Abstract

A 58-year-old man who sustained an inferolateral myocardial infarction (MI) with possible posterior involvement presented with syncope 3 years later (Fig. 1). An electrophysiologic study was performed. The apex of the right ventricle was paced at a rate faster than the sinus rate to provide a base paced ventricular rate (120 ppm) for the introduction of programmed ventricular stimulation (Fig. 2).

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