After managing the ABC’s for a STEMI patient, you find out the cath lab is being used and cards cannot take the patient yet. You go back to reassess and the monitor shows a wide complex tachycardia at a rate of 110! It looks on the monitor like you have some sort of AV disassociation.
The ECG may look like this...
1. What is this?
Accelerated Idioventricular Rythm
2. What is the appropriate treatment for this disease?
Kind of a trick question – don’t do anything.This post-MI rythm is usually transient and does not predict worse outcome.
By Dr. Andrew Grock and Dr. Sally Bogoch
References
Tintinalli’s, 7th ed
LIFTL – http://lifeinthefastlane.com/ecg-library/aivr/
The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
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andygrock
- Resident Editor In Chief of blog.clinicalmonster.com.
- Co-Founder and Co-Director of the ALiEM AIR Executive Board - Check it out here: http://www.aliem.com/aliem-approved-instructional-resources-air-series/
- Resident at Kings County Hospital
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