Remove ecg illustration-dual-chamber-pacemaker
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Orthostatic hypotension onset after invasive procedure?

Dr. Smith's ECG Blog

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. The next morning, the following ECG was obtained. This is unambiguous evidence of pacemaker malfunction.

EKG/ECG 88
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Wide complex and apparent hyperacute T-waves. Does absence of change from previous ECG mean that it is not New?

Dr. Smith's ECG Blog

She also has sick sinus syndrome (SSS) and intermittent high grade AV block for which she had a dual chamber pacemaker implanted. Below is the presentation ECG At the time of recording the ECG the patient was complaining of chest discomfort 4/10. ECG#1 The ECG shows a wide complex QRS with LBBB type morphology.

EKG/ECG 87