© 2004 Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Tachycardia
Tachycardia in the presence of a pacemaker
Department of Medicine, Lister Hospital, Stevenage, UK
Correspondence to:
Correspondence to:
Dr Sivakumar;
sivasiva51@hotmail.com
Accepted 9 March 2003
Answers on p122.
| The first 100% of the full text of this article appears below. |
A 84 year old woman was admitted with palpitations of a few days’ duration. She had a dual chamber permanent pacemaker (DDD) fitted five years ago for complete heart block. She was tachycardic with a heart rate of around 120 beats/min but haemodynamically stable. A rhythm strip is shown below (see fig 1
).
[in a new window] Figure 1 Rhythm strip.
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- What is the electrocardiographic diagnosis?
- Is the pacemaker malfunctioning?
- How do you explain the tachycardia with pacing spikes?
- What is the differential diagnosis for tachycardia with pacing spikes?
- What is the management?
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Tachycardia in the presence of a pacemaker
Postgrad. Med. J. 2004 80: 122.[Extract] [Full Text] [PDF]
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