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

• Mounir NAIJA

• Rabeb Mbarek

• Sondes Laajimi

• Haifa BRADAÏ

• Dorra Loghmari

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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