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. 2019 Feb 26;3(2):164-165.
doi: 10.5811/cpcem.2019.1.41095. eCollection 2019 May.

Apparent Pacer Spikes in a Patient with Back and Chest Pain

Al Lulla  1 , Richard T Griffey  1
Affiliations

Apparent Pacer Spikes in a Patient with Back and Chest Pain

Al Lulla et al. Clin Pract Cases Emerg Med. .
No abstract available

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
12-lead electrocardiogram demonstrates an irregular rhythm without p-wave morphologies and heart rate of 75, suggestive of rate-controlled atrial fibrillation. In addition, atypical, high-frequency electrical discharges (arrows) are seen irrespective of ventricular depolarization suggestive of aberrant pacemaker activity.
Image 2
Image 2
Repeat 12-lead electrocardiogram after removal of transcutaneous electrical nerve stimulation device demonstrates atrial fibrillation with slow ventricular response and resolution of electrical discharges.
See this image and copyright information in PMC

References

    1. Patel SI, Souter MJ. Equipment-related electrocardiographic artifacts: causes, characterstics, and correction. Anesthesiology. 2008;108(1):138–48. - PubMed
    1. Sliwa J, Marinko M. Transcutaenous electrical nerve stimulator-induced electrocardiogram artifact: a brief report. Am J Pysical Med Rehabil. 1996;75(4):307–9. - PubMed
    1. Hauptman PJ, Raza M. Electrocardiographic artifact with a transcutaneous electrical nerve stimulation unit. Int J Cardiol. 1992;34:110–2. - PubMed