She undergoes percutaneous coronary intervention to her right coronary artery without complication. Three hours later her rhythm changes, and the below ECG is obtained:
What is the appropriate management?
A. No treatment is required
B. Lidocaine infusion
C. Amiodarone infusion
D. Emergent cardioversion
An accelerated idioventricular rhythm is seen on this ECG. This is a common post-STEMI rhythm and is also termed “slow ventricular tachycardia” because it meets morphology criteria for VT but has a heart rate below 100 beats per minute. This is a benign, hemodynamically stable rhythm, and no treatment is necessary.