Situation: A patient with asymptomatic sinus bradycardia after PPI developed lead infection.
Reaction: Oh my God! Why was PPI (Permanent pace maker implantation) done?
Lesson: Make sure that PPI is not done in patients with sinus bradycardia without significant symptoms; sinoatrial block or sinus arrest without significant symptoms; asymptomatic prolonged RR intervals with atrial fibrillation or other causes of transient ventricular pause and asymptomatic bradycardia during sleep.
Reaction: Oh my God! Why was PPI (Permanent pace maker implantation) done?
Lesson: Make sure that PPI is not done in patients with sinus bradycardia without significant symptoms; sinoatrial block or sinus arrest without significant symptoms; asymptomatic prolonged RR intervals with atrial fibrillation or other causes of transient ventricular pause and asymptomatic bradycardia during sleep.
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