Isorhythmic Atrioventricular Dissociation During Enflurane Anesthesia

Can AV Dissociation Masquerade as Junctional Rhythm?

“…Levy and Edflstein 3 have postulated that as the atrium and ventricles now contract simultaneously, the atrial transport function is lost, resulting in decreased systematic blood pressure. The decline in blood pressure causes reflex acceleration of the sinus node rate approaches the nodal rate then exceeds it resulting in the reappearance of P waves 4 …”