2013 Chest Pain Pacemaker 
Dr. Smith's ECG Blog
MAY 8, 2023
Edits by Meyers and Smith A man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes, CVA, dual-chamber Medtronic pacemaker, presented to the ED for evaluation of acute chest pain. It is true that assessment of pacemaker tracings for acute ST-T wave changes can be challenging. Sent by Pete McKenna M.D.
Ken Grauer, MD
OCTOBER 13, 2023
She was hemodynamically stable — and did not have chest pain, lightheadedness or syncope. Is a pacemaker needed? Section 20 ( 54 pages = the " long " Answer ) from my ACLS-2013-Arrhythmias Expanded Version provides detailed discussion of WHAT the AV Blocks are — and what they are not ! Is this " high -grade" AV block?
Ken Grauer, MD
OCTOBER 27, 2023
My Immediate Impression — was that this elderly woman with a several week history of symptoms would most likely leave the hospital with a pacemaker. Given this patient's older age — if nothing "fixable" is found, she most likely has SSS ( S ick S inus S yndrome ) and will need a pacemaker ( See ECG Blog #342 for more on SSS ).
Dr. Smith's ECG Blog
MARCH 8, 2025
2:34 PM, following right heart catheterization She then went into atrial fibrillation with complete heart block and junctional escape rhythm prompting placement of transvenous pacemaker. He had no chest pain, dyspnea, or any other anginal equivalent, and his vital signs were normal. In the midst of this, she went into VF.
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