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Agonal rhythm strip

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An idioventricular rhythm is very similar to ventricular tachycardia except the ventricular rate is less than 60 beats per minute. All other characteristics of VT apply; this includes the presence of atrioventricular dissociation, as seen in the ECG and strip below, and the Brugada Criteria. When the ventricular rate is between 60 and bpm, it is referred to as an accelerated idioventricular rhythm. This is a hemodynamically stable rhythm that occurs commonly after myocardial infarction and no treatment is needed. This ECG displays an accelerated idioventricular rhythm. This has a left bundle branch block pattern and is a good example of the AV dissociation that occurs.
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Cardiac Rhythms

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ECG Educator Blog : Agonal Rhythm

For each cardiac rhythm category we provide one or more ECG tracings. A synopsis of the cardiac rhythm dysrhythmia is provided and electronic calipers can be used to study each tracing. A basic EKG course is available using the link below. Essential ECG features are explained along with step-by-step analysis techniques.
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Idioventricular Rhythms ECG Review


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