Complete heart block ecg

A 65 yr/female came to JIPMER hospital, Pondicherry, India with chief complaints of atypical chest pain since one month. She was recently diagnosed as a case of Hypertension and was on antihypertensive medication. There was no history of diabetes mellitus, angina dyspnoea on exertion, giddiness, syncope, or coronary artery diseases. During examination her pulse was 45 beats per minute, regular, BP=148/78 mmhg. Patient ECG is shown below with rhythm strip 

ECG 1(Click on the ecg to enlarge it)

Rhythm strip 1

So the ECG of the patient was suggestive of complete heart block (Most likely high grade block). She underwent permanent pacemaker insertion and later discharged in stable condition.


Thank you.