Accelerated Idioventricular Rhythm: Not Always a Reperfusion Arrhythmia
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Abstract
Accelerated idioventricular rhythm (AIVR) is a slow ventricular rhythm. It generally occurs during the reperfusion phase of acute myocardial infarction. It is usually regarded as a benign rhythm that does not require any treatment. But here we present a case where AIVR is a presenting arrhythmia in a 41 years old male patient with acute coronary syndrome. This rhythm might not be completely benign as regarded in literature. The patient presented to our institute underwent urgent coronary evaluation followed by revascularization, which led to the conversion of AIVR to normal sinus rhythm and improvement in the patient’s anginal symptoms.
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4. Gorgels AP, Vos MA, Letsch IS, Verschuuren EA, Bär FW, Janssen JH, et al. Usefulness of the accelerated idioventricular rhythm as a marker for myocardial necrosis and reperfusion during thrombolytic therapy in acute myocardial infarction. Am J Cardiol. 1988 Feb 1;61(4):231-5. doi: 10.1016/0002-9149(88)90921-6.
2. Goldberg S, Greenspon AJ, Urban PL, Muza B, Berger B, Walinsky P, et al. Reperfusion arrhythmia: a marker of restoration of antegrade flow during intracoronary thrombolysis for acute myocardial infarction. Am Heart J. 1983 Jan;105(1):26-32. doi: 10.1016/0002-8703(83)90274-0.
3. Khan A, Nadeem S, Kokane H, Thummar A, Lokhandwala Y, Mahajan AU, et al. Is accelerated idioventricular rhythm a good marker for reperfusion after streptokinase? Indian Heart J. 2016 May-Jun;68(3):302-5. doi: 10.1016/j.ihj.2015.09.023.
4. Gorgels AP, Vos MA, Letsch IS, Verschuuren EA, Bär FW, Janssen JH, et al. Usefulness of the accelerated idioventricular rhythm as a marker for myocardial necrosis and reperfusion during thrombolytic therapy in acute myocardial infarction. Am J Cardiol. 1988 Feb 1;61(4):231-5. doi: 10.1016/0002-9149(88)90921-6.
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| Issue | Articles In Press | |
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| Keywords | ||
| Accelerated idioventricular rhythm Acute coronary syndrome Case report | ||
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How to Cite
1.
Charaniya DR, Chaudhari M, Joshi D. Accelerated Idioventricular Rhythm: Not Always a Reperfusion Arrhythmia. J Tehran Heart Cent. 2024;.
