Abstract
A 93 year old female presented for an electrophysiology study and possible catheter ablation for two syncopal episodes, one associated with facial injury. Previously, she had undergone placement of a dual chamber permanent pacemaker for sinus bradycardia, and subsequent interrogation of the device revealed several episodes of tachycardia with a one to one V-A relationship. Holter monitoring confirmed that these episodes represented a supraventricular tachycardia (SVT).
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