| | CHEST: Mechanism of bradycardia-dependent appearance of manifest extrasystoles in concealed ventricular trigeminy (Site not responding. Last check: 2007-10-20) |
 | | The mechanism was satisfactorily explained, using the concepts of longitudinal dissociation and concealed 3:2 Wenckebach periodicity in the reentrant pathway of extrasytoles. |
 | | In concealed bigeminy, the number of sinus QRS complexes intervening between two successive extrasystoles is ordinarily uneven (ie, 2n-1);(1)(2)(3) in concealed trigeminy, that number is ordinarily 3n-1,(1)(2)(3) where n is any positive integer. |
 | | On the other hand, bradycardia-dependent appearance of manifest extrasystoles in concealed bigeminy was reported in a case of the classic form(6) and in two cases of the even-number variant;(4)(7) however, bradycardia-dependent appearance in concealed trigeminy has never been reported before. |
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