case_images: PMC9937085_01
case_images: Telemetry strip showing sinus bradycardia with a heart rate of 42 beats per minute.
case_images: cureus-0015-00000033925-i01.jpg
case_images: PMC9937085_01_cureus-0015-00000033925-i01.jpg
case_images: FIG1
case_images: However, on telemetry, he was found to have asymptomatic bradycardia at rest with his heart rate intermittently going down to as low as 42 bpm (Figure 1).
case_images: Initial ECG showing sinus bradycardia with a heart rate of 51 beats per minute, left bundle branch block with a QRS interval of 159 milliseconds (ms), and first-degree atrioventricular block with a PR interval of 208 ms.
case_images: cureus-0015-00000033925-i02.jpg
case_images: PMC9937085_01_cureus-0015-00000033925-i02.jpg
case_images: FIG2
case_images: ECG after permanent pacemaker implantation showing atrial paced rhythm with underlying left bundle branch block.
case_images: cureus-0015-00000033925-i03.jpg
case_images: PMC9937085_01_cureus-0015-00000033925-i03.jpg
case_images: FIG3
case_images: ECG after PPM placement showed an atrial paced rhythm with the heart rate at 67 bpm (Figure 3) and the patient was discharged with regular outpatient follow-up.