Atrial Couplets

ECG Features

Figure 1: ECG Strip[1]

Atrial couplets are two consecutive premature atrial contractions (PACs).

ECM Features

Figure 2: ECM Analysis, Record 220[2][3]

ECM Examples

1. Additional Examples of Atrial Couplets (6)

2. Aberrated Atrial Couplets

Figure 3: Record 201[2][3]

Figure 4: Record 213[2][3]

3. Aberrated Atrial Couplets with Right and Left Bundle Branch Blocks

Figure 4: Record 213[2][3]

Additional Information


  1. Wahyu, I. (2012). Premature Atrial Contraction (PAC) [Online image]. Retrieved July 19, 2016, from [, link dead]
  2. MIT-BIH Arrhythmia Database. (1980). Retrieved June, 2016, from
  3. Goldberger AL, Amaral LAN, Glass L, Hausdorff JM, Ivanov PCh, Mark RG, Mietus JE, Moody GB, Peng C-K, Stanley HE. PhysioBank, PhysioToolkit, and PhysioNet: Components of a New Research Resource for Complex Physiologic Signals. Circulation101(23):e215-e220 [Circulation Electronic Pages;]; 2000 (June 13).