Dif icil caso para tratamiento adecuado.

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We report on a 67-year-old patient with coronary artery disease, presenting with dyspnea
and chest pain. The pacemaker ECG of the patient was difficult to read in the emergency setting.
Sudden changes in the heart rate were misinterpreted as a non-sustained ventricular
tachycardia, and the paced ventricular rhythm was misread as ST-segment elevation. The
combination of an inadequately programmed pacemaker, a patient with panic attacks and a
misleading ECG interpretation lead to an unnecessary coronary angiography.

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