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Methods We retrospectively screened 2009 patients who underwent pacemaker implantation from 2010 to 2020 in seven institutions. This study aimed to investigate the association between paced QRS mimicking a complete left bundle branch block (CLBBB) and PICM development.
My Thoughts on the Initial ECG: Systematic interpretation of ECG #1 shows: Sinus bradycardia at ~55-60/minute — normal intervals ( PR-QRS-QTc ) — normal frontal plane axis ( about +20 degrees ) — no chamber enlargement. At this point — I learned a bit more about today's patient: The patient is a man who had an inferior STEMI in 2010.
The rule of thumb is less accurate, and the risk is higher because a long QT in the presence of bradycardia ("pause dependent" Torsades) predisposes to Torsades. 6) Use a different rule of thumb for bradycardia : Manually approximate both the QT and the RR interval. JACC 55(9):934-947; 2010 ]. Measure it manually.
PVCs N ot generally considered abnormal ECG findings: Isolated PAC, First Degree AV Block, Sinus bradycardia at a rate of 35-45, and Nonspecific ST-T abnormalities (even if different from a previous ECG). Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful.
Methods A retrospective analysis of all patients who underwent S-ICD implantation between 2010 and 2022 at a single multihospital healthcare system was performed. years was 5.9%, with the most common indications for extraction being the need for bradycardia pacing, infection, and inappropriate shocks due to oversensing.
2010 Jun;3(3):230-6. Epicardial Fat and Atrial Fibrillation: A Review. J Atr Fibrillation. 2012 Apr 4;4(6):483.) Left atrial adiposity is a distinct entity, but rarely diagnosed (.Circ Circ Arrhythm Electrophysiol. Impact on AF therapeutics We are in aggressive space age & AI era. AF management is no exception.
This ECG shows a sinus bradycardia with a normal conduction pattern (normal PR, normal QRS, and normal QTc), normal axis, normal R-wave progression, normal voltages. Hypothermia can also produce bradycardia and J waves, with a pseudo-STEMI pattern. Heart Rhythm 2010 Hudzik B, Gasior M. There is marked sinus bradycardia.
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