Def: This rhythm is often seen as a normal variation in athletes, during sleep,

or in response to a vagal maneuver. If the bradycardia becomes slower than

the SA node pacemaker, a junctional rhythm may occur.
Cause:MI,Vagal Stimulation,Hypoxia
Manifestation:Maybe decreased cardiac output
Management:
Atropine if symptoms
Consider 02
isuprel, or
artificial pacing if patient is hemodynamically compromised

Def: The clinical significance of this dysrhythmia depends on the underlying

cause. It may be normal.
Cause:CNS Stimulation,Mi,Pulmonary embolus,CHF,Throid storm,Fever
Manifestation:Maybe decreased cardiac output
Management: 02 ,beta blockers

Def: The rate usually increases with inspiration and decreases with expiration.
This rhythm is most commonly seen with respiration due to fluctuations in
vagal tone.
The non respiratory form is present in diseased hearts and sometimes
confused with sinus arrest (also known as "sinus pause").
Cause:The breathing pattern
Manifestation:Usually none
Management: Treatment is not usually required unless symptomatic
bradycardia is present.
Atropine if HR is slow and symptoms.

Balingway,Beverly D.
Basic Dysrhythmia