Sign Out Pearls

Sign Out Pearls: A 5 to 10 minute presentation prepared for evening sign outs Mondays through Thursdays. Posts are evidence-based and curated by IM Residents. They do not reflect the views of our hospital and should not replace medical advice.

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What are indications for a permanent pacemaker?

An 81-year-old male with significant past medical history of CAD s/p single-vessel CABG, aortic stenosis s/p TAVR, atrial fibrillation on Coumadin presented to the ED after a syncopal episode. He described “blacking out” during ambulation without seizure-like activity. In the ED, he was found to be in sinus bradycardia with a heart rate in the … Continue reading What are indications for a permanent pacemaker?


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