2013 Bradycardia Pacemaker 
Ken Grauer, MD
OCTOBER 13, 2023
Is a pacemaker needed? Even if we stopped here — We could conclude the following: There is marked bradycardia in today's rhythm ( ie, Heart rate in the low 30s ). Finally — If today's patient does not have significant underlying coronary disease — then her bradycardia with AV block may be the result of SSS ( S ick S inus S yndrome ).
Ken Grauer, MD
JANUARY 20, 2024
Looking first at the long-lead II rhythm strip — there is significant bradycardia , with a heart R ate just under 40/minute. The patient may need a pacemaker. But the point to emphasize — is that it should only take seconds to recognize that there is bradycardia from significant AV block. =
Ken Grauer, MD
OCTOBER 27, 2023
That said — obvious findings include: i ) Marked bradycardia! — My Immediate Impression — was that this elderly woman with a several week history of symptoms would most likely leave the hospital with a pacemaker. The rhythm in Figure-1 is complex — and defies precise interpretation without careful study. be regular! —
Dr. Smith's ECG Blog
DECEMBER 23, 2024
Several days into hospitalization, she continued to have occasional episodes of sinus rhythm and sinus bradycardia with periods of Mobitz I AV block and 2:1 block. Meanwhile, the patient's native rhythm is sinus bradycardia with adequate perfusion. adapted from Grauer K: ACLS-2013-ePub Section 15, KG/EKG Press ).
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