An 85-year-old woman with a past history of IHD and DDD pacemaker presents with palpitations and syncope.

Pacemaker malfunction with ventricular arrhythmia

1. List (5) pertinent findings on her ECG. (5 marks) 5 marks

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She has runs of stable, sustained VT with a cardiac output.

2. List (3) medication treatment options including dosages. (3 marks) 3 marks

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3. Give (4) possible causes of the patient’s pacemaker malfunction. (4 marks) 4 marks

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