Ritmo idioventricular: um caso clínico
Resumo
A RIVA é considerada a arritmia mais prevalente durante a fase de resolução do infarto agudo do miocárdio. A subestimação do risco real de determinadas causas adjacentes pode condicionar o desenvolvimento de complicações, sendo decisiva a identificação das alterações eletrocardiográficas. Determinar os diferentes contextos clínicos que apontam para o ritmo idioventricular e sua diferenciação da taquicardia ventricular, bem como outras alterações análogas. Com base nos critérios de inclusão e exclusão, foi realizada uma análise de caso clínico, juntamente com a análise da literatura de alto impacto. A paciente de 74 anos veio para avaliação cardiovascular após IAM, hemodinamicamente estável; foi realizado um eletrocardiograma e constatada uma fibrilação atrial RIVA plus. Em conclusão, o tratamento específico é reservado em casos de instabilidade hemodinâmica, e a ênfase deve ser colocada na prevenção e no controle dos fatores de risco cardiovascular.
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