How to treat junctional escape rhythms

Junctional escape rhythms are due to slowed sinus node agitation, most commonly seen in sinus bradycardia. Another is due to conduction disorders such as sinus block and atrioventricular block. Drugs to increase sinus node excitability can be given for slowed agitation, drugs to improve block can be given for conduction block, and pacemakers are needed if necessary. Junctional escape rhythm can be clarified by electrocardiography. If escape rhythm is detected, it is recommended to consult a doctor for further relevant examinations, such as 24-hour ambulatory electrocardiography, cardiac ultrasound, etc., to clarify whether there is any accompanying organic heart disease, and if there is any other cardiac disease, the main focus is on the treatment of the organic heart disease. If the escape rhythm is only occasional and the primary disease is excluded, follow-up is usually sufficient and no special treatment is needed. If the escape rhythm is caused by the slowing down of the sinus node excitation, you can take drugs to increase the excitation of the sinus node under the guidance of your doctor, such as atropine, ephedrine and so on. If the escape rhythm is caused by conduction block, you can take drugs to improve the block under the guidance of your doctor, such as atropine, etc. When the effect of drug treatment is not good, a pacemaker should be installed if necessary. Sometimes the symptoms of escape rhythm are not so obvious, and most patients may only find it during physical examination. Therefore, if you find escape rhythm during physical examination or have daily symptoms such as discomfort in the precordial region, it is recommended to consult a doctor in time so as to avoid delaying the condition.