Ventricular bigeminy occurs when every other beat is a PVC. No treatment is necessary for PVCs. If symptomatic, beta-blockers or antiarrhythmic drugs can be effective. Rarely, ablation of PVCs is ...

Not all ECG tracings are clear cut and textbook quality. This ECG is a bit vague in a couple ways. There is some baseline artifact making it difficult to see if there is truly P wave activity.