Concealed Bigeminy in Acute Myocardial Infarction

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Abstract

Concealed bigeminy represents a rhythm disorder in which bigeminy is ever-present, but the ventricular premature beats are not always detectable and there is an odd number of interectopic sinus beats. Retrospective examination of the ECG tracings of patients with acute myocardial infarction and ventricular premature beats demonstrated a statistically significant predominance of odd numbers of interectopic sinus beats. There were 20 cases of concealed bigeminy and in 10 of these the probability that this was a chance finding was less than 0.01. In 1 case with 79 consecutive odd series of interectopic beats the chance of such an occurrence was 2<sup>-79</sup>. These results indicate that a predictable pattern may exist in the arrhythmias associated with some cases of acute myocardial infarction.

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Journal

Journal ID (publisher-id): CRD

Journal ID (nlm-ta): Cardiology

Journal ID (doi): 10.1159/issn.0008-6312

Title: Cardiology

Publisher: S. Karger AG

ISSN (Print): 0008-6312

ISSN (Electronic): 1421-9751

Publication date Subscription-year: 1982

Publication date (Print): 1982

Publication date (Electronic): 07 November 2008

Volume: 69

Issue: 4

Pages: 214-218

Affiliations

Intensive Coronary Care Unit, Asaf Harofe Hospital, Tsrifin, and Tel-Aviv University Sackler School of Medicine, Tel-Aviv, Israel

Article

Publisher ID: 173506 Other ID: Cardiology 1982;69:214–218

DOI: 10.1159/000173506

PubMed ID: 6184162

SO-VID: 5ad33fef-ed19-4905-9886-2cf28ce8d769

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Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

History

Date received : 02 February 1982

Date accepted : 02 May 1982

Page count

Pages: 5

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