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Case Reports
. 2023 Dec 28;10(3):217-221.
doi: 10.1016/j.hrcr.2023.12.014. eCollection 2024 Mar.

Accelerated idioventricular rhythm as anginous substrate in elderly: Report of an unprecedented case

Rodrigo Rufino Pereira Silva  1 , Carolina Jerônimo Magalhães  1 , Rafael Silvestre Vieira da Silva  1 , Afonso Luiz Tavares de Albuquerque  1 , Sérgio Tavares Montenegro  1 , José Nunes de Alencar Neto  2
Affiliations
Case Reports

Accelerated idioventricular rhythm as anginous substrate in elderly: Report of an unprecedented case

Rodrigo Rufino Pereira Silva et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Accelerated idioventricular rhythm; Angina pectoris; Chest pain; Left bundle branch block; Painful left bundle branch block syndrome.

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Figures

Figure 1
Figure 1
First electrocardiogram showing regular sinus rhythm with an inverted, diffuse, and asymmetric T wave, without other findings.
Figure 2
Figure 2
Second electrocardiogram, at the time of pain, showing, in the second beat, the onset of a wide QRS rhythm and, from the third complex onward, also not preceded by a P wave. The heart rate is 55 beats per minute.
Figure 3
Figure 3
Twelve-lead electrocardiogram in the third minute of the treadmill test, which was interrupted owing to a complaint of chest pain, revealing ventricular arrhythmia that ceased concurrently with the end of the anginous episodes.
See this image and copyright information in PMC

References

    1. Zeppenfeld K., Tfelt-Hansen J., de Riva M., et al. 2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. Eur Heart J. 2022;43:3997–4126. - PubMed
    1. Bijsterveld N.R., van der Crabben S.N., Groenink M., Wilde A., Jørstad H. Accelerated idioventricular rhythm in a young athlete: physiology or pathology? JACC Case Rep. 2022;4 - PMC - PubMed
    1. Riera A.R.P., Barros R.B., de Sousa F.D., Baranchuk A. Accelerated idioventricular rhythm: history and chronology of the main discoveries. Indian Pacing Electrophysiol J. 2010;10:40–48. - PMC - PubMed
    1. Bonnemeier H., Ortak J., Wiegand U.K.H., et al. Accelerated idioventricular rhythm in the post-thrombolytic era: incidence, prognostic implications, and modulating mechanisms after direct percutaneous coronary intervention. Ann Noninvasive Electrocardiol. 2005;10:179–187. - PMC - PubMed
    1. Nikus K., Pahlm O., Wagner G., et al. Electrocardiographic classification of acute coronary syndromes: a review by a committee of the International Society for Holter and Non-Invasive Electrocardiology. J Electrocardiol. 2010;43:91–103. - PubMed

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