Accelerated idioventricular rhythm
| Accelerated idioventricular rhythm | |
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| 12 lead EKG shows a slow and wide complexes with intermittent narrow complex beats. The 5th and 10th beats are sinus node originated complexes (sinus rhythm) and close examination of these beats will give a clue to understand the cause of the wide complex rhythm. ST elevation indicates an acute myocardial infarction. The wide complex beats represent accelerated idioventricular rhythm which is usually seen following reperfusion in acute MI | |
| MeSH | D016170 |
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Accelerated idioventricular rhythm Microchapters |
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Differentiating Accelerated idioventricular rhythm from other Diseases |
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Diagnosis |
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Treatment |
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Accelerated idioventricular rhythm On the Web |
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American Roentgen Ray Society Images of Accelerated idioventricular rhythm |
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Directions to Hospitals Treating Accelerated idioventricular rhythm |
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Risk calculators and risk factors for Accelerated idioventricular rhythm |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Causes
Differentiating Accelerated idioventricular rhythm from other Diseases
Epidemiology and Demographics
Clinical Correlation
Diagnosis
Treatment
References
- Hammill S. C. Electrocardiographic diagnoses: Criteria and definitions of abnormalities, Chapter 18, MAYO Clinic, Concise Textbook of Cardiology, 3rd edition, 2007 ISBN 0-8493-9057-5
- Engelen DJ, Gressin V, Krucoff MW, Theuns DA, Green C, Cheriex EC, Maison-Blanche P, Dassen WR, Wellens HJ, and Gorgels AP. Usefulness of frequent arrhythmias after epicardial recanalization in anterior wall acute myocardial infarction as a marker of cellular injury leading to poor recovery of left ventricular function. Am J Cardiol 2003 Nov 15; 92(10) 1143-9. PMID 14609586.
- Ilia R, Zahger D, Cafri C, Abu-Ful A, Weinstein JM, Yaroslavtsev S, Gilutz H, and Amit G. Predicting survival with reperfusion arrhythmias during primary percutaneous coronary intervention for acute myocardial infarction. Isr Med Assoc J 2007 Jan; 9(1) 21-3. PMID 17274350
- Hampton, John (1997). The ECG Made Easy.
Additional resources
- ECGpedia: Course for interpretation of ECG
- The whole ECG - A basic ECG primer
- 12-lead ECG library
- Simulation tool to demonstrate and study the relation between the electric activity of the heart and the ECG
- ECG information from Children's Hospital Heart Center, Seattle
- National Heart, Lung, and Blood Institute, Diseases and Conditions Index
- A history of electrocardiography
- EKG Interpretations in infants and children
Examples
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An example of accelerated idioventricular rhythm (AIVR)
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AIVR. Inverted P waves are sign of retrograde atrial activation.
