Ritmo Idioventricular: caso clínico

Marjorie Espinoza; Veronica Sumba; Isabel Mesa

doi:10.46652/rgn.v9i40.1239

Marjorie Espinoza Universidad Católica de Cuenca | Cuenca | Ecuador
Veronica Sumba Universidad Católica de Cuenca | Cuenca | Ecuador
Isabel Mesa Universidad Católica de Cuenca | Cuenca | Ecuador

DOI: https://doi.org/10.46652/rgn.v9i40.1239

Keywords: Cardiac Arrhythmias: Accelerated Idioventricular Rhythm; Electrocardiography; Disease Management; Cardiopathies.

Abstract

RIVA is considered the most prevalent arrhythmia during the resolution phase of acute myocardial infarction. underestimation of the real risk of certain adjacent causes could condition the development of complications, and the identification of electrocardiographic changes is decisive. To determine the different clinical contexts that point to idioventricular rhythm and its differentiation from ventricular tachycardia, as well as other analogous alterations. Based on inclusion and exclusion criteria, a clinical case analysis was performed, together with the analysis of high impact literature. 74-year-old patient attended for cardiovascular evaluation after AMI, hemodynamically stable; an electrocardiogram was performed, and a RIVA was found plus salvos of atrial fibrillation. Specific management is reserved in cases of hemodynamic instability, and emphasis should be placed on prevention and control of cardiovascular risk factors.

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Author Biographies

Marjorie Espinoza, Universidad Católica de Cuenca | Cuenca | Ecuador

Licenciada en Enfermería, con experiencia hospitalaria, estudiante del Máster en Gestión de Cuidados de la Universidad Católica de Cuenca.

Veronica Sumba, Universidad Católica de Cuenca | Cuenca | Ecuador

Licenciada en Enfermería. Maestría en Clínica Quirúrgica de la Universidad Nacional de Chimborazo. Desempeño clínico 2 años en cuidados intensivos en el HOSPITAL MONTE SINAÍ, 3 años en la unidad de cuidados intensivos neonatales en el HOSPITAL JOSÉ CARRASCO ARTEAGA, 1 año en el área de Maternidad en el Centro Materno Infantil Carlos Elizalde, 6 meses como Jefe de Cuidados Intensivos, Neonatología y Quirófano en el Hospital San JUAN de DIOS, 1 año como docente en el curso de auxiliares de enfermería en el INSTITUTO IDCA SCHOOL S. A. desde agosto de 2022 como miembro del Comité de Ética Asistencial del Hospital de Especialidades José Carrasco Arteaga hasta la actualidad, desde mayo de 2022 como tutor de prácticas de externos de la Universidad Católica de Cuenca en el Hospital José Carrasco Arteaga hasta la actualidad.

Isabel Mesa, Universidad Católica de Cuenca | Cuenca | Ecuador

Enfermera. Doctora en Ciencias de la Enfermería por la Universidad Andrés Bello, Chile. Especialista en Cuidado del Adulto en Estado Crítico de Salud de la Universidad de Antioquia, Medellín, Colombia. Desempeño clínico durante 10 años como enfermera clínica en las Unidades de Cuidado Intensivo Neonatal y Pediátrico del Hospital General de Medellín; y especializada en adultos en las clínicas cardiovasculares SOMER INCARE y EMMSA. 10 años de experiencia docente en la Universidad Católica de Cuenca; Coordinadora Académica de Postgrado, Maestría en Gestión del Cuidado. Investigadora docente.

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