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Pacemaker-mediated tachycardia
  1. W Ullah,
  2. A Stewart
  1. Correspondence to Waqas Ullah; waqas{at}doctors.org.uk

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A patient with a dual-chamber permanent pacemaker for complete heart block presented with chest discomfort and a sensation of his heart fluttering. His electrocardiogram demonstrated a broad complex tachycardia (panel A). The presence of pacing spikes preceding each broad complex beat led to a diagnosis of pacemaker-mediated tachycardia (PMT). The arrhythmia responded …

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