Junctional Rhythm: Acute Anterior Infarction
Report:
Junctional rhythm 60/min
Right bundle branch block
Borderline left axis deviation â 30o
Extensive acute anterior infarction
Comment:
Atrial activity is most apparent in V1, where a spiky positive P wave precedes the QRS by 0.08â.
Patients with bifascicular blocks and extensive anterior infarctions do not live long; this one was no exception.
Sinus rhythm returned, spontaneously, at a similar rate (below, Fig 94a). It made no difference to the cardiogenic shock.
94a. Sinus rhythm.
95. 81 year old lady in fatal cardiogenic shock.
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