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Bigeminy is an abnormal heart rhythm where every other beat is abnormal. This can be an abnormal atrial beat (atrial bigeminy), a beat arising from the AV junction or bundle of His (junctional bigeminy), or a ventricular beat (ventricular bigeminy).

The pattern is as such:

Normal beat... abnormal beat... normal beat.... abnormal beat... normal beat... abnormal beat... repeat.

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