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(Chest. 1973;63:829-832.)
© 1973 American College of Chest Physicians

Pacemaker-Induced Electrocardiographic Changes Simulating Myocardial infarction

Lawrence Gould M.D., F.C.C.P.1; Kalyansundaram Venkataraman M.D.1; Manoj Kumar Goswami M.D.1; and Robert F. Gomprecht M.D.1

1 Department of Medicine, Misericordia-Fordham Hospitals, and the Department of Medicine, New York Medical College, New York City

Two patients required temporary transvenous right ventricular pacing for control of advanced A-V block. Striking ST segment depression and T wave inversion occurred in subsequent unpaced electrocardiograms. These changes can simulate myocardial infarction and are probably due to ventricular depolarization from an abnormal site.




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