EMS ECGs: accelerated idioventricular rhythm (AIVR) in patients with ACS and other critical cases to help you save lives!
Baltimore City EMS Cases with Dr. Amal Mattu
HPI
A 69-year-old man is brought in by EMS to the ED with chest pain and shortness of breath. No prehospital treatment was rendered. The following prehospital ECG was obtained:
Before watching this week’s video, ask yourself these questions:
- What ECG abnormalities do you notice?
- What is the definition of an accelerated idioventricular rhythm (AIVR)?
- Is it possible to have AIVR without treatment with thrombolytics?
- How would you manage this rhythm?
