG Course

12 Lead ECG & ACS

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Completion Card • • • •
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SkillStat 2U-able • • • •
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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