Accelerated idioventricular rhythm before reperfusion What does it mean? A case report

Accelerated idioventricular rhythm has traditionally been recognized as a benign arrhythmia. In the context of an acute myocardial infarction is a marker of successful reperfusion, however the evidence is controversial. Usually, this arrhythmia is transitory and does not cause hemodynamic compromise...

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Detalles Bibliográficos
Autores: Cueva Parra, Angel David, Viana-Rojas, Jesús Antonio, González-Pacheco, Hector
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Perú
Institución:Instituto Nacional Cardiovascular
Repositorio:Archivos peruanos de cardiología y cirugía cardiovascular
Idioma:español
OAI Identifier:oai:apcyccv.org.pe:article/92
Acceso en línea:https://apcyccv.org.pe/index.php/apccc/article/view/92
Access Level:acceso abierto
Palabra clave:Infarto de miocardio
Ritmo Idioventricular Acelerado
Reperfusión
Myocardial infarction
Reperfusion
Accelerated Idioventricular Rhythm
Descripción
Sumario:Accelerated idioventricular rhythm has traditionally been recognized as a benign arrhythmia. In the context of an acute myocardial infarction is a marker of successful reperfusion, however the evidence is controversial. Usually, this arrhythmia is transitory and does not cause hemodynamic compromise, however its presence may have prognostic value and not necessarily be a benign marker. The recognition of this arrhythmia is always important as well as its documentation on a 12-lead electrocardiogram. We present the case of an adult male patient with inferior ST-segment elevation myocardial infarction, who presented accelerated idioventricular rhythm without reperfusion therapy.