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Wide complex bigeminy: unusual presentation of an atriofascicular fiber.

Publication ,  Journal Article
Kanter, RJ; Saba, Z; Garson, A
Published in: J Cardiovasc Electrophysiol
September 1994

Ventricular bigeminy in children is regarded as a benign arrhythmia in the absence of coexisting heart disease. We present the case of a patient with an atriofascicular fiber that electrocardiographically presented as wide complex bigeminy and wide complex tachycardia. At electrophysiologic study, the mechanism for the wide complex extrasystoles was reentry within the atriofascicular fiber or at its atrial insertion. Retrograde conduction within the fiber was also demonstrated under the influence of verapamil and ventricular extrastimulus testing. We conclude that conduction through an atriofascicular fiber should be included in the differential diagnosis of wide complex bigeminy having left bundle branch block morphology.

Duke Scholars

Published In

J Cardiovasc Electrophysiol

DOI

ISSN

1045-3873

Publication Date

September 1994

Volume

5

Issue

9

Start / End Page

795 / 802

Location

United States

Related Subject Headings

  • Humans
  • Heart Ventricles
  • Heart Conduction System
  • Female
  • Electrocardiography
  • Child
  • Cardiovascular System & Hematology
  • Cardiac Complexes, Premature
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

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Kanter, R. J., Saba, Z., & Garson, A. (1994). Wide complex bigeminy: unusual presentation of an atriofascicular fiber. J Cardiovasc Electrophysiol, 5(9), 795–802. https://doi.org/10.1111/j.1540-8167.1994.tb01204.x
Kanter, R. J., Z. Saba, and A. Garson. “Wide complex bigeminy: unusual presentation of an atriofascicular fiber.J Cardiovasc Electrophysiol 5, no. 9 (September 1994): 795–802. https://doi.org/10.1111/j.1540-8167.1994.tb01204.x.
Kanter RJ, Saba Z, Garson A. Wide complex bigeminy: unusual presentation of an atriofascicular fiber. J Cardiovasc Electrophysiol. 1994 Sep;5(9):795–802.
Kanter, R. J., et al. “Wide complex bigeminy: unusual presentation of an atriofascicular fiber.J Cardiovasc Electrophysiol, vol. 5, no. 9, Sept. 1994, pp. 795–802. Pubmed, doi:10.1111/j.1540-8167.1994.tb01204.x.
Kanter RJ, Saba Z, Garson A. Wide complex bigeminy: unusual presentation of an atriofascicular fiber. J Cardiovasc Electrophysiol. 1994 Sep;5(9):795–802.
Journal cover image

Published In

J Cardiovasc Electrophysiol

DOI

ISSN

1045-3873

Publication Date

September 1994

Volume

5

Issue

9

Start / End Page

795 / 802

Location

United States

Related Subject Headings

  • Humans
  • Heart Ventricles
  • Heart Conduction System
  • Female
  • Electrocardiography
  • Child
  • Cardiovascular System & Hematology
  • Cardiac Complexes, Premature
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology