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Paced QRS morphology mimicking complete left bundle branch block induced by right ventricular pacing is associated with pacing?induced cardiomyopathy

Journal of Cardiovascular Electrophysiology

Methods We retrospectively screened 2009 patients who underwent pacemaker implantation from 2010 to 2020 in seven institutions. Conclusion CLBBB-like paced QRS may be a novel risk factor for PICM. Multivariate analysis revealed that low baseline LVEF (odds ratio [OR]: 0.93 per 1% increase, 95% confidence interval [CI]: 0.89–0.98,

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QT Correction Formulas Compared to The Rule of Thumb ("Half the RR")

Dr. Smith's ECG Blog

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. 3) At heart rates below 60, far more caution is due.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

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.

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New lessons, from the old chapters of Atrial fibrillation

Dr. S. Venkatesan MD

Finally, apart from all the risk factor listed above , aging, is the biggest risk factor (Structural and Hemodynamic wear & tear ? 2010 Jun;3(3):230-6. For many us, frying or freezing the atrial or pulmonary venous tissue would come to our mind first , overlooking systemic factors. J Atr Fibrillation.