PMC9937085_01
Telemetry strip showing sinus bradycardia with a heart rate of 42 beats per minute.
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FIG1
However, on telemetry, he was found to have asymptomatic bradycardia at rest with his heart rate intermittently going down to as low as 42 bpm (Figure 1).
Initial ECG showing sinus bradycardia with a heart rate of 51 beats per minute, left bundle branch block with a QRS interval of 159 milliseconds (ms), and first-degree atrioventricular block with a PR interval of 208 ms.
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FIG2
ECG after permanent pacemaker implantation showing atrial paced rhythm with underlying left bundle branch block.
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FIG3
ECG after PPM placement showed an atrial paced rhythm with the heart rate at 67 bpm (Figure 3) and the patient was discharged with regular outpatient follow-up.