File:E297.jpg

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Summary

Description

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)?

Category

Case reports by Michael Rosengarten

Source

EKG World Encyclopedia http://cme.med.mcgill.ca/php/index.php , courtesy of Michael Rosengarten BEng, MD.McGill

Date

2012

Author

Michael Rosengarten BEng, MD.McGill

Permission

Creative Commons Attribution Noncommercial Share-Alike License

File history

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Date/TimeThumbnailDimensionsUserComment
current07:36, 21 February 2012Thumbnail for version as of 07:36, 21 February 20123,004 × 800 (1.23 MB)DarrelC (talk | contribs)
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