McGill Case 67

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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 recording from a woman in her 50's with a long standing history of asthma and palpitations, she was on amiodarone at the time of the recording.

This tracing was taken in the intensive care unit after a temporary pacing wire (soft semi-floater) was placed via the right internal jugular vein. The lead paced the ventricle well, but the patient immediately complained of moderate chest pain, better with sitting up.
This was an X-ray taken the day after the insertion of the temporary pacing lead. The patient continued to have chest pain.
This cardiogram was taken at the peak of the chest pain.