A patient with chest pain, AV dissociation and a paced ventricular rhythm

نویسندگان

  • Nikola Pavlovic
  • Tobias Reichlin
  • Sven Knecht
  • Stefan Osswald
  • Christian Sticherling
  • Michael Kühne
چکیده

Left bundle branch block or ventricular paced rhythms can sometimes make acute myocardial ischaemia difficult to diagnose in the 12-lead ECG. Several algorithms for diagnosing ST segment elevation myocardial infarction have been described with different sensitivity and specificity. The 12-lead ECG may also serve as a valuable tool in evaluating and diagnosing pacemaker dysfunction. We present a patient with a ventricular paced rhythm who was diagnosed with ST segment elevation myocardial infarction and pacemaker dysfunction.

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تاریخ انتشار 2014