Tunisian Journal of Emergency Medicine

A Wandering Atrial Pacemaker in Inferior Wall Infarction. Escape or Survival Rhythm? A Case Report

Authors

  • Mounir NAIJA

  • Rabeb Mbarek

  • Sondes Laajimi

  • Haifa BRADAÏ

  • Dorra Loghmari

DOI:
https://doi.org/10.0000/vztwty95
Keywords:
Atrial Pacemaker, Wall Infarction , Escape rhythm, Diagnosis
Abstract

Coronary sinus rhythm is an ectopic atrial rhythm supposedly originating from a pacemaker at the mouth of the coronary sinus; it is recognized in the electrocardiogram by P-waves that are inverted in leads II, III, and VF with a normal or prolonged P-R interval. In myocardial infarction, this presentation can reveal a wandering atrial pacemaker. We present a case of a wandering atrial pacemaker- er with inferior wall MI complicated by complete atrio- ventricular block.

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Published
30-06-2025
Issue
Vol. 3 No. 2 (2025): TJEM 2025: Vol.3 Issue 2
Section
Case Reports
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How to Cite

A Wandering Atrial Pacemaker in Inferior Wall Infarction. Escape or Survival Rhythm? A Case Report. (2025). Tunisian Journal of Emergency Medicine, 3(2). https://doi.org/10.0000/vztwty95