u/GetTheDefib

Hi all, thought I'd share this interesting telemetry strip with you. Not really a 'help what is this', we know what it is. But thought it was worth a share. For context:

This is a 58yo woman

Reason for admission: Culture-negative endocarditis with aortic valve + root involvement as well as vegetations on the ICD leads

PMH: Multiple thoracic surgeries including CABG and mechanical AVR, therapeutic ICD due to past VT's. Has had a recent devicechange with a poorly healing incision (suspected focus)

What do you make of it? Hope you find it interesting ^^

Answer:

>!Normal sinusrhythm with a hefty first degree AV-block of 440ms, intermitted by pacemaker rhythm of 60bpm with underlying third degree AV-block.!<

>!There was briefly hesitation whether it was really a third degree block, as it could have also been that the SA-node just fired slower than the lowerrate of the ICD, but after examination by a pacemaker technician they found only an underlying ventricular escaperhythm at the times of pacemaker intervention.!<

Hi all, I've had this happen a few times now and I have no idea how to stop it or why it's happening.

My Roomba sometimes does this strange mopping pattern which makes it incredibly slow and uses a ton of pad washes. My only thought is that its doing it because it thinks it has been too long and wants to thoroughly clean the floor? Either way I cant seem to change it, even when sending it back to its dock, it will just do it again.

Any ideas or tips?