Inappropriate spikes on telemetry? PART 2

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Same patiënt as previous case, a 81-year old patient with a sick sinus syndrome and a dual chamber Medtronic pacemaker, admitted due to chest pains.

Last night he showed the following telemetry strip:

What are your ideas?

Physician advice 
Non

Trace category:

Device/Field:

Company:

Sylvain Ploux's picture

Marc,

Please save this guy because he is a very useful source of EGM troubleshooting.

I suspect this has something to do with an automatic Atrial Capture Management algorithm (2 atrial spikes at 70ms interval).

Sylvain