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Junctional Rhythm

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Question: Are the atria of a patient with a junctional rhythm contracting? since there are no p waves present on the EKG with a patient with a junction rhythm, does that mean that their atria are not pumping and contracting sending blood to the ventricles?

Answer: The atria are still contracting. In a junctional rhythm a p wave is present, it's just inverted. This occurs because the atria don't contract first like they do in a normal rhythm, instead, the ventricles contract first, then the atria.

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