McGill Case 67

This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia. Previous Case: McGill Case 66 | Next Case: McGill Case 68

This is a recording from a woman in her 50's with a long standing history of asthma and palpitations, she was on amiodarone at the time of the recording.

This tracing was taken in the intensive care unit after a temporary pacing wire (soft semi-floater) was placed via the right internal jugular vein. The lead paced the ventricle well, but the patient immediately complained of moderate chest pain, better with sitting up.

File:E0007683.jpg

This was an X-ray taken the day after the insertion of the temporary pacing lead. The patient continued to have chest pain.

This cardiogram was taken at the peak of the chest pain.