Mechanism of Ventricular Premature Contraction Showing Interpolated Bigeminy —Strong Modulation Hypothesis—

Alternate patterns of premature ventricular excitation during induced atrial bigeminy.

SUMMARY Alternate patterns of premature ventricular excitation have been observed during induced atrial bigeminy in 18 subjects, including five normal volunteers. Each study was performed in the cardiac catheterization suite where a transvenous catheter electrode was positioned in the right atrium. Coupled or paired stimuli were delivered to the atrium by an isolated battery-powered source at a...

Classification of Premature Ventricular Contraction in ECG

Cardiac arrhythmia is one of the most important indicators of heart disease. Premature ventricular contractions (PVCs) are a common form of cardiac arrhythmia caused by ectopic heartbeats. The detection of PVCs by means of ECG (electrocardiogram) signals is important for the prediction of possible heart failure. This study focuses on the classification of PVC heartbeats from ECG signals and, in...

Mechanisms of Intermittent Ventricular Bigeminy

In a previous report dealing with intermittent ventricular bigeminy due to ventricular premature systoles with fixed coupling in the presence of a grossly irregular dominant pacemaker, it was shown that the appearance and disappearance of the ectopic beats were dependent upon the length of the ventricular cycle ("rule of bigeminy"). In the present report, dealing with ventricular premature syst...

Acute myocardial infarction revealed by interpolated premature ventricular contractions.

Bigeminy in ventricular interpolation.

T he occurrence of a premature beat between two consecutive conducted sinus beats is termed an interpolated premature systole or extrasystole.1 An interpolated premature ventricular systole can effect the conduction of the subsequent sinus beat by concealed retrograde penetration into the His-Purkinje system or AV node or both. This retrograde concealed penetration can result in a prolongation ...