Prime number variant of concealed trigeminy.

Abstract:

:A 53-year-old man with myocardial infarction was found to have frequent premature ventricular beats. The predominant pattern was classical concealed trigeminy; i.e., the number of conducted sinus beats, S, between extrasystoles satisfied the equation S = 3n + 2, where "n" is zero or any positive integer. Two other transient patterns also occurred. The first one was characterized by exceptional values of S, which satisfied the equation S = 3n + 3. In the second transient pattern, all values of S fitted the classical equation, but there were singularly absent values; i.e., the "n" in the equation was exclusively an odd number, giving rise to only prime numbers of interectopic conducted sinus beats. It is proposed in this last form that there are two sites of fixed block proximal to a variable distal block in a re-entry loop responsible for the ventricular extrasystoles.

journal_name

J Electrocardiol

authors

Medeiros CM,Medeiros NP,de Nonohay NC,Rodrigues R

doi

10.1016/s0022-0736(85)80024-8

subject

Has Abstract

pub_date

1985-10-01 00:00:00

pages

409-13

issue

4

eissn

0022-0736

issn

1532-8430

journal_volume

18

pub_type

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