Ventricular Escape Beat/Rhythm

ECG Features

Figure 1: Ventricular Escape Beat ECG Strip[1]

Figure 2: Ventricular Escape Rhythm ECG Strip[1]

A ventricular escape beat occurs after a pause caused by a supraventricular pacemaker failing to fire and appears late after the next expected sinus beat.[2] Ventricular escape beats become ventricular escape rhythm when three or more escape beats occur in a row at a rate of 20-40 bpm.[2]

Table 1: ECG Characteristics[2]

Clinical Significance[3]

  • Ventricular escape rhythm's low rate can lead to a drop in blood pressure and syncope.

ECM Features

Figure 3: ECM Analysis, Record 210[4][5]

Additional Information


  1. Ventricular escape beat [Online image]. (n.d.). Retrieved July 19, 2016, from
  2. Ventricular escape beat. (n.d.). Retrieved July 27, 2016, from
    1. Ventricular escape beat. (n.d.). Retrieved August 08, 2016, from
  3. MIT-BIH Arrhythmia Database. (1980). Retrieved June, 2016, from
  4. Goldberger AL, Amaral LAN, Glass L, Hausdorff JM, Ivanov PCh, Mark RG, Mietus JE, Moody GB, Peng C-K, Stanley HE. PhysioBank, PhysioToolkit, and PhysioNet: Components of a New Research Resource for Complex Physiologic Signals. Circulation101(23):e215-e220 [Circulation Electronic Pages;]; 2000 (June 13).