An 80 year old lady presents one sunny afternoon with a regular twitching movement to her left arm only. It has been going for 2 days and she couldn't sleep the preceeding night as she found it quite annoying. She has a PMH of IHD - had a CABG 10 years ago and a pacemaker inserted 3 months prior. She is otherwise well with a normal blood pressure.
At first glance it appears she may be having a focal seizure with regular twitching of her upper left arm.
An ECG is performed:
At first glance it appears she may be having a focal seizure with regular twitching of her upper left arm.
An ECG is performed:
Interpret the ECG and CXR.
What is the cause of her symptoms?
What are the causes of pacemaker failure?
What is the cause of her symptoms?
What are the causes of pacemaker failure?