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Abnormal ECG following insertion of a temporary pacing wire
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A 90-year-old man was referred for insertion of a permanent pacemaker system. He had been admitted to a local hospital with an episode of sinus arrest with escape ventricular tachycardia and ventricular fibrillation. An earlier ECG had shown sinus rhythm with pronounced first degree atrioventricular block (panel A). He was successfully resuscitated and a transvenous …