Remove ACE Inhibitor Remove Electrocardiogram Remove Pacemaker
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A man in his 70s with chest pain during a bike ride

Dr. Smith's ECG Blog

The patient stated he had a long history of well-controlled hypertension for which he was compliant with his ACE-inhibitor. You will note that it is essentially an unremarkable electrocardiogram except for some PACS. It is also not a wandering pacemaker — because change in atrial pacing site is gradual with that disorder.