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Junctional Rhythm


Description

An arrhythmia that develops from the AV node or His bundle is known as a junctional rhythm. 60 to 100 beats per minute is the average adult heartbeat (BPM). Your heartbeat may beat more quickly or more slowly than usual due to junctional rhythm (tachycardia).  

When the SA node isn't functioning properly, all varieties of junctional rhythms take place. 

Four different junctional rhythms exist: 

  • Less than 40 BPM is considered junctional bradycardia
  • Rhythm of junctional escape: 40 to 60 BPM. 
  • 60 to 100 BPM for accelerated junctional rhythm
  • Over 100 BPM is considered junctional tachycardia


Symptoms

There may be no outward indications or symptoms that you have a junctional rhythm. However, some individuals with junctional rhythms encounter: 

  • Anxiety. 
  • Chest ache. 
  • Dizziness. 
  • Fainting. 
  • · Sensing weak or worn out. 
  • Chest fluttering (feeling a fast, fluttering or pounding heartbeat in your chest). 
  • Breathing problems. 
  • Reduced heart rate. 

Although a junctional rhythm is often not life-threatening, treatment may be necessary if your symptoms are affecting your everyday life

 Book an appointment with your Cardiologist if you experience any of these symptoms or call the emergency number right away if you experience any chest pain or discomfort 



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Causes

  • Heart inflammatory disease 
  • Low levels of oxygen 
  • Medications 

Your Cardiologist might suggest a different dosage or kind of medication if you have side effects from your current drug. 

 


Diagnostics

Any underlying heart failure or ischemic heart disease in the patient should be evaluated. As part of their initial assessment, your cardiologist should take thyroid function testing, pulmonary function testing, normal blood work, and echocardiography into account. 

  • An electrocardiogram (EKG), which can detect junctional rhythms or other arrhythmias. 
  • Echocardiogram: To demonstrate how efficiently your heart is pumping blood. 
  • Stress test: To determine if arrhythmias occur or worsen during exercise. Additionally, it can aid in the diagnosis of various forms of coronary artery disease or heart disease. 
  • Tilt table test: To identify further causes of the irregular heartbeat. 

If you have no other cardiac issues, your Cardiologist may advise routine check-ups and EKGs to evaluate your heart health. 



Treatment

If your blood oxygen levels are too low or your symptoms upset you, you could need therapy. 

  • Drugs: If your present medications are producing the junctional rhythm, consider changing the dosage or type of medications you use. Depending on your requirements, medications that increase or decrease your heart rate may also be a possibility. 
  • Permanent pacemaker: a pacemaker implanted in the heart is able to transmit electrical impulses and treat a variety of arrhythmias. 

Typically, junctional rhythm does not result in significant health issues and may disappear with treatment. You can feel your best by treating any symptoms and managing them.