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If the number of normal beats in a minute is slow ( bradycardia ), symptoms may include dizziness, lightheadedness, fainting, or low blood pressure. Some more common signs of bigeminy and other arrhythmias also include: In some severe cases, bigeminy comes before fainting, falling, sudden cardiac arrest, and even death.

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Bigeminy causes. The causes of bigeminy aren't always clear. Heart disease or high blood pressure may create problems with your heart's electrical system, which controls when and how.

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Bigeminy is a cardiac arrhythmia in which there is a single ectopic beat, or irregular heartbeat, following each regular heartbeat.Most often this is due to ectopic beats occurring so frequently that there is one after each sinus beat, or normal heartbeat.The two beats are figuratively similar to two twins (hence bi-+ gemini).For example, in ventricular bigeminy, a sinus beat is shortly.

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Signaling issues in your heart cause bigeminy. These can happen because of conditions such as: Heart attack. High blood pressure. Anemia. Hyperthyroidism. Cardiomyopathy. Mitral valve prolapse. In addition to your heart's normal "pacemaker" signals, cells inside your heart may signal your heart to beat.

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An infection in your heart, or somewhere else in your body. Things that rev up your heart: caffeine, nicotine, drugs like cocaine, and some over-the-counter or herbal medicines. Too many or too.

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Retrograde capture describes the process whereby the ectopic impulse is conducted retrogradely through the AV node, producing atrial depolarisation. This is visible on the ECG as an inverted P wave (" retrograde P wave "), usually occurring after the QRS complex. PVCs are said to be "frequent" if there are more than 5 PVCs per minute on.