ECG Basics and Fundamentals: expected ECG findings in right ventricular (RV) paced rhythms

ECG Weekly Workout with Dr. Amal Mattu


 A 71-year-old male with PMHx of hypertension and pacemaker placement presents to the ED with chest pain, nausea, diaphoresis, and shortness of breath. The following ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What ECG abnormalities are expected in patients with paced rhythms?
  3. Is there evidence suggestive of acute coronary occlusion on this ECG?