Accelerated Idioventricular Rhythm 

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A rhythm of ectopic ventricular origin, faster than the normal rate of the His-Purkinje system but slower than 100 beats per minute, without retrograde conduction to the atria.

Accelerated Idioventricular Rhythm

Accelerated Idioventricular Rhythm (AIVR)


Characteristics

Rate Ventricular rate 41-100 BPM 

Rhythm Ventricular rhythm is regular 

P-Waves Usually absent or with retrograde conduction to the atria, may appear after the QRS.

PR Interval None


QRS Duration 0.12 sec (3 small boxes) or greater, wide and bizarre.


MEDS

NONE


Treatment

Monitor Diagnostic 12 lead 

Oxygen 15LPM NR Mask 

Supportive Care


Usually requires none


Noticeable by: 

3 or more Ventricular escape occur in a row at a rate of 41-100 BPM QRS Complex is Wide and Bazaar

© Matt Dillard 2012