While junctional rhythm at a rate of 50-60 beats/minute is common in athletes, junctional tachycardia defined sustained junctional beats at a rate greater than 100 beats/minute is NOT a feature of athletes heart. When encountered, it may instead be reciprocating SVT with P waves superimposed on the QRS complexes. Vagal maneuvers may terminate this tachycardia with return to sinus rhythm.
Answered 6/18/2021
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