Ventricular Bigeminy: Causes & Reasons

Possible Causes for Ventricular Bigeminy

Example 3) Ventricular Bigeminy ECG (Example 1) Ventricular Bigeminy ECG (Example 2) Ventricular Bigeminy ECG (Example 3) Ventricular Trigeminy ECG (Example 1) Ventricular [healio.com]

For your basic student, it is a good example of sinus rhythm with ventricular bigeminy. [ecgguru.com]

Ventricular bigeminy occurs when every other beat is a PVC. No treatment is necessary for PVCs. If symptomatic, beta-blockers or antiarrhythmic drugs can be effective. [healio.com]

Atrial Bigeminy

The patient is in Ventricular Bigeminy. Bigeminy comes for the latin for ‘twins’. [resus.com.au]

[…] transforming into a fatal arrhythmia in managing a case of ventricular bigeminy. [karnatakaanaesthj.org]

Tisagenlecleucel Suspension (Kymriah) Clinical Briefs Aberrant Conduction or Ventricular Bigeminy? [reliasmedia.com]

Digitalis Toxicity

Most common finding: PVCs Other arrhythmias: bradycardia, atrial tachyarrhythmias with AV block, ventricular bigeminy, junctional rhythm, various degrees of AV nodal blockade [ucsfmed.wordpress.com]

Other ECG changes that suggest digoxin toxicity include bigeminal and trigeminal rhythms, ventricular bigeminy, and bidirectional ventricular tachycardia. [5] Blood test [ [en.wikipedia.org]

bigeminy, and regularized AF. [calsprogram.org]

Ventricular Arrhythmia

[…] rhythm, ventricular bigeminy, ventricular ectopic beats, and ventricular escape rhythm) episodes from Electrocardiogram (ECG) signal. [ncbi.nlm.nih.gov]

In this paper, we report the case of a male adolescent with PHP type 1a who presented with hypocalcemia-induced ventricular extrasystoles (bigeminy, trigeminy) and mild corrected [ncbi.nlm.nih.gov]

Bigeminy, Trigeminy, Quadrigeminy, etc. - ventricular bigeminy is the occurrence of a PVC every other beat, trigeminy is every third beat, quadrigeminy every fourth beat. [heartpoint.com]

Premature Atrial Contractions

Atrial Fibrillation Bigeminy Trigeminy Junctional Rhythm Accelerated Idioventricular Rhythm Ventricular Tachycardia Torsades des Pointes Ventricular Fibrillation Asystole [play.google.com]

Ventricular Premature Depolarization Premature Ventricular Contraction Paroxysmal Atrial Tachycardia Multifocal Atrial Tachycardia Supraventricular Tachycardia Atrial Flutter [play.google.com]

Branch Block Left Bundle Branch Block Left Anterior Hemiblock Left Posterior Hemiblock Normal Sinus Rhythm Atrial Premature Depolarization Premature Atrial Contraction Atrial Bigeminy [play.google.com]

Kounis Syndrome

bigeminy and nonsustained ventricular tachycardia at 13:20 and 13:42. [bmccardiovascdisord.biomedcentral.com]

Full size image Fig. 13 Ventricular bigeminy at 13:40 in Holter Full size image Discussion We report 5 rare cases of KS induced by unreported exposures or circumstances. [bmccardiovascdisord.biomedcentral.com]

Fig. 11 ST segment elevation for 2-3 mm in leads II, III, aVF, V5, V6 at13:40-13:42 in Holter Full size image Fig. 12 Nonsustained ventricular tachycardia at 13:42 in Holter [bmccardiovascdisord.biomedcentral.com]

Cardiomyopathy

Frequent ventricular ectopics and ventricular bigeminy (seen with severe DCM). Ventricular dysrhythmias ( VT / VF ). [lifeinthefastlane.com]

Paroxysmal Ventricular Tachycardia

RVOT non-sustained monomorphic ventricular tachycardia (on the left side) and LVOT ventricular bigeminy (on the right side). Figure 2. [escardio.org]

Torsades de Pointes Torsade de Pointes, preceded by bigemini. [textbookofcardiology.org]

Conclusion: Ventricular arrhythmia in the absence of structural heart disease concerns a small subgroup of patients with VT. [escardio.org]

Atrial Arrhythmia

[…] are termed ventricular bigeminy PVCs that occur at intervals of 2 normal beats to 1 PVC are termed "PVCs in trigeminy" Three premature ventricular grouped together is termed [en.wikipedia.org]

[…] arrhythmia[edit] Premature ventricular contractions (PVCs), sometimes called ventricular extra beats (VEBs) Premature ventricular beats occurring after every normal beat [en.wikipedia.org]

Afib) AV nodal reentrant tachycardia Junctional arrhythmia[edit] AV nodal reentrant tachycardia Junctional rhythm Junctional tachycardia Premature junctional contraction Ventricular [en.wikipedia.org]

Hypokalemia

bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report, Italian Journal of Pediatrics, 10.1186/s13052-019-0633-y, 45, 1, [doi.org]

Number of times cited according to CrossRef: 3 Konrad Miszczuk, Joanna Mroczek-Wacinska, Robert Piekarski, Beata Wysocka- Lukasik, Renata Jawniak and Iwona Ben-Skowronek, Ventricular [doi.org]

Myocardial Infarction

Coronary Atherosclerosis

What is the function of coronary arteries? The coronary arteries supply blood flow to the heart, and when functioning normally, they ensure adequate oxygenation of the myocardium at all levels of cardiac activity. Constriction and dilation of the coronary arteries, governed primarily by local regulatory mechanisms[…] [cvphysiology.com]

Acute Myocardial Infarction

We herein report the case of a 25-year-old Japanese woman with left-main-trunk acute myocardial infarction (LMT-AMI). She had cardiogenic shock, so emergency percutaneous intervention was performed. Intravascular ultrasound of LMT-AMI showed that the three-layered structure of the intima, tunica media, and[…] [ncbi.nlm.nih.gov]

Acute Myocarditis

AIM: Cardiac magnetic resonance (CMR) can visualize inflammatory tissue changes in acute myocarditis. Several quantitative image-derived parameters have been described to enhance the diagnostic value of CMR, but no direct comparison of these techniques is available. METHODS AND RESULTS: A total of 34 patients with[…] [ncbi.nlm.nih.gov]

Toxic Myocarditis

We report the case of an 18-year-old woman with personality disorders who was hospitalized a few hours after suicidal ingestion of acetaminophen, quetiapine, acetylsalicylic acid, and ethanol. Twelve hours after admission, severe liver damage was evident, but the patient was stable and awaiting hepatic transplantation.[…] [ncbi.nlm.nih.gov]

Myocardial Contusion

Abstract Myocardial contusion is an infrequent, but sometimes serious complication in patients who experienced deceleration (blunt) trauma. We investigated the assessment of the new cardiac markers troponin I (cTnI) and troponin T (cTnT) in relation to the conventional CKMB-activity, the CKMB-activity/CK-total[…] [ncbi.nlm.nih.gov]

Atrioventricular Junctional Rhythm

Low atrial or junctional rhythm, second degree atrioventricular block, right ventricular escape beats, ventricular escape-capture bigeminy, ventriculophasic atrial arrhythmia [uthsc.pure.elsevier.com]

bigeminy Ventricular trigeminy Wandering atrial pacemaker Wandering pacemaker Withdrawal arrhythmia 427.89 Excludes Applies To Rhythm disorder: coronary sinus ectopic nodal [icd9data.com]

Atrial Fibrillation Bigeminy Trigeminy Junctional Rhythm Accelerated Idioventricular Rhythm Ventricular Tachycardia Torsades des Pointes Ventricular Fibrillation Asystole [play.google.com]

Andersen-Tawil Syndrome

[…] arrhythmias (bigeminy, long-QT interval, ectopy, bidirectional ventricular tachycardia), and dysmorphic facial features. [accessanesthesiology.mhmedical.com]

The presenting ECG showed ventricular bigeminy and repolarization assessment of the QTc or QTu was not feasible owing to ventricular bigeminy (Figure 2A). [heartrhythmcasereports.com]

[…] contractions, bigeminy, and polymorphic ventricular tachycardia (VT).5 Typically, VT is not sustained and bidirectional in nature with heart rates in the range of 130 to [thoracickey.com]

Torsades De Pointes

[…] fibrillation 5 years ago, was admitted for catheter ablation of incessant right ventricular outflow tract bigeminy. [ncbi.nlm.nih.gov]

However, a cardiac monitor revealed a short run of ventricular bigeminy. At this point, ECG was abnormal with prolongation of the QT interval (QT/QTc 524/517 ms). [consultant360.com]

Initial 12 lead EKG in emergency room showing ventricular bigeminy. QTc was 550 ms. [ncbi.nlm.nih.gov]

Catecholaminergic Polymorphic Ventricular Tachycardia Type 2

Exercise stress test induced ventricular bigeminy or polymorphic ventricular tachycardia in affected individuals. [ncbi.nlm.nih.gov]

