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On examination, he appeared bradycardic due to a significant pulse deficit, despite remaining haemodynamically stable and asymptomatic. This led to two emergency response teams being called and a brief admission to coronary care unit (CCU), primarily due to the ward\u2019s limited access to telemetry, before he underwent an uneventful surgery and was discharged. This case highlights the logistical challenges of monitoring such patients where telemetry is not readily available and emphasises the importance of recognising pulse deficits as a cause of peripheral bradycardia in otherwise stable patients with supraventricular ectopic beats.<\/jats:p>","DOI":"10.1136\/bcr-2025-267102","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T04:25:26Z","timestamp":1759119926000},"page":"e267102","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Pulse deficits resulting in apparent bradycardia in atrial bigeminy"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1320-5537","authenticated-orcid":false,"given":"Andrew","family":"Wilaras","sequence":"first","affiliation":[{"name":"Rotational, Redcliffe Hospital, Redcliffe, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillip Minh Tien","family":"Karpati","sequence":"additional","affiliation":[{"name":"Redcliffe Hospital, Redcliffe, Queensland, Australia"},{"name":"Griffith University, Brisbane, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Tan","sequence":"additional","affiliation":[{"name":"Redcliffe Hospital, Redcliffe, Queensland, Australia"},{"name":"The University of Queensland, St. Lucia, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,9,28]]},"reference":[{"key":"2025092821251949000_18.9.e267102.1","doi-asserted-by":"crossref","first-page":"117","DOI":"10.4103\/HEARTVIEWS.HEARTVIEWS_16_19","article-title":"The Pulse from Ancient to Modern Medicine: Part 3","volume":"19","author":"Hajar","year":"2018","journal-title":"Heart Views"},{"key":"2025092821251949000_18.9.e267102.2","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.ijcard.2013.12.166","article-title":"Galen, father of systematic medicine. 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