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Medicine General 3b92cca0

Pacemaker is indicated in which of the following condition: September 2007

A
Acute myocardial infarction with first degree AV block
B
Acute myocardial infarction with fascicular block
C
Sick sinus syndrome
D
Sick sinus syndrome
High-Yield Explanation
Ans. C: Sick sinus syndrome Pacemaker indications Absolute indications for pacemaker placement include the following: Sick sinus syndrome Symptomatic sinus bradycardia Tachy-brady syndrome Atrial fibrillation with sinus node dysfunction Third-degree block/Complete AV block Chronotropic incompetence (inability to increase the hea rate to match a level of exercise) Prolonged QT syndrome Cardiac resynchronization therapy with biventricular pacing Acute myocardial infarction with second or third degree AV block Relative indications include the following: Cardiomyopathy (hyperophic or dilated) Severe refractory neurocardiogenic syncope

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