Bigeminal Rhythm Iv

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Bigeminal rhythm IV.

rhythm with each early complex having a wide QRS. Although the wide QRS superficially suggests that this is ventricular bigeminy, the perfect right-bundle-branchblock pattern (RS in lead I, qRS in lead V6, rsR ́ in lead V1) suggests that the early complex is an aberrantly conducted supraventricular complex. The atrial rhythm is typical counterclockwise atrial flutter with negative P waves in lea...

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We describe the criteria for differential diagnosis between 3:2 sinoatrial block from atrial bigeminy due to an ectopic focus in the sinus or parasinus zone. In the 3:2 sinoatrial block the RR interval of the basic rhythm is similar to the short R-R interval of the paired rhythm. In atrial bigeminy, the R-R interval of the basic rhythm is similar to the long R-R interval of the paired rhythm.

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ژورنال

عنوان ژورنال: Baylor University Medical Center Proceedings

سال: 2010

ISSN: 0899-8280,1525-3252

DOI: 10.1080/08998280.2010.11928640