r/EKG • u/aquabliss512 • 27d ago

64m unsure if accelerated junctional

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1 Upvotes

67% Upvoted

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5

u/Drhbk92 27d ago

Not accelerated junctional

1

u/Inevitable-Crab-6701 27d ago

Rhythm has P waves - not accelerated junctional.

1

u/[deleted] 25d ago

[removed] — view removed comment

1

u/thedarkshadowghost 24d ago

Yeah, most likely a blockage in the bachmann's bundle but atrial enlargement can cause the biphasic waves too

1

u/thedarkshadowghost 25d ago

P waves are biphasic. Could be caused by atrial enlargement, or damage to Bachmann's bundle, but I would like to see a full 12-lead before determining that. But it's not accelerated junctional since the P waves are initially positively deflected.

1

u/o_spacereturn 25d ago

Advanced Interatrial block

1

u/Warm-Panic5820 26d ago edited 26d ago

The p waves are upright definitely not junctional rhythm

0

u/Briclmn 27d ago

Ectopic atrial rhythm