Accelerated Idioventricular Rhythm and Hypokalemia, Atypical Presentation in the Midst of a Pandemic

Authors

  • Carlos Rodríguez-Artuza Universidad del Zulia – Facultad de Medicina – Instituto de Investigaciones de Enfermedades Cardiovasculares – Maracaibo/Zulia – Venezuela/ Centro Clínico La Sagrada Familia – Medicine – Cardiology – Maracaibo/Zulia – Venezuela. https://orcid.org/0000-0001-7925-6145
  • Mayela Labarca Torres Centro Clínico La Sagrada Familia – Medicine – Cardiology – Maracaibo/Zulia – Venezuela. https://orcid.org/0000-0002-2789-3537
  • José Meza Centro Clínico La Sagrada Familia – Medicine – Cardiology – Maracaibo/Zulia – Venezuela.

Keywords:

Slow ventricular tachycardia, Short-coupling interval, Water-electrolyte imbalance

Abstract

A 34-year-old female patient was referred to a private center from a rural population due to exertional dyspnea and palpitations for 15 days being previously asymptomatic, a surface electrocardiogram diagnoses sinus rhythm alternating with accelerated idioventricular rhythm with episodes of short-coupling intervals. When conducting a diagnostic investigation, hypokalemia and decreased serum magnesium were evidenced and, after correction of the water-electrolyte imbalance, the electrocardiographic disorders disappeared.

Downloads

Download data is not yet available.

References

REFERENCES

Carlos Rodríguez Artuza, Jose Rivera, Lorena Gutiérrez, Kelly González, José Chacon Ritmo idioventricular acelerado en escolar de 10 anos Avances Cardiol 2011;31(3):270-271

Arash Pezhouman, Neha Singh, Zhen Song, Michael Nivala, Anahita Eskandari, Hong Cao, Aneesh Bapat, Christopher Y. Ko, Thao Nguyen, Zhilin Qu, Hrayr S. Karagueuzian, James N. Weiss. Molecular of Hypokalemia –induced ventricular fibrillation. Circulation. 2015 Oct 20; 132(16): 1528–1537

Andres Ricardo Perez Riera, Raimundo Barbosa Barros, Francisco Daniel de Sousa, Adrian Baranchuk. Accelerated Idioventricular Rhythm: History and Chronology of the Main Discoveries.Indian Pacing Electrophysiol J. 2010; 10(1): 40–48

Shohreh Honarbakhsh, Irina Suman-Horduna, Lilian Mantziari, Sabine Ernst. Grouped Beating in Eisenmenger: Successful Localization and Ablation of an Accelerated Idioventricular Rhythm from Within the Purkinje System. Indian Pacing Electrophysiol J. 2013 May-Jun; 13(3): 126–130

Mahaletwork Assefa, Senan J Yasar, Obai Abdullah, Hee Kong Fong, Sudarshan Balla. Accelerated Idioventricular Rhythm at the Termination of an Episode of Vasospastic Angina Cureus. 2019 Jan; 11(1): e3895.

Avaneesh Jakkoju, Rakesh Jakkoju, Pramilla N. Subramaniam, D. Luke Glancy. Accelerated idioventricular rhythm. Proc (Bayl Univ Med Cent) 2018 Oct; 31(4): 506–507

Moroz VM, et al. Study of pathogenesis of ventricular arrhythmia in experimental rats by separation of sinus and ventricular substitutional rhythms. Bull Exp Biol Med. 2006;141:400

Marcelo V. Elizari, Diego Conde, Adrian Baranchuk, Pablo A Chiale. Accelerated Idioventricular Rhythm Unmasking the Brugada Electrocardiographic Pattern. Ann Noninvasive Electrocardiol. 2015 Jan; 20(1): 91–93.

Charles Antzelevitch, Hector Barajas-Martinez. A gain-of-function IK-ATP mutation and its role in sudden cardiac death associated with J-wave syndromes. Heart Rhythm. 2010 Oct; 7(10): 1472–1474.

Bence Patocskai, Hector Barajas-Martinez, Dan Hu, Zsolt Gurabi, István Koncz, Charles Antzelevitch. Cellular and Ionic Mechanisms Underlying Effects of Cilostazol, Milrinone and Isoproterenol to Suppress Arrhythmogenesis in an Experimental Model of Early Repolarization Syndrome. Heart Rhythm. 2016 Jun; 13(6): 1326–1334.

Downloads

Published

22-02-2021

How to Cite

Rodríguez-Artuza, C. ., Torres, M. L. ., & Meza, J. . (2021). Accelerated Idioventricular Rhythm and Hypokalemia, Atypical Presentation in the Midst of a Pandemic. JOURNAL OF CARDIAC ARRHYTHMIAS, 34(1), 23–27. Retrieved from https://jca.org.br/jca/article/view/3421

Issue

Section

Clinical Arrythmia