Complete Heart Block
Adult w/ h/o HTN, CAD and DM c/o dizziness. Trop negative, BNP 8000 lytes - N
Image - ECG case
The 12 lead ECG shows sinus rhythm SR (atrial rate ~88 bpm) and a regular narrow (junctional) escape beats (~30's). This is complete heart block.
Eventually a permanent pacemaker is inserted.
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