Bradycardia Outpatient Pacemaker 
Dr. Smith's ECG Blog
JANUARY 2, 2025
Discontinue all negative chronotropic agents, since the risk of torsade is much higher with bradycardia or pauses. Place temporary pacemaker 3. There is ventricular bigeminy with bizarre appearing wide T-waves See even more striking cases of this at the bottom of the post. The plan: 1.
Dr. Smith's ECG Blog
JANUARY 13, 2024
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.
Dr. Smith's ECG Blog
JUNE 27, 2024
EMS reports intermittent sinus tachycardia and bradycardia secondary to some type of heart block during transport. They knew she would need a pacemaker unless some transient and reversible cause was discovered. Once this happens, of course, the patient will require temporary or permanent pacemaker as soon as possible.
Dr. Smith's ECG Blog
NOVEMBER 11, 2024
Written by Willy Frick A middle aged man presented for elective outpatient surgery. The patient went for EP study and had prolonged HV interval which strongly supports placement of a pacemaker. He underwent dual chamber pacemaker implantation and did well. The following ECG was obtained in the preoperative area.
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