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This is a series of three E.K.G.s from a patient with recurrent syncope.
reported by:
Dr. Chi-Ming Chow & Dr. M. Rosengarten
The first tracing was recorded in the emergency room, and is from a
70 year old woman with two sycopal attacks. She was on metoprolol and diltiazem
for angina {normal coronaries and an abnormal MIBI perfusion scan}.
This tracing was taken in the intensive care unit after a temporary
pacing wire (soft semi-floater) was placed via the right internal jugular
vein. The lead paced the ventricle well, but the patient immediately complained
of moderate chest pain, better with sitting up.
This was an X-ray taken the day after the insertion of the temporary
pacing lead. The patient continued to have chest pain.
