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Answer DV Case 4: Difference between revisions
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# The cause of the pauses in the atrial rhythm are atrial premature beats, blocking the exit of the atrial prevailing atrial rhythms. These [[Atrial_Premature_Complexes|atrial premature beats]] can be appreciated when looking at the T-waves of the conducted beats preceding the pause. | # The cause of the pauses in the atrial rhythm are atrial premature beats, blocking the exit of the atrial prevailing atrial rhythms. These [[Atrial_Premature_Complexes|atrial premature beats]] can be appreciated when looking at the T-waves of the conducted beats preceding the pause. | ||
# 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) | |||
**a long term ECG recording. | |||
**measuring the sinus node recovery time is questionable. | |||