Accelerated Idioventricular Rhythm Medication

Updated: Dec 21, 2016
  • Author: Nayereh G Pezeshkian, MD; Chief Editor: Jeffrey N Rottman, MD  more...
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Medication

Medication Summary

Atropine 0.25-1 mg is sometimes used to accelerate underlying sinus rate to inhibit AIVR.

Isoproterenol, verapamil, and antiarrhythmia drugs such as lidocaine and amiodarone are occasionally used for AIVR.

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Anticholinergics

Class Summary

The goal is to accelerate sinus rate or to improve AV conduction in atrial fibrillation to inhibit AIVR.

Atropine IV/IM (Atropisol)

Used to increase heart rate through vagolytic effects, causing an increase in cardiac output.

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