Answer DV Case 4: Difference between revisions

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[[Image:DVA0004.jpg|700px|thumb|left|DV Case 4. Click on image for enlargement.]]
[[Image:DVA0004.jpg|700px|thumb|left|DV Case 4. Click on image for enlargement.]]
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# This question cannot be answered on this ECG. Pacing could be indicated as the patient has dizzy spells. However, blocked atrial beats per se are no pacemaker indication.
# This question cannot be answered on this ECG. Pacing could be indicated as the patient has dizzy spells. However, blocked atrial beats per se are no pacemaker indication.
# The proper workup could be:  
# The proper workup could be:  
**stopping medication that lowers the sinus node frequency (B-blockers, funny current blockers, calcium channel blockers)
##stopping medication that lowers the sinus node frequency (B-blockers, funny current blockers, calcium channel blockers)
**a long term ECG recording.  
##a long term ECG recording.  
**measuring the sinus node recovery time is questionable.
##measuring the sinus node recovery time is questionable.
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