Rhythm

[cannonball88]

I was thinking 2nd Degree, T2, but wanted to see if anyone had any insight.

 

[TXpeds16]

Every third beat is proceeded by a p-wave, otherwise they are absent. The underlying rhythm is profoundly bradycardic, with an escape rhythm that is regular in nature, originating from above the ventricles. I would say its a sinus brady with a junctional escape rhythm since it does not appear that p-waves are initiating the escape beats.

 

[VFlutter]

Junctional Escape with PAC/PJC

 

[LanceCorpsman]

I would call it a junctional escape rhythm. With PACs

 

[skro777]

looks to be a ventricular rhythm at about 50 with said PAC about q4 beats