Hypothermia-induced accelerated idioventricular rhythm after cardiac surgery; a case report.

ABSTRACT:

Background

Accelerated idioventricular rhythm (AIVR) is a slow ventricular arrhythmia, commonly due to myocardial ischemia in coronary artery disease. It is a transitory rhythm that rarely causes hemodynamic instability or necessitates any specific therapy. Besides, the common predisposing factors for ventricular arrhythmias after open-heart surgery are hemodynamic instability, electrolyte imbalances, hypoxia, hypovolemia, myocardial ischemia and infarction, acute graft closure, reperfusion injury, and administration of inotropes and antiarrhythmic drugs. Here we report a case of AIVR after cardiac surgery, mostly due to hypothermia that to our knowledge, it is the first report.

Case presentation

We describe a 76-year-old man presenting with typical chest pain. Following rou

SUBMITTER: Hosseini S 

PROVIDER: S-EPMC10026505 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature