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AIVR is currently defined as an

enhanced ectopic ventricular
rhythm with at least 3 consecutive
ventricular beats

Adjetivo

Ectopic

Ectpico

Rhythm

Ritmo

Accelerated idioventricular rhythm

Sustanti
(AIVR) was first described by Thomas
vo
Lewis in 1910

Foco

Most aivrs originate from a single

focus. Occasionally, in patients with
Sustanti
acute myocardial ischemia and
vo
myocarditis, AIVR can originate from
multiple foci

Foci

Triggered

Under certain conditions such as

acute ischemia and digoxin toxicity,
Desencadenada triggered
activity
has
been
suggested as the mechanism for
AIVR

Myocarditis Miocarditis

Verbo

Most aivrs originate from a single

focus. Occasionally, in patients with
Sustanti
acute myocardialischemia and
vo
myocarditis, AIVR can originate from
multiple foci

AIVR is hemodynamically well

Hemodynami Hemodinmicam
tolerated due to its slow ventricular
cally
ente
rate.

Adjetivo

Fibrilacin

AIVR can degenerate into ventricular Sustanti

tachycardia or ventricular fibrillation
vo

Dysfunction

Disfuncin

In patients with severe myocardial

dysfunction, AIVR may lead to
hemodynamic instability due to the
loss of AV synchrony or relatively
rapid ventricular rate.

Sustanti
vo

Thrombolysis

Trombosis

In the thrombolysis era, AIVR was

Sustanti

Fibrillation

noted to be a marker ofreperfusion

Occluded

Reperfusion

Percutaneous

Bradycardia

vo

Ocluido

In the thrombolysis era, AIVR was

noted to be a marker of reperfusion

Verbo

Reperfusin

AIVR seems to be associated with

more extensive myocardial damage
and delayed microvascular
reperfusion,

Sustanti
vo

Percutnea

Recently, studies in patients with

STEMI treated with primary
percutaneous coronary intervention
support that AIVR is a marker of
occluded coronary artery reopening,
but is not necessarily a marker for
complete reperfusion

Adjetivo

Bradicardia

AIVR manifests as the dominant

rhythm of the heart. Sinus
bradycardia may facilitate the
appearance of AIVR.

Sustanti
vo

Under certain conditions such as

acute ischemia and digoxin toxicity,
triggered activity has been
suggested as the mechanism for
AIVR

Sustanti
vo

Toxicity

Toxicidad

Tachycardia

Taquicardia

AIVR can degenerate into ventricular Sustanti

tachycardia or ventricular fibrillation
vo

Intrnseco

IVR is currently defined as an

enhanced ectopic ventricular rhythm
with at least 3 consecutive
ventricular beats, which is faster
Adjetivo
than normal intrinsic ventricular
escape rhythm but slower than
ventricular tachycardia-

Intrinsic