Old teaching tools should not be forgotten: The value of the Lewis ladder diagram in understanding bigeminal rhythms

Pavel Antiperovitch, Antoni Bayés de Luna, José Nunes de Alencar, Javier García-Niebla, Luis Alberto Escobar-Robledo, Danilo Weir Restrepo, David Aristizabal, Albert Massó van Roessel, Antoni Bayés-Genís, Adrián Baranchuk

Research output: Contribution to journalReview articleResearchpeer-review

1 Citation (Scopus)

Abstract

© 2019 Wiley Periodicals, Inc. As medical education evolves, some traditional teaching methods often get forgotten. For generations, the Lewis ladder diagram (LLD) has helped students understand the mechanisms of cardiac arrhythmias and conduction disorders. Similarly, clinicians have used LLDs to communicate their proposed mechanisms to their colleagues and trainees. In this article, we revisit this technique of constructing the LLD and demonstrate this process by describing the mechanisms of various bigeminal rhythms.
Original languageEnglish
Article numbere12685
JournalAnnals of Noninvasive Electrocardiology
Volume24
Issue number5
DOIs
Publication statusPublished - 1 Sep 2019

Keywords

  • bigeminal rhythm
  • escape-capture bigeminy
  • Lewis’ diagram
  • Wenckebach phenomenon

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