Article Text

other Versions

Image challenge
Pacing: a new look. Don’t be deceived
  1. Chee Loong Chow1,2,
  2. Barveen Abu Baker1,
  3. Uwais Mohamed1,2
  1. 1Department of Cardiology, Northern Hospital, Epping, Victoria, Australia
  2. 2Department of Medicine, University of Melbourne, Parkville, Victoria, Australia
  1. Correspondence to Dr Uwais Mohamed, Department of Cardiology, Northern Hospital, Epping, VIC 3076, Australia; uwais.mohamed{at}

Statistics from

Clinical introduction

A 78-year-old man presents following a syncopal episode in the setting of intermittent sinus bradycardia and left bundle branch block (LBBB). With symptoms likely due to documented intermittent sinus node dysfunction, and finding of a diseased left bundle, a pacemaker was inserted (online supplementary figure 1 shows the electrode position in a PA fluroscopy view). His baseline ECG is shown in figure 1A, with a QRS width of 160 ms, and his echocardiogram revealed a left ventricular ejection fraction of 45%. His ECG day 1 postdevice insertion is shown in figure 1B. His device check confirmed …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.