Bradydysrhythmia: Does this patient need a permanent pacemaker?

UMEM Potpourri ECG Cases with Dr. Amal Mattu


A 63-year-old man presents to the emergency department with lightheadedness. He is noted to be bradycardic on arrival. The following ECG is obtained:

Before watching the video, look closely at this ECG and ask yourself:

    1. What type of AV block is present?
    2. What is your full ECG interpretation?