McGill Case 237

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 236 | Next Case: McGill Case 238

This is an interesting case where a defibrillator was implanted both as a back-up for ventricular tachycardia and for pacing because of bradycardia. What we see here is DDD pacing by the pacemaker which is following the sinus P waves. What we also see is that a slow VT is induced with the ventricular paced beats. The VT terminates spontaneously. The patient's pacer was set to DDI mode a 40 to prevent continuous pacing of the ventricle (the patient had sinus rhythm with a first degree heart block with a rate of 50/min. most of the time) and the Flecainide and Amiodarone were increased.