Junctional tachycardia - Revision history

Danbot: Add MedicationDose entry (amiodarone) with SMW annotations

2026-03-20T18:43:18Z

Add MedicationDose entry (amiodarone) with SMW annotations

← Older revision		Revision as of 18:43, 20 March 2026
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	==Disposition==		==Disposition==


			==Medication Dosing==
			{{MedicationDose
			\| drug = Amiodarone
			\| dose = 2mg/kg bolus, then 10-15mcg/kg/min continuous infusion if needed
			\| route = IV
			\| context = First-line antiarrhythmic
			\| indication = Junctional tachycardia
			\| population = Adult
			}}

	==See Also==		==See Also==

2023-03-15T19:59:00Z

Management

← Older revision		Revision as of 19:59, 15 March 2023
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	*[[Amiodarone]] 2 mg/kg bolus.<ref>[pubmed.ncbi.nlm.nih.gov/19632422], Kovacikova L. Amiodarone as a First-Line Therapy for Postoperative Junctional Ectopic Tachycardia. PubMed, National Library of Medicine, Aug 30, 2009.</ref>		*[[Amiodarone]] 2 mg/kg bolus.<ref>[pubmed.ncbi.nlm.nih.gov/19632422], Kovacikova L. Amiodarone as a First-Line Therapy for Postoperative Junctional Ectopic Tachycardia. PubMed, National Library of Medicine, Aug 30, 2009.</ref>
	**If necessary, as continuous infusion at 10 to 15 mcg/kg/min		**If necessary, as continuous infusion at 10 to 15 mcg/kg/min

			==Disposition==

	==See Also==		==See Also==

2021-02-27T23:18:53Z

Junction Rhythm Classification

← Older revision		Revision as of 23:18, 27 February 2021
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	===Junction Rhythm Classification===		===Junction Rhythm Classification===
	''Arbitrarily classified by rate''		''Arbitrarily classified by rate''
	*Junctional ~~Escape Rhythm~~: 40-60 bpm		*[[Junctional escape rhythm]]: 40-60 bpm
	*Accelerated ~~Junctional Rhythm~~: 60-100 bpm		*[[Accelerated junctional rhythm]]: 60-100 bpm
	*Junctional ~~Tachycardia~~: > 100 bpm		*[[Junctional tachycardia]]: >100 bpm

	==Clinical Features==		==Clinical Features==

2021-02-27T23:18:11Z

Background

← Older revision		Revision as of 23:18, 27 February 2021
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	**In adults, >100 bpm		**In adults, >100 bpm
	**In pediatric patients it varies by age until age 8 or 9 (see [[Pediatric vital signs\|pediatric vital signs]])		**In pediatric patients it varies by age until age 8 or 9 (see [[Pediatric vital signs\|pediatric vital signs]])

			===Junction Rhythm Classification===
			''Arbitrarily classified by rate''
			*Junctional Escape Rhythm: 40-60 bpm
			*Accelerated Junctional Rhythm: 60-100 bpm
			*Junctional Tachycardia: > 100 bpm

	==Clinical Features==		==Clinical Features==

2021-02-27T23:16:36Z

Management

← Older revision		Revision as of 23:16, 27 February 2021
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	==Management==		==Management==
	*[[Amiodarone]] 2 mg/kg bolus.<ref>[pubmed.ncbi.nlm.nih.gov/19632422], Kovacikova L. Amiodarone as a First-Line Therapy for Postoperative Junctional Ectopic Tachycardia. PubMed, National Library of Medicine, Aug 30, 2009.</ref>		*[[Amiodarone]] 2 mg/kg bolus.<ref>[pubmed.ncbi.nlm.nih.gov/19632422], Kovacikova L. Amiodarone as a First-Line Therapy for Postoperative Junctional Ectopic Tachycardia. PubMed, National Library of Medicine, Aug 30, 2009.</ref>
	**If necessary, as continuous infusion at 10 to 15 ~~mug~~/kg/min		**If necessary, as continuous infusion at 10 to 15 mcg/kg/min

	==See Also==		==See Also==

2021-02-27T23:16:14Z

@@ Line 35: / Line 35: @@
 ==Management==
-==[[Synchronized Cardioversion]]==
+*[[Amiodarone]] 2 mg/kg bolus.<ref>[pubmed.ncbi.nlm.nih.gov/19632422], Kovacikova L. Amiodarone as a First-Line Therapy for Postoperative Junctional Ectopic Tachycardia. PubMed, National Library of Medicine, Aug 30, 2009.</ref>
-*Junctional Ectopic Tachycardia is unresponsive to DC shock
+**If necessary, as continuous infusion at 10 to 15 mug/kg/min
 ==See Also==

2021-02-27T23:14:05Z

Evaluation

← Older revision		Revision as of 23:14, 27 February 2021
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	==Evaluation==		==Evaluation==
			[[File:Junctional Tachycardia.jpg\|thumb\|ECG showing junctional tachycardia. Note narrow complex QRS, no P waves, and accelerated rate.]]
	*[[ECG]] findings		*[[ECG]] findings
	**P waves		**P waves

2020-12-22T00:45:47Z

Differential Diagnosis

2020-12-22T00:39:50Z

Amiodarone

← Older revision		Revision as of 00:39, 22 December 2020
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	==Pharmacological==		==Pharmacological==
	==[[Amiodarone]]==		==[[Amiodarone]]==
	*2 mg/kg bolus<ref>Kovacikova L. Amiodarone as a First-Line Therapy for Postoperative Junctional Ectopic Tachycardia. PubMed, National Library of Medicine, Aug 30, 2009.~~[pubmed.ncbi.nlm.nih.gov~~/~~19632422].<~~ref/>:		*2 mg/kg bolus.<ref>
			[pubmed.ncbi.nlm.nih.gov/19632422], Kovacikova L. Amiodarone as a First-Line Therapy for Postoperative Junctional Ectopic Tachycardia. PubMed, National Library of Medicine, Aug 30, 2009.</ref>
	**if necessary, as continuous infusion at 10 to 15 mug/kg/min		**if necessary, as continuous infusion at 10 to 15 mug/kg/min

2020-12-22T00:37:36Z

References