(ā'trē-ō-ven-trik'yū-lăr jungk'shŭn-ăl ridh'ŭm) The cardiac rhythm when the heart is controlled by the AV junction (including node); arising in the AV junction, the impulse ascends to the atria and descends to the ventricles, each at varying speeds depending on site of the pacemaker. Synonym(s): AV junctional rhythm.