Images in Clinical Medicine

A Medical Mystery

J. Warren Harthorne, M.D., and Igor Palacios, M.D.

N Engl J Med 2002; 346:1878June 13, 2002

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Figure 1 A 76-year-old man with sinus node disease who was evaluated after an episode of syncope received a single-chamber pacemaker through the left subclavian approach. A chest film (Panel A) and electrocardiogram (Panel B) were obtained six weeks later. What are the diagnosis and the correct approach to treatment?

J. Warren Harthorne, M.D.
Igor Palacios, M.D.
Massachusetts General Hospital, Boston, MA 02114

Citing Articles (1)

Citing Articles

1. 1

   Harthorne, J. Warren, Palacios, Igor, . (2002) Medical Mystery — The Answer. New England Journal of Medicine 347:5, 371-371
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