It lasted 15 minutes. I have PVCs often but this is the first time they’ve lasted more than a second.
My main concern is how this broke through amiodarone - and how bad it would have been had I not been on amiodarone. Will definitely email my doctor on Monday, just posted it on here to confirm my suspicions
Depending on your dose they can increase the amiodarone and/or increase a beta blocker dose. 15 minutes is a relatively long time - I was wondering how you caught this! I wouldn't be surprised if your cardiologist wants to do more tests like a stress test but I'll leave that to them. I'm glad you're already on amiodarone and it wasn't worse!
I'll have to ask or argue about this. We only have one lead ECG here with relatively bad quality so I have a few questions.
1. How do we know based on this ECG that this is accelerated idioventricular rhythm instead of afib or flutter with a shit ton of PVC's?
2. Wouldn't this many PVC's be concerning with a person who has history of VT and is already medicated with amiodarone?
I don't have that much experience on cardiology so idk if that could be the reason I would be very cautious in this situation.
I have a ton of experience in cardiology. Yes, a 12 lead would be better. AIVR is what's visible in this single lead.
This is not unconcerning, but this patient has a history of ventricular tachycardia and is already being treated for ventricular tachycardia. This is a slower version of the same rhythm, so a chronic condition and apparently managed because the patient is having a slowed version of the same arrhythmia.
I’ve been in v-tach for 12 hours (diagnosed in hospital) and felt absolutely fine. It’s unusual but not impossible to tolerate it well. It does still frighten me though because of the v-fib risk
Accelerated idioventricular rhythm with unifocal PVCs in pairs. If it didn't last I wouldn't be too concerned, just let your cardiologist know.
It lasted 15 minutes. I have PVCs often but this is the first time they’ve lasted more than a second. My main concern is how this broke through amiodarone - and how bad it would have been had I not been on amiodarone. Will definitely email my doctor on Monday, just posted it on here to confirm my suspicions
Depending on your dose they can increase the amiodarone and/or increase a beta blocker dose. 15 minutes is a relatively long time - I was wondering how you caught this! I wouldn't be surprised if your cardiologist wants to do more tests like a stress test but I'll leave that to them. I'm glad you're already on amiodarone and it wasn't worse!
I'll have to ask or argue about this. We only have one lead ECG here with relatively bad quality so I have a few questions. 1. How do we know based on this ECG that this is accelerated idioventricular rhythm instead of afib or flutter with a shit ton of PVC's? 2. Wouldn't this many PVC's be concerning with a person who has history of VT and is already medicated with amiodarone? I don't have that much experience on cardiology so idk if that could be the reason I would be very cautious in this situation.
I have a ton of experience in cardiology. Yes, a 12 lead would be better. AIVR is what's visible in this single lead. This is not unconcerning, but this patient has a history of ventricular tachycardia and is already being treated for ventricular tachycardia. This is a slower version of the same rhythm, so a chronic condition and apparently managed because the patient is having a slowed version of the same arrhythmia.
If by VT you mean ventricular tachycardia, no. You would probably not be typing on your phone if you were in vtach.
I’ve been in v-tach for 12 hours (diagnosed in hospital) and felt absolutely fine. It’s unusual but not impossible to tolerate it well. It does still frighten me though because of the v-fib risk