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Cardiacfunction is poor, with akinesis of the LAD territory. There was no evidence bradycardia leading up to the runs of PMVT ( as tends to occur with Torsades ). Principal adverse cardiac effects of Quinidine include QRS widening and QTc prolongation. This was recorded a number of days later ).
Among patients who present purely for “syncope” — o ur greatest concern is focused on those with a cardiac-related etiology for their syncope — since longterm prognosis is poorest for these patients unless a “fixable” etiology is discovered.
The computer interpreted the ECG (GE Marquette 12 SL) as: "Sinus Bradycardia. Here it is: Computer interpretation: "Sinus bradycardia. I don't know what her subsequent cardiacfunction was, but that is not the point of this post. She had a ECG recorded. Normal ECG." It was not seen by a physician.
If it does not sense a native rhythm (perhaps from lead fracture or displacement), it will attempt to pace at 60 beats per minute, which can cause unnecessary pacing spikes interrupting normal cardiacfunction. This is supported by the PT note which described a palpably irregular pulse with pauses and marked bradycardia.
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