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
APA
Chicago
ICMJE
MLA
NLM
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.
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