Exercise on treadmill induced premature ventricular contraction in bigeminy and bidirectional ventricular tachycardia was induced during isoproterenol infusion. [ncbi.nlm.nih.gov]

Even after the initiation of medical therapy, high-risk ventricular arrhythmias (VAs), including premature ventricular contraction couplets, bigeminy, and ventricular tachycardia [ncbi.nlm.nih.gov]

Catecholaminergic Polymorphic Ventricular Tachycardia

[…] big, ventricular bigeminy; Dobl vent, ventricular doublets; VEs, ventricular extrasystoles; y, years. [revespcardiol.org]

The ECG during exercise stress test revealed multifocal PVCs when the sinus rate exceeded 130 bpm, followed by ventricular bigeminy and ventricular couplets (Fig. 1 ). [link.springer.com]

Ventricular bigeminy during phenylephrine infusion used to maintain normotension during caesarean section under spinal anaesthesia.Int J Obstet Anesth. 2007 Jul;16(3):288- [revista-portalesmedicos.com]

Bidirectional Tachycardia

If the threshold heart rate for delayed afterdepolarizations is surpassed at a given focus in the bundle branches, ventricular bigeminy develops, and the heart rate is effectively [symptoma.com]

A more recent case report with His bundle recordings confirmed that bidirectional tachycardia can be the result of ventricular bigeminy in the presence of a junctional tachycardia [journals.lww.com]

It is a marker of increased risk of ventricular tachycardia, idioventricular rhythm and ventricular fibrillation. Ventricular beats may be unifocal or multifocal. [ecgwaves.com]

Ventricular Extrasystoles with Syncopal Episodes - Perodactyly - Robin Sequence

This syndrome is characterized by cardiac arrhythmias (ventricular extrasystoles manifesting as bigeminy or multifocal tachycardia with syncopal episodes), perodactyly (hypoplasia [ncbi.nlm.nih.gov]

Orpha Number: 3201 Definition This syndrome is characterized by cardiac arrhythmias (ventricular extrasystoles manifesting as bigeminy or multifocal tachycardia with syncopal [rarediseases.info.nih.gov]

Left Atrial Hypertrophy

Atrial Fibrillation Bigeminy Trigeminy Junctional Rhythm Accelerated Idioventricular Rhythm Ventricular Tachycardia Torsades des Pointes Ventricular Fibrillation Asystole [play.google.com]

Ventricular Premature Depolarization Premature Ventricular Contraction Paroxysmal Atrial Tachycardia Multifocal Atrial Tachycardia Supraventricular Tachycardia Atrial Flutter [play.google.com]

Pulsus Bisferiens

Ocular pressure waveform reflects ventricular bigeminy and aortic insufficiency Indian J Ophthalmol. 2015;63:59–61 2. [journals.lww.com]

Torsade-De-Pointes Syndrome with Short Coupling Interval

Example 5 R on T phenomenon: There is sinus rhythm with frequent PVCs in a pattern of ventricular bigeminy. [lifeinthefastlane.com]

Philodendron Poisoning

Aconitum ( monkshood, aconite, wolfsbane ) Aconitum ( monkshood, aconite, wolfsbane ) ECG, atrial fibrillation with ventricular bigeminy If you grind up and drink 5 ounces [pediatric-house-calls.djmed.net]

Aconitum or wolfsbane is a cardio-active drug whose toxicity produces atrial fibrillation with ventricular bigeminy along with a trip to the ER, low blood pressure and bradycardia [pediatric-house-calls.djmed.net]

Cardiac Dilatation

Frequent ventricular ectopics and ventricular bigeminy (seen with severe DCM). Ventricular dysrhythmias ( VT / VF ). [lifeinthefastlane.com]

Diffuse Intraventricular Block

Tachyarrhythmias: Junctional tachycardia Atrial tachycardia Ventricular ectopia, bigemini, monomorphic ventricular tachycardia, bidirectional ventricular tachycardia Intoxication [en.ecgpedia.org]

Familial Ventricular Polymorphic Tachycardia

Example 4 Monomorphic VT alternates with ventricular bigeminy. The ventricular complexes have the following features: Very broad QRS duration (> 160 bpm). [litfl.com]

[…] contractions or ventricular bigeminy, despite the absence of sustained high rates. [20] Etiology Causes of ventricular tachycardia (VT) include the following [11] : Ischemic [emedicine.medscape.com]

Holter recordings uncovered over 20,000 predominantly single VPCs, but also bigeminial cycles and salvos up to four successive beats. [bmcmedgenet.biomedcentral.com]