Full 2L QBank
Medicine ECG and Arrhythmias 1 06810250

An 70 year old lady who had previously had a few attacks of dizziness, fell and broke her hip. She was found to have slow pulse, ECG was performed. Which is the next best step for management of this patient?

A
Temporary pacemaker
B
Permanent pacemaker
C
I.C.D
D
Proceed with hip joint Repair surgery
High-Yield Explanation
Image shows ventricular rate of 30/min with no relation between P waves and qRS complexes. QRS complexes are broad indicating origin from the ventricle and presence of escape rhythm. All these findings indicate presence of complete hea block. She needs a permanent pacemaker. However in the current circumstances she needs ohopaedic surgery --> to reduce moality -> temporary pacemaker should be the next best step.

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