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  • Title: Bigeminal sandwiches galore.
    Author: Lindow T, Niklasson A, Manna D, Pahlm O.
    Journal: Ann Noninvasive Electrocardiol; 2018 Mar; 23(2):e12484. PubMed ID: 28653364.
    Abstract:
    A long run of PVCs "sandwiched" in between the sinus beats resulting in an almost doubling of the heart rate-interpolated PVCs in bigeminy-is described. This case illustrates three interesting aspects of interpolated PVCs. Although they are not uncommon, long runs of interpolated PVCs in bigeminy are rare findings. In this case, the arrhythmia had a duration of 3 minutes. Second, it illustrates the "age-old wisdom" of partial retrograde conduction. Also, even though the arrhythmia resulted in an almost doubling of the heart rate, the patient remained asymptomatic.
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