A 45 year old female with hypertrophic obstructive cardiomyopathy and a dual chamber ICD underwent left ventricular outflow and mid ventricular cavity myectomy and mitral valve replacement. On her 5th day after surgery, ECG shows electronic atrial pacing every other complex with monomorphic wide QRS rhythm. The explanation of this ECG pattern is discussed.
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| http://dx.doi.org/10.1016/j.jelectrocard.2019.04.013 | DOI Listing |
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