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Written by Willy Frick A man in his 70s with a history of HFrEF and sick sinus syndrome s/p dual chamber pacemaker placement was admitted for overnight observation following outpatient placement of a mitral valve clip. This is unambiguous evidence of pacemaker malfunction. Imagine the pacemaker is set at a minimum rate of 60.
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 ).
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