2022
DOI: 10.1016/j.jaccas.2022.09.023
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Accelerated Idioventricular Rhythm in a Young Athlete

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Cited by 3 publications
(3 citation statements)
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“…It is most commonly observed after reperfusion of an acute myocardial infarction; however, it has been documented in cases with drug intoxications (e.g., digoxin, beta agonists, and anesthetic agents), electrolyte disturbances, cardiomyopathies (e.g., hypertrophic, dilated, and arrhythmogenic), and in healthy individuals without any underlying cardiac pathology (Riera et al., 2010 ). It is important to note that typically AIVR has a favorable prognosis and, if necessary, medical intervention focuses on addressing the underlying responsible causes (Bijsterveld et al., 2022 ). It can be easily postulated that in our case report, chronic uremic state was the trigger for AIVR formation.…”
Section: Discussionmentioning
confidence: 99%
“…It is most commonly observed after reperfusion of an acute myocardial infarction; however, it has been documented in cases with drug intoxications (e.g., digoxin, beta agonists, and anesthetic agents), electrolyte disturbances, cardiomyopathies (e.g., hypertrophic, dilated, and arrhythmogenic), and in healthy individuals without any underlying cardiac pathology (Riera et al., 2010 ). It is important to note that typically AIVR has a favorable prognosis and, if necessary, medical intervention focuses on addressing the underlying responsible causes (Bijsterveld et al., 2022 ). It can be easily postulated that in our case report, chronic uremic state was the trigger for AIVR formation.…”
Section: Discussionmentioning
confidence: 99%
“…Se trata de una arritmia típicamente benigna de distribución ecuánime entre pacientes pediátricos y adultos, debido a su naturaleza asintomática suele ser diagnosticada de forma fortuita durante controles electrocardiográficos o valoraciones pre quirúrgicas, su morfología guarda gran parecido con casos de taquicardia ventricular, de ahí la importancia de conocer sobre su fisiopatología, para un reconocimiento acertado que evite la aplicación de esquemas terapéuticos erróneos, que podrían generar resultados desfavorables para la salud de los pacientes (Kappy et al, 2021;Yazaki et al, 2021). Bijsterveld et al (2022), proponen la definición patológica del RIVA asociándolo siempre con presencia de patología cardiaca (infarto agudo de miocardio, miocardiopatía, alteraciones hidroelectrolíticas, efectos adversos de fármacos, etc. ), y coincidiendo con la bibliografía presentada, aseveran la existencia de casos en los que no existe evidencia de patología cardiaca subyacente, principalmente en grupos vulnerables como niños, adolescentes, adultos mayores o aquellos expuestos a mayores demandas metabólicas (deportistas).…”
Section: Discussionunclassified
“…Accelerated idioventricular rhythm (AIVR) results from the abnormal action of an ectopic ventricular pacemaker. AIVR is characterized as a regular rhythm with 3 or more ventricular complexes (QRS complex >120 ms) and a heart rate up to 100 beats per minute, 1 although ranges up to 110 2 –120³ have been described, varying according to the source consulted. The pathophysiology involves hyper-automatism and triggered activity, particularly in cases of ischemia and digoxin toxicity.…”
Section: Introductionmentioning
confidence: 99%