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A rhythmic problem

26/11/2013

3 Comments

 
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:
Picture
Picture
Interpret the ECG and CXR.
What is the cause of her symptoms?
What are the causes of pacemaker failure?
Answer
3 Comments

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    Rachel Rosler - DEMT Casey

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