Accelerated Idioventricular Rhythm (Slow V-Tach)






This condition is found most commonly with an acute MI or in the setting of reperfusion after successful thrombolysis.

Wide and regular QRS complexes
Rate between 40 and 100 beats/min (often close to the preceding sinus rate)
Runs of short duration (3-30 beats/min)
Begins with fusion beat

Pathophysiology

History / symptoms

Physical findings

Diagnostics

Treatment

  1. Usually requires no specific treatment
  2. Treatment should be directed at treating the underlying problem
     
  3. Hemodynamically compromised patients
  4. Hemodynamically stable patients
  5. If V-Tach keeps recurring due to AIVR

Disposition

  1. Admit all patients
  2. Treat underlying disorder
  3. Cardiology consult