Parasystole simulating ventricular bigeminy with Wenckebach-type coupling prolongation.
A 65-year old male originally presented with repetitive ventricular bigeminal sequences demonstrating progressive prolongation of successive coupling intervals suggesting Wenckeback-type exit block. An even number distribution of conducted beats always intervened between bigeminal sequences. Subsequent analysis proved this to be a fortuitous "pseudo-Wenckebach" phenomenon, with the actual mechanism being continuous parasystole. Additional recording verified a parasystolic rhythm.
D000200:Action Potentials; D000368:Aged; D005117:Cardiac Complexes, Premature / Q000503:physiopathology*; D004562:Electrocardiography; D006327:Heart Block / Q000503:physiopathology*; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D008297:Male; D009200:Myocardial Contraction; D013599:Systole