How comfortable are you with transcutaneous pacing?
Written by Willy Frick A woman in her 70s is hospitalized with undifferentiated shock after being found down at home. Her family had not…
Orthostatic hypotension onset after invasive procedure?
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…
An 80 year old man in VF arrest
An elderly man suffered out of hospital cardiac arrest. He was found in V Fib by EMS. He was shocked out of VF multiple times and arrived in…
What will you do for this altered and bradycardic patient?
Written by Pendell Meyers A female in her 60s with COPD, DM, hypothyroidism, CAD, and severe bladder cancer presented from a nursing home with…
Extreme Bradycardia: a Case-Based Lesson in Pacing
I tell the residents: “The pacemaker is just common sense: if there is no beat, it provides one; if there is one, it keeps itself from…
Pseudoanteroseptal STEMI in the Setting of Paced Rhythm
This is a case we published in JAMA internal medicine this year. I can’t give you the full text, but even limited access is pretty…
Paced Rhythm with Dynamic ST segments and Concordant T-waves – High Risk ACS
A 77 yo woman with h/o pacer for unknown reasons (no medical records available) and no h/o coronary disease presented with 24 hours of…
Great case from EMS 12-lead: lateral STEMI in paced rhythm, missed
Click here for a great case posted by Tom Bouthillet at EMS 12-lead.
LAD occlusion in the setting of paced rhythm
An 80 yo male presented with chest pain. There is clearly a ventricular paced rhythm. Normally in a paced rhythm, the QRS is all negative from…