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Junctional Bradycardia by ECG Finding

MedGen UID:
148171
•Concept ID:
C0745499
•
Disease or Syndrome
Synonyms: Junctional Bradycardia; Junctional Bradycardia by EKG Finding

Definition

An electrocardiographic finding of a junctional rhythm with a heat rate which is abnormally low. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVJunctional Bradycardia by ECG Finding

Professional guidelines

PubMed

Evaluation of the Seattle and International Criteria in elite Nigerian athletes.
Ilodibia TF, Odia JO
J Electrocardiol 2021 Sep-Oct;68:14-23. Epub 2021 Jul 7 doi: 10.1016/j.jelectrocard.2021.06.007. PMID: 34273803
Incidence and management of dysrhythmias after Fontan procedure.
Porter CJ, Garson A
Herz 1993 Oct;18(5):318-27. PMID: 8258437
Bradyarrhythmias: clinical significance and management.
Dreifus LS, Michelson EL, Kaplinsky E
J Am Coll Cardiol 1983 Jan;1(1):327-38. doi: 10.1016/s0735-1097(83)80033-3. PMID: 6826942

Recent clinical studies

Etiology

Incidence and characteristics of transient St-segment elevation during transseptal puncture.
Vale PD, Silva LTM, de Oliveira EMM, de Miranda RFC, da Silva RD, Araújo LMC, da Silva SMP, Cunha WC, Neto JS, Péres AK, Seixas TN, da Rocha JM, Margalho CS, Maia HCA
J Interv Card Electrophysiol 2022 Mar;63(2):425-430. Epub 2021 Jul 8 doi: 10.1007/s10840-021-01022-x. PMID: 34236564
The Incremental Benefit of Color Tissue Doppler in Fetal Arrhythmia Assessment.
Alvarez SGV, Khoo NS, Colen T, McBrien A, Eckersley L, Brooks P, Savard W, Hornberger LK
J Am Soc Echocardiogr 2019 Jan;32(1):145-156. Epub 2018 Oct 16 doi: 10.1016/j.echo.2018.08.009. PMID: 30340890
Chemoreflex mediated arrhythmia during apnea at 5,050 m in low- but not high-altitude natives.
Busch SA, Davies H, van Diepen S, Simpson LL, Sobierajski F, Riske L, Stembridge M, Ainslie PN, Willie CK, Hoiland R, Moore JP, Steinback CD
J Appl Physiol (1985) 2018 Apr 1;124(4):930-937. Epub 2017 Dec 21 doi: 10.1152/japplphysiol.00774.2017. PMID: 29357505Free PMC Article
Fetal dysrhythmias.
Api O, Carvalho JS
Best Pract Res Clin Obstet Gynaecol 2008 Feb;22(1):31-48. doi: 10.1016/j.bpobgyn.2008.01.001. PMID: 18243806
The electrocardiogram in hypothermia.
Graham CA, McNaughton GW, Wyatt JP
Wilderness Environ Med 2001 Winter;12(4):232-5. doi: 10.1580/1080-6032(2001)012[0232:teih]2.0.co;2. PMID: 11769917

Diagnosis

BRASH Syndrome: A Case Report.
Bailuni Neto JJ, Siqueira BL, Machado FC, Boros GAB, Akamine MAV, Cordeiro de Paula LJ, Rodrigues de Assis AC, Soares PR, Scudeler TL
Am J Case Rep 2022 Jan 21;23:e934600. doi: 10.12659/AJCR.934600. PMID: 35058422Free PMC Article
Junctional bradycardia caused by ciguatera intoxication.
Raman R, Coppes S, Hellingman T, Laclé C
BMJ Case Rep 2019 May 30;12(5) doi: 10.1136/bcr-2019-229354. PMID: 31151977Free PMC Article
Neonatal and Pediatric Arrhythmias: Clinical and Electrocardiographic Aspects.
Drago F, Battipaglia I, Di Mambro C
Card Electrophysiol Clin 2018 Jun;10(2):397-412. doi: 10.1016/j.ccep.2018.02.008. PMID: 29784491
Fetal dysrhythmias.
Api O, Carvalho JS
Best Pract Res Clin Obstet Gynaecol 2008 Feb;22(1):31-48. doi: 10.1016/j.bpobgyn.2008.01.001. PMID: 18243806
The tachycardia-bradycardia syndrome.
Kaplan BM
Med Clin North Am 1976 Jan;60(1):81-99. doi: 10.1016/s0025-7125(16)31921-6. PMID: 1107695

