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This is an EKG rhythm from a patient with a Medtronic model 8081 Premier single chamber pacemaker. The patient is a 65 year old man who had a history of blackouts while sitting. During the episodes his wife described him as becoming limp and white.
His electrocardiogram showed a left bundle branch block with a normal pr interval. This conduction abnormality had been present for at least 16 years.
An electrophsiology test was performed and a pacemaker inserted.
What is the native rhythm?
Is the pacer working well ( in particular what do you think of the spike on the second QRS)?
EKG World Encyclopedia http://cme.med.mcgill.ca/php/index.php , courtesy of Michael Rosengarten BEng, MD.McGill
Michael Rosengarten BEng, MD.McGill
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|current||07:36, 21 February 2012||3,004 × 800 (1.23 MB)||DarrelC|
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