Triple ventricular parasystole
This presentation reflects the analysis of an electrocardiographic recording obtained from a patient with hypertensive heart disease. In the initial section of the tracing, fixed coupled monomorphic ectopic ventricular beats occurred in regular trigeminal rhythm. The pattern changed following an atr...
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| Veröffentlicht in: | Journal of electrocardiology 1993-04, Vol.26 (2), p.159-164 |
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| container_title | Journal of electrocardiology |
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| creator | Oreto, Giuseppe Satullo, Gaetano Luzza, Francesco Saporito, Francesco |
| description | This presentation reflects the analysis of an electrocardiographic recording obtained from a patient with hypertensive heart disease. In the initial section of the tracing, fixed coupled monomorphic ectopic ventricular beats occurred in regular trigeminal rhythm. The pattern changed following an atrial extrasystole and several ventricular ectopic beats of various configuration occurred, often in sequence. Analysis demonstrated the presence of three independent parasystolic rhythms, two of which manifested with the character of intermittency, namely they were occasionally reset by extraneous impulses. The interplay of the sinus pacemaker with three parasystolic foci resulted in a very complex arrhythmic pattern. In some periods, however, two out of three ectopic rhythms were inapparent, and the third one manifested with fixed coupled complexes, so that a regular extrasystolic trigeminy ensued, and parasystole was not recognizable. |
| doi_str_mv | 10.1016/0022-0736(93)90009-3 |
| format | Article |
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In the initial section of the tracing, fixed coupled monomorphic ectopic ventricular beats occurred in regular trigeminal rhythm. The pattern changed following an atrial extrasystole and several ventricular ectopic beats of various configuration occurred, often in sequence. Analysis demonstrated the presence of three independent parasystolic rhythms, two of which manifested with the character of intermittency, namely they were occasionally reset by extraneous impulses. The interplay of the sinus pacemaker with three parasystolic foci resulted in a very complex arrhythmic pattern. In some periods, however, two out of three ectopic rhythms were inapparent, and the third one manifested with fixed coupled complexes, so that a regular extrasystolic trigeminy ensued, and parasystole was not recognizable.</description><identifier>ISSN: 0022-0736</identifier><identifier>EISSN: 1532-8430</identifier><identifier>DOI: 10.1016/0022-0736(93)90009-3</identifier><identifier>PMID: 8501413</identifier><identifier>CODEN: JECAB4</identifier><language>eng</language><publisher>Orlando, FL: Elsevier Inc</publisher><subject>Aged ; Arrhythmias, Cardiac - physiopathology ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Clinical manifestations. Epidemiology. Investigative techniques. 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In the initial section of the tracing, fixed coupled monomorphic ectopic ventricular beats occurred in regular trigeminal rhythm. The pattern changed following an atrial extrasystole and several ventricular ectopic beats of various configuration occurred, often in sequence. Analysis demonstrated the presence of three independent parasystolic rhythms, two of which manifested with the character of intermittency, namely they were occasionally reset by extraneous impulses. The interplay of the sinus pacemaker with three parasystolic foci resulted in a very complex arrhythmic pattern. In some periods, however, two out of three ectopic rhythms were inapparent, and the third one manifested with fixed coupled complexes, so that a regular extrasystolic trigeminy ensued, and parasystole was not recognizable.</description><subject>Aged</subject><subject>Arrhythmias, Cardiac - physiopathology</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Electrocardiography</subject><subject>Heart Conduction System - physiopathology</subject><subject>Heart Ventricles</subject><subject>Humans</subject><subject>intermittent parasystole</subject><subject>irregular parasystole</subject><subject>Male</subject><subject>Medical sciences</subject><subject>parasystole</subject><issn>0022-0736</issn><issn>1532-8430</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRaq3-A5UeRPQQnf3qZi-CFL-g4KWel81mAitpEneTQv-9iQ09eprDPO_DzEvIJYUHCnTxCMBYAoov7jS_1wCgE35EplRylqSCwzGZHpBTchbj98AwxSZkkkqggvIpuV4H35Q432LVBu-60oZ5Y4ONu9jWJZ6Tk8KWES_GOSNfry_r5Xuy-nz7WD6vEse5bBMFkBdKoIYF16pX9-4st1IyTQvR35JlqlAFCAYZU4IxYWmaiRSsopox5DNyu_c2of7pMLZm46PDsrQV1l00SioBvDfNiNiDLtQxBixME_zGhp2hYIZazPCzGX42mpu_WgzvY1ejv8s2mB9CYw_9_mbc2-hsWQRbOR8PmFBMpFL22NMew76LrcdgovNYOcx9QNeavPb_3_ELq7x6ow</recordid><startdate>19930401</startdate><enddate>19930401</enddate><creator>Oreto, Giuseppe</creator><creator>Satullo, Gaetano</creator><creator>Luzza, Francesco</creator><creator>Saporito, Francesco</creator><general>Elsevier Inc</general><general>Churchill Livingstone</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19930401</creationdate><title>Triple ventricular parasystole</title><author>Oreto, Giuseppe ; Satullo, Gaetano ; Luzza, Francesco ; Saporito, Francesco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c335t-700df74e906397014413bda55291f4430bb7f7f0420b274224a18b480a71922e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Aged</topic><topic>Arrhythmias, Cardiac - physiopathology</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Electrocardiography</topic><topic>Heart Conduction System - physiopathology</topic><topic>Heart Ventricles</topic><topic>Humans</topic><topic>intermittent parasystole</topic><topic>irregular parasystole</topic><topic>Male</topic><topic>Medical sciences</topic><topic>parasystole</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oreto, Giuseppe</creatorcontrib><creatorcontrib>Satullo, Gaetano</creatorcontrib><creatorcontrib>Luzza, Francesco</creatorcontrib><creatorcontrib>Saporito, Francesco</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of electrocardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oreto, Giuseppe</au><au>Satullo, Gaetano</au><au>Luzza, Francesco</au><au>Saporito, Francesco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Triple ventricular parasystole</atitle><jtitle>Journal of electrocardiology</jtitle><addtitle>J Electrocardiol</addtitle><date>1993-04-01</date><risdate>1993</risdate><volume>26</volume><issue>2</issue><spage>159</spage><epage>164</epage><pages>159-164</pages><issn>0022-0736</issn><eissn>1532-8430</eissn><coden>JECAB4</coden><abstract>This presentation reflects the analysis of an electrocardiographic recording obtained from a patient with hypertensive heart disease. In the initial section of the tracing, fixed coupled monomorphic ectopic ventricular beats occurred in regular trigeminal rhythm. The pattern changed following an atrial extrasystole and several ventricular ectopic beats of various configuration occurred, often in sequence. Analysis demonstrated the presence of three independent parasystolic rhythms, two of which manifested with the character of intermittency, namely they were occasionally reset by extraneous impulses. The interplay of the sinus pacemaker with three parasystolic foci resulted in a very complex arrhythmic pattern. In some periods, however, two out of three ectopic rhythms were inapparent, and the third one manifested with fixed coupled complexes, so that a regular extrasystolic trigeminy ensued, and parasystole was not recognizable.</abstract><cop>Orlando, FL</cop><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>8501413</pmid><doi>10.1016/0022-0736(93)90009-3</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Arrhythmias, Cardiac - physiopathology Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Clinical manifestations. Epidemiology. Investigative techniques. Etiology Electrocardiography Heart Conduction System - physiopathology Heart Ventricles Humans intermittent parasystole irregular parasystole Male Medical sciences parasystole |
| title | Triple ventricular parasystole |
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