Therapy

Junctional bradycardia caused by ciguatera intoxication.
Raman R, Coppes S, Hellingman T, Laclé C
BMJ Case Rep 2019 May 30;12(5) doi: 10.1136/bcr-2019-229354. PMID: 31151977Free PMC Article
Cardiac arrhythmias in the fetus and newborn.
Wren C
Semin Fetal Neonatal Med 2006 Jun;11(3):182-90. Epub 2006 Mar 10 doi: 10.1016/j.siny.2005.12.001. PMID: 16530495
Incidence and management of dysrhythmias after Fontan procedure.
Porter CJ, Garson A
Herz 1993 Oct;18(5):318-27. PMID: 8258437
Prehospital brady-asystolic cardiac arrest.
Iseri LT, Humphrey SB, Siner EJ
Ann Intern Med 1978 Jun;88(6):741-5. doi: 10.7326/0003-4819-88-6-741. PMID: 352211
The tachycardia-bradycardia syndrome.
Kaplan BM
Med Clin North Am 1976 Jan;60(1):81-99. doi: 10.1016/s0025-7125(16)31921-6. PMID: 1107695

Prognosis

Junctional bradycardia caused by ciguatera intoxication.
Raman R, Coppes S, Hellingman T, Laclé C
BMJ Case Rep 2019 May 30;12(5) doi: 10.1136/bcr-2019-229354. PMID: 31151977Free PMC Article
The Incremental Benefit of Color Tissue Doppler in Fetal Arrhythmia Assessment.
Alvarez SGV, Khoo NS, Colen T, McBrien A, Eckersley L, Brooks P, Savard W, Hornberger LK
J Am Soc Echocardiogr 2019 Jan;32(1):145-156. Epub 2018 Oct 16 doi: 10.1016/j.echo.2018.08.009. PMID: 30340890
Chemoreflex mediated arrhythmia during apnea at 5,050 m in low- but not high-altitude natives.
Busch SA, Davies H, van Diepen S, Simpson LL, Sobierajski F, Riske L, Stembridge M, Ainslie PN, Willie CK, Hoiland R, Moore JP, Steinback CD
J Appl Physiol (1985) 2018 Apr 1;124(4):930-937. Epub 2017 Dec 21 doi: 10.1152/japplphysiol.00774.2017. PMID: 29357505Free PMC Article
The electrocardiogram in hypothermia.
Graham CA, McNaughton GW, Wyatt JP
Wilderness Environ Med 2001 Winter;12(4):232-5. doi: 10.1580/1080-6032(2001)012[0232:teih]2.0.co;2. PMID: 11769917
The tachycardia-bradycardia syndrome.
Kaplan BM
Med Clin North Am 1976 Jan;60(1):81-99. doi: 10.1016/s0025-7125(16)31921-6. PMID: 1107695

Clinical prediction guides

Evaluation of the Seattle and International Criteria in elite Nigerian athletes.
Ilodibia TF, Odia JO
J Electrocardiol 2021 Sep-Oct;68:14-23. Epub 2021 Jul 7 doi: 10.1016/j.jelectrocard.2021.06.007. PMID: 34273803
Short-term hypoxia does not promote arrhythmia during voluntary apnea.
Busch SA, van Diepen S, Roberts R, Steele AR, Berthelsen LF, Smorschok MP, Bourgoin C, Steinback CD
Physiol Rep 2021 Jan;9(1):e14703. doi: 10.14814/phy2.14703. PMID: 33426815Free PMC Article
Junctional bradycardia caused by ciguatera intoxication.
Raman R, Coppes S, Hellingman T, Laclé C
BMJ Case Rep 2019 May 30;12(5) doi: 10.1136/bcr-2019-229354. PMID: 31151977Free PMC Article
Chemoreflex mediated arrhythmia during apnea at 5,050 m in low- but not high-altitude natives.
Busch SA, Davies H, van Diepen S, Simpson LL, Sobierajski F, Riske L, Stembridge M, Ainslie PN, Willie CK, Hoiland R, Moore JP, Steinback CD
J Appl Physiol (1985) 2018 Apr 1;124(4):930-937. Epub 2017 Dec 21 doi: 10.1152/japplphysiol.00774.2017. PMID: 29357505Free PMC Article
Junctional bradycardia is a potential risk factor of stroke.
Kim GS, Uhm JS, Kim TH, Lee H, Park J, Park JK, Joung B, Pak HN, Lee MH
BMC Neurol 2016 Jul 25;16:113. doi: 10.1186/s12883-016-0645-9. PMID: 27457110Free PMC Article

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