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Complete left bundle branch block (CLBBB)-like QRS morphology of right ventricular pacing at pacemaker implantation satisfying the American Heart Association/American College of Cardiology Foundation/HeartRhythm Society criteria of CLBBB was associated with development of pacing induced cardiomyopathy.
I have periodically called attention to examples of the Ashman phenomenon as they occur in Dr. Smith's ECG Blog ( See My Comments in the January 5, 2020 post — the June 17, 2020 post — and the March 30, 2023 post , among others ).
HeartRhythm, 13(7): 1515-1520. [2]: HeartRhythm, 4(2), 198-199. [6] HeartRhythm, 15(9): 1394-1401. [7] 7] American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the HeartRhythm Society. Circ Res, 85(9), 803-809. [6]:
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. HeartRhythm 2010 Hudzik B, Gasior M. There is marked sinus bradycardia.
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