McGill Case 59

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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.

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This is a 12 lead electrocardiogram from a 70 year old man with chest pain and palpitations on exertion. The patient was implanted with a Russian pacemaker 7 years ago for bradycardia.