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Idioventricular rhythm

MedGen UID:
195980
•Concept ID:
C0700363
•
Finding
Synonyms: Idioventricular Rhythm; Rhythm, idioventricular; Ventricular rhythm
SNOMED CT: Ventricular rhythm (49260003); Idioventricular rhythm (49260003)

Definition

An electrocardiographic finding of three or more consecutive complexes of ventricular origin with a rate less than a certain threshold (100 or 120 beats per minute are commonly used). The QRS complexes are wide and have an abnormal morphology. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIdioventricular rhythm

Professional guidelines

PubMed

Acupuncture Treatment of a Patient with Bradycardia and Idioventricular Rhythm.
Strakhova O, Ryzhov A
J Acupunct Meridian Stud 2022 Dec 31;15(6):356-360. doi: 10.51507/j.jams.2022.15.6.356. PMID: 36537118
Prenatal diagnosis and prognosis of accelerated idioventricular rhythm.
Fouron JC, McNeal-Davidson A, Abadir S, Fournier A, Bigras JL, Boutin C, Brassard M, Raboisson MJ, van Doesburg N, Berger A, Brisebois S, Gendron R
Ultrasound Obstet Gynecol 2017 Nov;50(5):624-631. doi: 10.1002/uog.17382. PMID: 27943499
Update on management of cardiac arrhythmias in acute coronary syndromes.
Willich T, Goette A
Minerva Cardioangiol 2015 Apr;63(2):121-33. Epub 2015 Jan 22 PMID: 25612305

Recent clinical studies

Etiology

Frequent accelerated idioventricular rhythm in an otherwise healthy child: a case report and review of literature.
Ljubas Perčić D, Krmek N, Benko I, Kniewald H, Bitanga S, Katavić M, Perčić M
BMC Cardiovasc Disord 2023 Jan 20;23(1):37. doi: 10.1186/s12872-023-03074-5. PMID: 36670379Free PMC Article
Clinical characteristics and therapeutic strategy of frequent accelerated idioventricular rhythm.
Wang L, Liu H, Zhu C, Gu K, Yang G, Chen H, Ju W, Li M, Zhang F, Yang B, Wang DW, Chen M
BMC Cardiovasc Disord 2021 Sep 8;21(1):425. doi: 10.1186/s12872-021-02221-0. PMID: 34496747Free PMC Article
Prenatal diagnosis and prognosis of accelerated idioventricular rhythm.
Fouron JC, McNeal-Davidson A, Abadir S, Fournier A, Bigras JL, Boutin C, Brassard M, Raboisson MJ, van Doesburg N, Berger A, Brisebois S, Gendron R
Ultrasound Obstet Gynecol 2017 Nov;50(5):624-631. doi: 10.1002/uog.17382. PMID: 27943499
Is accelerated idioventricular rhythm a good marker for reperfusion after streptokinase?
Khan A, Nadeem S, Kokane H, Thummar A, Lokhandwala Y, Mahajan AU, Nathani PJ
Indian Heart J 2016 May-Jun;68(3):302-5. Epub 2016 Jan 12 doi: 10.1016/j.ihj.2015.09.023. PMID: 27316481Free PMC Article
Ventricular arrhythmias during reperfusion.
Miller FC, Krucoff MW, Satler LF, Green CE, Fletcher RD, Del Negro AA, Pearle DL, Kent KM, Rackley CE
Am Heart J 1986 Nov;112(5):928-32. doi: 10.1016/0002-8703(86)90302-9. PMID: 3776819

Diagnosis

Clinical characteristics and therapeutic strategy of frequent accelerated idioventricular rhythm.
Wang L, Liu H, Zhu C, Gu K, Yang G, Chen H, Ju W, Li M, Zhang F, Yang B, Wang DW, Chen M
BMC Cardiovasc Disord 2021 Sep 8;21(1):425. doi: 10.1186/s12872-021-02221-0. PMID: 34496747Free PMC Article
Idioventricular rhythm and shock after a honeybee sting.
Franco-Lugo D, Uribe-Vallarta DA, Bernal-Contreras KD, Vargas-Abonce VP, Soto-Pérez-De-Celis E, Rivera-Figueroa J, Cuevas-Ramos D, Gómez-Pérez FJ, Gómez-Sámano MÁ
Arch Cardiol Mex 2021;91(2):186-189. doi: 10.24875/ACM.20000035. PMID: 33887752Free PMC Article
ECG Diagnosis: Accelerated Idioventricular Rhythm.
Gildea TH, Levis JT
Perm J 2018;22:17-173. doi: 10.7812/TPP/17-173. PMID: 29616912Free PMC Article
Prenatal diagnosis and prognosis of accelerated idioventricular rhythm.
Fouron JC, McNeal-Davidson A, Abadir S, Fournier A, Bigras JL, Boutin C, Brassard M, Raboisson MJ, van Doesburg N, Berger A, Brisebois S, Gendron R
Ultrasound Obstet Gynecol 2017 Nov;50(5):624-631. doi: 10.1002/uog.17382. PMID: 27943499
Bradydysrhythmias and atrioventricular conduction blocks.
Ufberg JW, Clark JS
Emerg Med Clin North Am 2006 Feb;24(1):1-9, v. doi: 10.1016/j.emc.2005.08.006. PMID: 16308110

