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  1. A no P wave rhythm on an electrocardiogram (EKG) can indicate the following conditions123:
    • Agonal rhythm: A heart rate of less than 20 beats per minute.
    • Sinus dysfunction: Lack of visible P waves preceding QRS complexes.
    • Fibrillation or flutter waves: P wave may be hidden within the QRS complex.
    • Pulseless electrical activity: Complete P, QRS, and T waveforms but no palpable pulse.
    Learn more:
    A person with a heart rate of less than 20 beats per minute likely has an agonal rhythm. An electrocardiogram (EKG) helps confirm it. Signs of an agonal rhythm on an EKG readout include: No P waves: This means the top chambers of your heart aren’t beating.
    my.clevelandclinic.org/health/articles/22937-agona…
    A lack of visible P waves preceding QRS complexes suggests a lack of sinus beats; this may occur with sinus dysfunction or in the presence of fibrillation or flutter waves. The P wave may also be hidden within the QRS complex.
    medschool.co/tests/ecg-basics/the-p-wave
    Pulseless electrical activity is a term applied to any rhythm that is not accompanied by a detectable pulse. It may display complete P, QRS, and T waveforms but no pulse is palpable.
    ecgwaves.com/topic/ventricular-fibrillation-pulseles…
  2. Junctional rhythm (escape rhythm) and junctional tachycardia

  3. Absence of P Waves | Test Findings - MedSchool

    Apr 1, 2023 · A lack of visible P waves preceding QRS complexes suggests a lack of sinus beats; this may occur with sinus dysfunction or in the presence of fibrillation or flutter waves. The P wave may also be hidden within the QRS …

  4. Junctional Rhythm: Causes, Symptoms and Treatment - Cleveland …

  5. ECG Rhythm Evaluation • LITFL • ECG Library Basics

    Oct 1, 2024 · P WAVES ABSENT. Narrow complex: Junctional escape rhythm; Broad complex: Ventricular escape rhythm; For escape rhythms to occur there must be a failure of sinus node impulse generation or transmission by the AV …

  6. EKG Interpretation & Heart Arrhythmias …

    19 rows · Aug 9, 2024 · Use this EKG interpretation cheat …

  7. Junctional rhythm - Wikipedia

  8. Junctional Escape Rhythm • LITFL • ECG Library Diagnosis

    Junctional and ventricular escape rhythms arise when the rate of supraventricular impulses arriving at the AV node or ventricle is less than the intrinsic rate of the ectopic pacemaker. Conditions leading to the emergence of a junctional or …

  9. Ventricular Rhythms - ekg.academy

    Nov 8, 2021 · No P wave and no QRS complexes. This rhythm presents with a chaotic waveform which reflects the electrical chaos occurring within the heart. The heart is not actually beating as we know it.

  10. Supraventricular Tachycardia (SVT) • LITFL • …

    Oct 8, 2024 · The top rhythm strip shows AVNRT with absent P waves and pseudo R’ waves clearly visible

  11. Tutorial: Rhythm Diagnostic Criteria - Teaching Medicine

    No P waves. P waves are AFTER the QRS, superimposed in the ST segment (a little bit hard to see). PR interval is "not applicable". Rate is faster than "normal" AV node, so this is another "accelerated junctional" rhythm. P waves are not …