Which of the following best describes an accelerated idioventricular rhythm (AIVR)?

a. Rapid, chaotic rhythm with no pattern or regularity
b. Gradual alteration in the amplitude and direction of the QRS; atrial rate indiscernible, ventricular rate 150 to 250 beats/min
c. Regular ventricular rhythm with QRS complexes measuring 0.10 seconds or less; P waves may occur before, during or after the QRS; ventricular rate 41 to 60 beats/min
d. Essentially regular ventricular rhythm with QRS complexes measuring 0.12 seconds or greater; atrial rate not discernible; ventricular rate 41 to 100 beats/min


D
Characteristics of accelerated idioventricular rhythm:
Rhythm Ventricular rhythm is essentially regular.
Rate 41 to 100 (41 to 120 per some cardiologists) beats/min
P waves Usually absent or, with retrograde conduction to the atria, may appear after the QRS (usually upright in the ST segment or T wave)
PR interval None
QRS duration Greater than 0.12 seconds; the T wave frequently in the opposite direction of the QRS complex

Nursing

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