Accelerated idioventricular rhythm in a child with status asthmaticus

Cheyenne Beach, Elisa Marcuccio, Lee Beerman, Gaurav Arora

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Abstract

Acute asthma exacerbations occur relatively frequently in children. We abstract present the case of a 4-year-old boy who was admitted to our hospital in status asthmaticus and found to have a wide complex rhythm while being treated with inhaled albuterol and intravenous methylprednisolone. This rhythm was diagnosed as accelerated idioventricular rhythm (AIVR), which carries a benign prognosis. It resolved as the medications used to treat his asthma exacerbation were weaned. There was no ventricular ectopy seen on a 24-hour Holter monitor performed 3 months after his hospitalization, suggesting that the AIVR was related to the medications the patient was receiving at the time. This case suggests that albuterol may be a risk factor for the development of AIVR and highlights the importance of recognizing this rhythm to avoid unnecessary and potentially harmful therapies.

Original languageEnglish (US)
Pages (from-to)e527-e529
JournalPediatrics
Volume136
Issue number2
DOIs
Publication statusPublished - Jan 1 2015
Externally publishedYes

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Beach, C., Marcuccio, E., Beerman, L., & Arora, G. (2015). Accelerated idioventricular rhythm in a child with status asthmaticus. Pediatrics, 136(2), e527-e529. https://doi.org/10.1542/peds.2015-0449