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![Figure.](/view/journals/anpr/70/2/inline-i1878-7177-70-2-70-f01.png)
A 12-lead electrocardiogram (ECG) obtained soon after the patient's condition initially deteriorated.
Idioventricular pattern noted on the ECG along with pacing failure. Heart rate was approximately 30 beats/min. Regularly spaced red arrows indicate pacemaker spikes that were occurring despite lack of capture.