(FIT)-Module 1, Workshop 1: Electrocardiographic/Electrophysiologic Correlation-Miller Case 1 Answer

Video Transcription

Video Summary

The case involves a dual chamber pacemaker insertion due to paroxysmal AV block indicated by a non-conducted PAC. Although it may appear vagal, the PP interval doesn't slow significantly, thus making it non-benign and requiring pacing to prevent potential sudden death. An EP study wouldn't aid her care and might offer false reassurance, as conduction parameters could appear normal. This scenario underscores the need for a pacemaker despite the temporary recovery, highlighting the risk of unrecoverable block.

Keywords

dual chamber pacemaker

paroxysmal AV block

non-conducted PAC

sudden death prevention

electrophysiology study limitations