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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?
A particular bigeminy with aberrant conduction during atrial tachycardia
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Buttà, C., Tuttolomondo, A., Giarrusso, L. et al. A particular bigeminy during atrial tachycardia. Neth Heart J 22, 408 (2014). https://doi.org/10.1007/s12471-014-0572-6
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DOI: https://doi.org/10.1007/s12471-014-0572-6