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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. Code STEMI was activated by the ED physician based on the diagnostic ECG for LAD OMI in ventricular paced rhythm. I cannot be anything else.
The patient may need a pacemaker. CASE F ollow- U p: Providers in today's case recognized the above abnormalities — and promptly referred the patient to a PCI center for cardiac catheterization and potential pacemaker insertion. == L ooking C loser at Today's R hythm: The rhythm in Figure-1 has a number of complexities.
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. There was indication of parasympathetic overdrive ( the acute inferior STEMI with profound bradycardia and junctional escape ). SanzRuiz, R.,
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