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Decoding the Pacing Spikes: An Electrocardiographis Challenge
Avinash Jeewooth1, Atul Kaushik2, Aparna Jaswal1
1Department of Electrophysiology, Fortis Escorts Heart Institute (FEHI), New Delhi, India.
JACC. Case Reports
|April 4, 2025
Summary
This study details a 50-year-old woman
Area of Science:
- Cardiology
- Electrophysiology
Background:
- Complete heart block presents a significant risk for symptomatic bradycardia.
- Pacemaker implantation is a standard treatment for symptomatic atrioventricular block.
Purpose of the Study:
- To present a case of symptomatic complete heart block.
- To discuss the diagnostic approach, including electrocardiogram interpretation.
- To highlight the management with dual-chamber pacemaker implantation.
Main Methods:
- Case report of a 50-year-old female patient.
- Electrocardiogram (ECG) analysis for diagnosis of complete heart block.
- Surgical implantation of a dual-chamber pacemaker.
Main Results:
- Successful implantation of a dual-chamber pacemaker.
- Resolution of symptoms associated with complete heart block.
- Demonstration of effective pacing on post-operative ECG.
Conclusions:
- Dual-chamber pacemaker implantation is effective for symptomatic complete heart block.
- Thorough electrocardiogram interpretation is crucial for diagnosis and management.
- Understanding the underlying mechanisms aids in patient care.
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