Korean J Crit Care Med.  2009 Apr;24(1):33-36. 10.4266/kjccm.2009.24.1.33.

A Case of Accelerated Idioventricular Rhythm Lasted for 5 Days after Reperfusion in a Patient with Spasm-induce Myocardial Infaction: A Case Report

Affiliations
  • 1Department of Internal Medicine, Busan Veterans Hospital, Busan, Korea. dhugie@naver.com

Abstract

A 56-year-old man presented with right coronary arterial spasm accompanied by ST segment elevation in the inferior leads. A reperfusion arrhythmia, accelerated idioventricular rhythm (AIVR), developed 1 hour after a nitroglycerin infusion. The AIVR was sustained for 5 days without hemodynamic instability, and resolved spontaneously during hemodynamic monitoring in the coronary intensive care unit.

Keyword

angina pectoris; variant; accelerated idioventricular rhythm; myocardial infarction

MeSH Terms

Accelerated Idioventricular Rhythm
Angina Pectoris
Arrhythmias, Cardiac
Hemodynamics
Humans
Intensive Care Units
Middle Aged
Myocardial Infarction
Nitroglycerin
Reperfusion
Spasm
Nitroglycerin
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