ECG Quest > Rhythms > Extra Beats > Bigeminy

Bigeminy

Ventricular bigeminy is a grouped rhythm with pairs of beats where every second beat is a ventricular ectopic. It is also possible to have atrial bigeminy.

See also: Extra Beats

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In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea Bigeminy Change in rhythm Ventricular Fibrillation Rhythm Strip Dr Pendell Meyers Dr Smith's ECG Blog Dr Ken Grauer Dr Stephen W. Smith CC BY-NC
Posterolateral OMI resulting in VT, then R-on-T phenomenon and VF – change of rhythm

This ECG is from a man in his 50s who presented with 1 hour of chest pain and shortness of breath. This was his repeat ECG while preparing for transport to the cath lab.

In the ECGquest archives, this ECG has been tagged with: - Palpitations Grouped Normal Axis Bigeminy 12-Lead ECG of the Week Dr John Larkin CC-BY-NC-SA
ECG of the Week – 30th July 2018 – Interpretation

This ECG is from a woman in her 60s who presented with palpitations on a background of paroxysmal AF.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Grouped Anterior ST elevation Pathological Q waves Bigeminy Acute Anterior MI 12-Lead ECG Guru Dawn Bean Altman Dr Ken Grauer Jason Roediger CC-BY-NC-SA
Instructors’ Collection ECG: Anterior Wall M.I. With Ventricular Bigeminy

This ECG is from a man in his 50s who presented with acute chest pain. He had a history of hypertension and 40 pack years of smoking.

In the ECGquest archives, this ECG has been tagged with: - Grouped Normal P waves Bigeminy Premature atrial complex 12-Lead ECG Interpretation Dr Ken Grauer CC-BY-NC-SA
ECG Blog #140 – (PVC – Atrial Bigeminy – PAC – LAHB – RBBB – LPHB – Aberration).
In the ECGquest archives, this ECG has been tagged with: - Discordant ST changes Wide QRS Bigeminy Premature ventricular complex Ventricular pacemaker 12-Lead ECG of the Week Dr John Larkin CC-BY-NC-SA
ECG of the Week – 18th April 2016 – Interpretation

This ECG is from a man in his 80s who presented with chest pain and dizziness. He had a dual chamber pacemaker for previous bradycardia.

This ECG shows bigeminy with each ventricular paced beat followed by a PVC. The ST segments are appropriately discordant. There was no evidence of infarction.