Accelerated Idioventricular Rhythm

Cardiac rhythm that originates from the ventricular with a rate of 40-100/minute; QRS is wide with P waves absent.

Pacemaker sites can deliver impulses faster than typically expected. For example, pacemakers within the ventricles tend to generate rates of 20-40/minute. But these same pacemakers can, in certain circumstances, yield ventricular tachycardias (>100/minute). But what of rhythms that are not quite tachycardias but are faster than what is expected from a pacemaker site. These rhythms are called accelerated rhythms. For example, the junction usually fires at rates of 40-60/minute. A junctional rhythm with rates of 61-100/minute is called an accelerated junctional rhythm. Likewise, a ventricular rhythm with rates of 41-100/minute is an accelerated ventricular rhythm (or an accelerated idioventricular rhythm).

accelerated ventricular rhythm, HR 88/min

1. Six Second ECG Guidebook (2012), T Barill, p. 116, 189

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Dynamic ECG rhythm interpretation
Static ECG rhythm interpretation
Clinical Impact Mapping
Acute Coronary Syndromes Overview
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ST Segment & T Wave Differential
Identify Bundle Branch Blocks
15 | 18 Lead View Mapping
Electrical Axis
R Wave Progression
Left Bundle Branch Blocks with ACS
Atypical Findings
Acute Non-Ischemic Disease Conditions
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