Therapy

Clinical characteristics and therapeutic strategy of frequent accelerated idioventricular rhythm.
Wang L, Liu H, Zhu C, Gu K, Yang G, Chen H, Ju W, Li M, Zhang F, Yang B, Wang DW, Chen M
BMC Cardiovasc Disord 2021 Sep 8;21(1):425. doi: 10.1186/s12872-021-02221-0. PMID: 34496747Free PMC Article
Update on management of cardiac arrhythmias in acute coronary syndromes.
Willich T, Goette A
Minerva Cardioangiol 2015 Apr;63(2):121-33. Epub 2015 Jan 22 PMID: 25612305
Slow ventricular tachycardia.
Leitz N, Khawaja Z, Been M
BMJ 2008 Jul 3;337:a424. doi: 10.1136/bmj.39489.687894.DE. PMID: 18599467
Fatal flecainide intoxication.
Rogers C, Anderson DT, Ribe JK, Sathyavagiswaran L
J Anal Toxicol 1993 Nov-Dec;17(7):434-5. doi: 10.1093/jat/17.7.434. PMID: 8309219
Clinical types of proarrhythmic response to antiarrhythmic drugs.
Bigger JT Jr, Sahar DI
Am J Cardiol 1987 Apr 30;59(11):2E-9E. doi: 10.1016/0002-9149(87)90195-0. PMID: 3554950

Prognosis

Acupuncture Treatment of a Patient with Bradycardia and Idioventricular Rhythm.
Strakhova O, Ryzhov A
J Acupunct Meridian Stud 2022 Dec 31;15(6):356-360. doi: 10.51507/j.jams.2022.15.6.356. PMID: 36537118
Clinical characteristics and therapeutic strategy of frequent accelerated idioventricular rhythm.
Wang L, Liu H, Zhu C, Gu K, Yang G, Chen H, Ju W, Li M, Zhang F, Yang B, Wang DW, Chen M
BMC Cardiovasc Disord 2021 Sep 8;21(1):425. doi: 10.1186/s12872-021-02221-0. PMID: 34496747Free PMC Article
Accelerated idioventricular rhythm resulting in torsades de pointes and cardiac arrest in a child: successfully cryoablated in left'coronary cusp.
Ergul Y, Kafali HC, Uysal F
Cardiol Young 2020 Mar;30(3):418-421. Epub 2019 Dec 20 doi: 10.1017/S1047951119002993. PMID: 31858927
Prenatal diagnosis and prognosis of accelerated idioventricular rhythm.
Fouron JC, McNeal-Davidson A, Abadir S, Fournier A, Bigras JL, Boutin C, Brassard M, Raboisson MJ, van Doesburg N, Berger A, Brisebois S, Gendron R
Ultrasound Obstet Gynecol 2017 Nov;50(5):624-631. doi: 10.1002/uog.17382. PMID: 27943499
Defining electromechanical dissociation.
Ewy GA
Ann Emerg Med 1984 Sep;13(9 Pt 2):830-2. doi: 10.1016/s0196-0644(84)80452-7. PMID: 6476549

Clinical prediction guides

Acupuncture Treatment of a Patient with Bradycardia and Idioventricular Rhythm.
Strakhova O, Ryzhov A
J Acupunct Meridian Stud 2022 Dec 31;15(6):356-360. doi: 10.51507/j.jams.2022.15.6.356. PMID: 36537118
Clinical characteristics and therapeutic strategy of frequent accelerated idioventricular rhythm.
Wang L, Liu H, Zhu C, Gu K, Yang G, Chen H, Ju W, Li M, Zhang F, Yang B, Wang DW, Chen M
BMC Cardiovasc Disord 2021 Sep 8;21(1):425. doi: 10.1186/s12872-021-02221-0. PMID: 34496747Free PMC Article
Dysrhythmias in Laypersons During Centrifuge-Simulated Suborbital Spaceflight.
Suresh R, Blue RS, Mathers CH, Castleberry TL, Vanderploeg JM
Aerosp Med Hum Perform 2017 Nov 1;88(11):1008-1015. doi: 10.3357/AMHP.4910.2017. PMID: 29046176
Prenatal diagnosis and prognosis of accelerated idioventricular rhythm.
Fouron JC, McNeal-Davidson A, Abadir S, Fournier A, Bigras JL, Boutin C, Brassard M, Raboisson MJ, van Doesburg N, Berger A, Brisebois S, Gendron R
Ultrasound Obstet Gynecol 2017 Nov;50(5):624-631. doi: 10.1002/uog.17382. PMID: 27943499
Multiform accelerated idioventricular rhythm in acute myocardial infarction: electrocardiographic characteristics and response to verapamil.
Sclarovsky S, Strasberg B, Fuchs J, Lewin RF, Arditi A, Klainman E, Kracoff OH, Agmon J
Am J Cardiol 1983 Jul;52(1):43-7. doi: 10.1016/0002-9149(83)90066-8. PMID: 6858925

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