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The Apparent and the Effective PR Interval, Insights for Cardiac Pacing

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Publication Date: 14 Nov 2011

Type: Case report

Journal: Clinical Medicine Insights: Case Reports

Citation: Clinical Medicine Insights: Case Reports 2011:4 69-71

doi: 10.4137/CCRep.S8227

Abstract

A 75-year-old-male patient with dual chamber pacemaker presented with a bizarre EKG showing a unique spike within the QRS complex. Apparent PR interval was 160 ms and effective atrio- right ventricular delay was 210 ms due to right bundle branch block. Sensed AV delay was set at 180 ms causing pseudofusions. Insights regarding cardiac pacing are presented.


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