{"id":28613,"date":"2019-02-11T15:03:32","date_gmt":"2019-02-11T15:03:32","guid":{"rendered":"https:\/\/johnsonfrancis.org\/professional\/?p=28613"},"modified":"2024-02-05T19:48:23","modified_gmt":"2024-02-05T14:18:23","slug":"ecg-quiz-47","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/ecg-quiz-47\/","title":{"rendered":"ECG Quiz 47"},"content":{"rendered":"<h2><span style=\"color: #008000;\">ECG Quiz 47<\/span><\/h2>\n<p><span style=\"color: #0000ff;\"><strong>What is the arrhythmia seen in the highlighted region of the monitor screen shot? <\/strong><\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-28614 aligncenter\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/AIVR.jpg\" alt=\"\" width=\"1221\" height=\"411\" \/><\/p>\n<p><strong><span style=\"color: #0000ff;\">Discussion<\/span><\/strong><\/p>\n<p>Highlighted region shows a run of wide QRS rhythm. The inset shows cycle length of the rhythm as 627 ms. This will correspond to a ventricular rate of nearly 96\/min. Wide QRS rhythm originating from the ventricles in this range is considered as an accelerated idioventricular rhythm or AIVR. AIVR is a common reperfusion arrhythmia which occurs after successful reperfusion of acute myocardial infarction &#8211; spontaneous, by thrombolysis or by primary angioplasty. It is usually a self-limited arrhythmia and needs no specific treatment. It can be overridden by accelerating the sinus rate with atropine.<\/p>\n<figure id=\"attachment_28616\" aria-describedby=\"caption-attachment-28616\" style=\"width: 1222px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-28616\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/AIVRa.jpg\" alt=\"Monitor screenshot showing runs of AIVR\" width=\"1222\" height=\"651\" \/><figcaption id=\"caption-attachment-28616\" class=\"wp-caption-text\">Monitor screenshot showing runs of AIVR, isolated VPC, couplets and salvo. Salvo is the occurrence of three consecutive ventricular ectopic beats. It can be considered as a short run of ventricular tachycardia if the rate is above 100\/min.<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>ECG Quiz 47 What is the arrhythmia seen in the highlighted region of the monitor screen shot? Discussion Highlighted region shows a run of wide QRS rhythm. The inset shows cycle length of the rhythm as 627 ms. This will correspond to a ventricular rate of nearly 96\/min. Wide QRS rhythm originating from the ventricles [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":28614,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[6,7],"tags":[],"class_list":["post-28613","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ecg-electrophysiology","category-ecg-library"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ECG Quiz 47 - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/ecg-quiz-47\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ECG Quiz 47 - All About Cardiovascular System and Disorders\" \/>\n<meta property=\"og:description\" content=\"ECG Quiz 47 What is the arrhythmia seen in the highlighted region of the monitor screen shot? Discussion Highlighted region shows a run of wide QRS rhythm. The inset shows cycle length of the rhythm as 627 ms. This will correspond to a ventricular rate of nearly 96\/min. Wide QRS rhythm originating from the ventricles [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/ecg-quiz-47\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2019-02-11T15:03:32+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-02-05T14:18:23+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-47\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-47\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"ECG Quiz 47\",\"datePublished\":\"2019-02-11T15:03:32+00:00\",\"dateModified\":\"2024-02-05T14:18:23+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-47\\\/\"},\"wordCount\":157,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-47\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"ECG \\\/ Electrophysiology\",\"ECG Library\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-47\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-47\\\/\",\"name\":\"ECG Quiz 47 - All About Cardiovascular System and Disorders\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-47\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-47\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2019-02-11T15:03:32+00:00\",\"dateModified\":\"2024-02-05T14:18:23+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-47\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-47\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-47\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-47\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"ECG Quiz 47\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. 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