A Case of Accelerated Idioventricular Rhythm Lasted for 5 Days after Reperfusion in a Patient with Spasm-induce Myocardial Infaction: A Case Report.
10.4266/kjccm.2009.24.1.33
- Author:
Kyoung Chan KIM
1
;
Il Soo KIM
;
Wook KANG
;
Jae Kyoon KIM
;
Chang Hoon YU
;
Su Hong KIM
Author Information
1. Department of Internal Medicine, Busan Veterans Hospital, Busan, Korea. dhugie@naver.com
- Publication Type:Case Report
- Keywords:
angina pectoris;
variant;
accelerated idioventricular rhythm;
myocardial infarction
- MeSH:
Accelerated Idioventricular Rhythm;
Angina Pectoris;
Arrhythmias, Cardiac;
Hemodynamics;
Humans;
Intensive Care Units;
Middle Aged;
Myocardial Infarction;
Nitroglycerin;
Reperfusion;
Spasm
- From:The Korean Journal of Critical Care Medicine
2009;24(1):33-36
- CountryRepublic of Korea
- Language:Korean
-
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.
