Outline:

1. Introduction

A. About This Course

B. Learning Objectives

2. Introduction to Junctional Rhythms

A. The Atrioventricular (AV) Node

B. The Junction as a Pacemaker

C. Overview of Junctional Rhythms

3. Junctional Rhythm

A. Junctional Escape Complexes

B. Junctional Escape Rhythms

4. Premature Junctional Contraction

5. Accelerated Junctional Rhythm and Junctional Tachycardia

6. Atrioventricular Nodal Reentry Tachycardia

A. General Concepts of AV Nodal Entry

B. Reentry and the Atrioventricular Nodal Reentry Tachycardia

C. Identifying the Arrhythmia

7. Atrioventricular Reentry Tachycardia

A. Normal Conduction Through an Accessory Pathway

B. Atrioventricular Reentry Tachycardia Reentry Circuits

C. Orthodromic Atrioventricular Reentry Tachycardia

D. Antidromic Atrioventricular Reentry Tachycardia

E. Clinical Implications

8. ECG Review Strips

9. Conclusion

A. Course Contributors

B. Resources

C. References

D. Disclaimers

E. Congratulations

David Hoeft, MD is a board certified Anesthesiologist at American Anesthesiology of New York. In addition to his strong background in physical and chemical sciences, David is actively involved in graduate medical education and research, and brings clinical and didactic expertise across the continuum of medical practice. Disclosure: David Hoeft, MD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

Kristen Ponichtera BSN, RN, CFRN, CTRN, CCRN brings 10 years of clinical and educational experience in the fields of critical care, emergency and aviation medicine. Serving as Program Director of Flight & Critical Care Nursing Education, she has created original comprehensive educational courses as well as has contributed to best-selling publications. An active member of the Air & Surface Transport Nurses Association (ASTNA), the American Association of Critical Care Nurses (AACN), and the Society of Trauma Nurses (STN), she has been revered as a resource and mentor to many clinicians serving in these specialties. Fulfilling roles as a registered nurse, ECMO specialist, director and clinical educator, Kristen brings a unique and original perspective to the realm of medical education. Disclosure: Kristen Ponichtera BSN, RN, CFRN, CTRN, CCRN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.