Using an accelerated junctional rhythm to predict the success and safety of slow AV nodal pathway ablation

2021 ◽  
Author(s):  
G. Neal Kay
Keyword(s):  
Junctional Rhythm

scholarly journals Junctional Rhythm Preoperatively and During General Anesthesia for Oral and Maxillofacial Surgery

2017 ◽  
Vol 64 (3) ◽  
pp. 165-167 ◽  
Author(s):  
Naotaka Kishimoto ◽  
Ikue Kinoshita ◽  
Yoshihiro Momota
Keyword(s):  
General Anesthesia ◽  
Local Anesthesia ◽  
Anesthetic Management ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Anesthesia Induction ◽  
Sagittal Split Ramus Osteotomy ◽  
Junctional Rhythm ◽  
Appropriate Treatment ◽  
Slow Heart Rate

We report a case of junctional rhythm that occurred both preoperatively and later during a portion of general anesthesia. A 19-year-old woman was scheduled to undergo bilateral sagittal split ramus osteotomy after being diagnosed with a jaw deformity. Preoperative electrocardiography (ECG) revealed a junctional rhythm with a slow heart rate (HR). At 90 minutes after anesthesia induction, local anesthesia with 10 mL of 1% lidocaine and 1:100,000 adrenaline was administered. A junctional rhythm appeared 15 minutes after the local anesthesia. We believe that the atrioventricular nodal pacemaker cells accelerated because of the increased sympathetic activity due to the adrenaline. On the preoperative ECG, the junctional rhythm with slow HR appeared as an escaped beat caused by slowing of the primary pacemaker. Therefore, we think that the preoperative junctional rhythm and the junctional rhythm that appeared during general anesthesia were due to different causes. Understanding the cause of a junctional rhythm could lead to more appropriate treatment. We therefore believe that identifying the cause of the junctional rhythm is important in anesthetic management.

SafeR and escape junctional rhythm: A singular trigger for pacemaker-mediated tachycardia

2017 ◽  
Vol 50 (4) ◽  
pp. 504-506 ◽  
Author(s):  
Pasquale Crea ◽  
Teresa Crea ◽  
Giuseppe Picciolo ◽  
Francesco Luzza
Keyword(s):  
Junctional Rhythm

Cartoid Sinus Massage for Treatment of A-V Junctional Rhythm

1989 ◽  
Vol 71 (4) ◽  
pp. 621-621 ◽  
Author(s):  
I. W. McCONACHIE
Keyword(s):  
Junctional Rhythm

scholarly journals The Case of Bradycardia Occured in the Setting of Hyperkalemia in a Patient in Ambulatory Hemodialysis Department

2021 ◽  
Vol 11 (1) ◽  
pp. 60-66
Author(s):  
G. A. Ignatenko ◽  
G. G. Taradin ◽  
A. E. Bagry ◽  
I. V. Rakitskaya ◽  
K. E. Mogilevskaya ◽  
...  
Keyword(s):  
Serum Potassium ◽  
Potassium Level ◽  
Serum Potassium Level ◽  
Kidney Diseases ◽  
Clinical Manifestations ◽  
Junctional Rhythm ◽  
Chronic Kidney Diseases ◽  
Electrolyte Disorder ◽  
Ambulatory Treatment ◽  
Dangerous Condition

The presented article contains the clinical observation of bradycardia development in 64-year-old patient with chronic kidney disease who was in ambulatory treatment at the hemodialysis department. During electrocardiogram recording an arrhythmia was detected as a junctional rhythm. The specific changes on electrocardiogram, presence of risk factors, and data of additional collection of history disease allowed purposing the development of dangerous condition — hyperkalemia. The diagnosis was confirmed after detection of the serum potassium level. This case illustrates the necessity to consider the possibility of hyperkalemia in patients with chronic kidney diseases including those who undergoing hemodialysis treatment. Relevant clinical manifestations and changes on the electrocardiogram require the urgent assessment of the serum potassium level for timely and adequate correction of the electrolyte disorder.

scholarly journals Atropine and Glycopyrrolate: Changes in Cardiac Rate and Rhythm in Conscious and Anaesthetised Children

1982 ◽  
Vol 10 (4) ◽  
pp. 328-332 ◽  
Author(s):  
R. K. Mirakhur ◽  
C. J. Jones
Keyword(s):  
Heart Rate ◽  
Nitrous Oxide ◽  
Intravenous Administration ◽  
Halothane Anaesthesia ◽  
Similar Increase ◽  
Cardiac Rate ◽  
Junctional Rhythm ◽  
Paediatric Patients

Heart rate and rhythm were studied in conscious children and children under nitrous oxide and halothane anaesthesia following intravenous administration of atropine or glycopyrrolate. Both drugs produced a similar increase in heart rate when the potency of glycopyrrolate is considered twice that of atropine. There is no difference in the response of anaesthetised and awake children. Junctional rhythm is the main dysrhythmia observed which appears to occur more frequently in anaesthetised children. The administration of both drugs is safe in paediatric patients.

scholarly journals Transient accelerated junctional rhythm late after para-Hisian accessory pathway cryoablation: a new phenomenon

EP Europace ◽  
2010 ◽  
Vol 13 (1) ◽  
pp. 135-137 ◽  
Author(s):  
Bich Lien Nguyen ◽  
Walter Kerwin ◽  
Carlo Gaudio ◽  
Eli S. Gang
Keyword(s):  
Accessory Pathway ◽  
Junctional Rhythm

Can AV Dissociation Masquerade as Junctional Rhythm?

2009 ◽  
Vol 24 (2) ◽  
pp. 68-69
Author(s):  
Aimee Lee ◽  
Angela Tsiperfal ◽  
Kimberly Scheibly
Keyword(s):  
Junctional Rhythm ◽  
Av Dissociation
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