A 78-year-old man with a history of heart failure presents for routine follow-up 1 week after insertion of a pacemaker. As part of the evaluation, a 12-lead ECG is obtained. The correct diagnosis is ...

A 76-year-old woman with known ischemic cardiomyopathy, a left ventricular ejection fraction of 25%, and a previously inserted pacemaker presents to her cardiologist concerned that there is a problem ...

Wandering atrial pacemaker is similar to multifocal atrial tachycardia except the heart rate is normal ― that is, less than 100 beats per minute. Wandering atrial pacemaker occurs when multiple areas ...

At times it is difficult to distinguish atrial fibrillation from atrial flutter on the ECG. This example shows coarse "fibrillatory waves" in the setting of atrial fibrillation. This are of varying ...

Left bundle branch area pacing (LBBAP) is a recent conduction system pacing strategy that improves ventricular synchrony when compared to conventional right ventricular pacing (RVP) 1. RVP has long ...