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A case of narrow complex bigeminy, what is the underlying rhythm?
Jesse K Fitzpatrick1, Nora Goldschlager2
1Department of Internal Medicine, University of California San Francisco, 505 Parnassus Avenue., Rm. 987, San Francisco, CA 94143, USA.
Abstract:
Narrow complex bigeminy is a common electrocardraphic finding that can be caused by second degree sinoatrial exit block or ectopic atrial bigeminy. These rhythms can be very challenging to distinguish on a 12-lead electrocardiogram. In this case of an elderly woman who presented with narrow complex bigeminy, we review the differentiating features of second degree sinoatrial exit block and ectopic atrial bigeminy.
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