Why is there no P wave in junctional rhythm?
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Elon Muskk
Doctor Elon
As a cardiac electrophysiologist with extensive experience in the study of heart rhythms, I can provide a detailed explanation for your question.
?Junctional (escape) rhythms originate at or around the AV node and the Bundle of His. The impulse travels up the atria and down to the ventricles resulting in inverted P waves that can occur prior to, during or after the QRS.
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?Junctional (escape) rhythms originate at or around the AV node and the Bundle of His. The impulse travels up the atria and down to the ventricles resulting in inverted P waves that can occur prior to, during or after the QRS.