ECG library
Accelerated idioventricular rhythm
advancedThirty minutes after primary PCI for inferior STEMI, a wide rhythm appears. BP 122/74.
25 mm/s · 10 mm/mV · synthetic tracing
100%
Calipers:2000 ms50.0 small boxes30 bpm if R-RDrag the orange markers. One small box = 40 ms.
Key findings
- Wide regular rhythm at 60 to 100
- Hemodynamically stable
- Post-reperfusion context
Learning points
- AIVR after PCI usually announces reperfusion, not deterioration; observe rather than suppress.
- The rate separates it from VT: same morphology, different urgency.
Connected