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Sinus bradycardia changing to a ventricular escape rhythm

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Sinus bradycardia changing to a ventricular escape rhythm  

Failure to Capture Part II

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The patient was becoming cyanotic.  He did not have a palpable pulse.  By the time we could get BP machine to the room, the episode had passed.  He was noted to have his cell phone lying over his ICD/pacemaker so there is a question that the episode may have been induced by the cell phone.  The pacemaker was interrogated.   

Failure to Capture Part 1

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The patient complained of "not feeling" well and shortness of breath.   

Sinus rhythm with a run of ventricular tachycardia

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Sinus rhythm with a run of ventricular tachycardia  

Wide complex tachycardia changing to sinus bradycardia

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Wide complex tachycardia changing to sinus bradycardia  

2nd degree heart block type I

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2nd degree heart block type I  

Sinus rhythm with dropped PACs

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Sinus rhythm with dropped PACs