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01-09-2014 | Rhythm Puzzle - Question | Uitgave 9/2014 Open Access

Netherlands Heart Journal 9/2014

A particular bigeminy during atrial tachycardia

Netherlands Heart Journal > Uitgave 9/2014
C. Buttà, A. Tuttolomondo, L. Giarrusso, A. Pinto
A 77-year-old female patient presented to the hospital’s emergency department with palpitations. The electrocardiogram shows a supraventricular bigeminy where the premature beats are due to aberrant conduction (wider and deeper S waves from lead V1 to V5 and ‘RSR’ morphology in lead V6) but the rhythm is not sinus (Fig.  1). What is the mechanism?
You will find the answer elsewhere in this issue.
Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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