SINUS_ARREST
Technical documentation
Sinus Arrest with Junctional Escape
Transient cessation of automaticity in the sinoatrial node. The absence of sinus impulse creates a pause that is NOT a multiple of the baseline cycle. After the pause, a lower pacemaker takes over: typically the AV junction (escape rhythm at 40-50 bpm with narrow QRS and absent or retrograde P waves).
Also known as: Sinus Arrest with Junctional Escape · paro sinusal · pausa sinusal · parada sinusal · paro sinusal con escape de la union · sinus arrest · sinus pause · escape de la union
What parameters does the model use?
The following values are applied by the simulation engine to this entity. They govern activation kinematics in the 3D model and the real-time synthesis of the 12-lead electrocardiogram.
What parameters does the model use?
| Parameter | Model value |
|---|---|
| Mechanism | Automatismo |
| Impulse origin | Sinoatrial node (SA node) |
| Modeled rate | 40–70 bpm (default 58) |
| Regularity | Irregular |
| P wave | Sinus (upright in I, II, aVF) |
| PR interval | 120–200 ms (default 160) |
| QRS duration | 90 ms |
| QRS morphology | Normal (narrow) |
| AV conduction | 1:1 AV conduction |
| Severity | Clinically significant |
Which leads should be evaluated?
The catalog marks as primary diagnostic leads II. Sinus pause not a multiple of the basic cycle with junctional escape on lead II.
In the simulator, these leads are highlighted on the 12-channel tracing and corresponding vectors are rendered on the 3D model, displaying electrical changes and anatomical origin simultaneously.
Frequently asked clinical questions
How is Sinus Arrest with Junctional Escape identified on the 12-lead ECG?
Transient cessation of automaticity in the sinoatrial node. The absence of sinus impulse creates a pause that is NOT a multiple of the baseline cycle. After the pause, a lower pacemaker takes over: typically the AV junction (escape rhythm at 40-50 bpm with narrow QRS and absent or retrograde P waves). The characteristic diagnostic waveforms are generated in real time across the simulated 12-lead tracing.
Which leads are critical for diagnostic confirmation?
The primary diagnostic leads are II. Sinus pause not a multiple of the basic cycle with junctional escape on lead II. In the simulator, these channels highlight the correlation with anatomical vectors.
What is the underlying electrophysiological or anatomical mechanism?
It originates from altered conduction in the SA_NODE, mediated by automatismo.
How can this condition be explored in the 3D simulator?
MioAtlas offers direct deep-link reproducibility with preconfigured parameters, allowing full 3D cardiac rotation and lead vector inspection.
How do you open this configuration?
The simulator encodes its full state in the query string, providing a stable and reproducible URL:
https://mioatlas.com/simulador/en/?mode=conduction&arr=SINUS_ARREST
Related entities
Other entities in the same category within the catalog:
Sources and bibliographic references
-
Anderson RH, Yanni J, Boyett MR, Chandler NJ, Dobrzynski H (2009). "The anatomy of the cardiac conduction system". Clin Anat.
-
Kligfield P, Gettes LS, Bailey JJ, et al. (2007). "Recommendations for the standardization and interpretation of the electrocardiogram: Part I: The electrocardiogram and its technology". Circulation.
-
Rautaharju PM, Surawicz B, Gettes LS, et al. (2009). "AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: Part IV: The ST segment, T and U waves, and the QT interval". Circulation.