Open AccessBigeminal sandwiches galore
Author(s) -
Lindow Thomas,
Niklasson Angelica,
Manna Daniel,
Pahlm Olle
Publication year - 2018
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12484
Subject(s) - bigeminy , medicine , cardiology , asymptomatic , anesthesia , ventricular tachycardia
A long run of PVC s “sandwiched” in between the sinus beats resulting in an almost doubling of the heart rate—interpolated PVC s in bigeminy—is described. This case illustrates three interesting aspects of interpolated PVC s. Although they are not uncommon, long runs of interpolated PVC s in bigeminy are rare findings. In this case, the arrhythmia had a duration of 3 minutes. Second, it illustrates the “age‐old wisdom” of partial retrograde conduction. Also, even though the arrhythmia resulted in an almost doubling of the heart rate, the patient remained asymptomatic.