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The Lab

Rhythms

Atrial Bigeminy

Every second P wave is premature and has a different morphology; conducted QRS remains narrow. Early filling is reduced and the reset pause is noncompensatory relative to the underlying sinus cycle.

Overview

Open Clinical controls → Baseline vitals → Rhythm and choose Atrial Bigeminy. The rate and atrial/ventricular timing follow this rhythm’s model.

Every second P wave is premature and has a different morphology; conducted QRS remains narrow. Early filling is reduced and the reset pause is noncompensatory relative to the underlying sinus cycle.

The disease state remains active. Disease morphology, treatment and temporary pacing can modify the displayed result; use the effective rate and the current twelve-lead read.

Step by step

  1. Select the rhythm, then adjust Ventricular rate if required.
  2. Compare Lead II, V1 and the arterial pulse.
  3. Open 12-lead ECG; use Variant or Next variant, then Pause → Interpretation.

References & further reading

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