12 lead ECG post dual chamber pacemaker implant
Jason Collinson – Chief Cardiac Physiologist
Essex Cardiothoracic Centre, Basildon and Thurrock University Hospital
A 60 year old female with second degree AV block associated with dizzy spells had a dual chamber permanent pacemaker implanted. A post procedure 12 lead ECG was recorded prior to the post implant device check. The ECG and programmed settings are displayed below.
LR/UR: 60/130 bpm
Pace/Sensed AV delay: 200/180 ms
12 lead ECG recorded immediately on the ward post pacemaker implant
Which of the following answers explains the pacing function seen in the ECG?
Sequential AV pacing
Ventricular Safety Pacing
AV pacemaker lead reversal
Mode switch to VDI mode operation