I work on a cardiac step-down unit, and was teaching as student the other day about pacer spikes. I told her that sometimes there are three pacer spikes--one before the P wave, and two close together right before the QRS complex. I had seen this occur just once or twice, and had been told it was from biventricular pacing.
My charge nurse corrected me and said this was just artifact. I assumed she was right, but when I researched it online, I found several sources that talked about 2 ventricular spikes showing up on the EKG.
Any thoughts would be appreciated!
I've seen it once- ran it by the EP doc ,and he said yes , it was pacing both ventricles- for somereason we were able to see it.I guess they program it that way.
Last edit by jrwest on Dec 1, '12
: Reason: ventricles- not venticles lol