To the Editor In the excellent case presentation of a 74-year-old patient with symptomatic second-degree atrioventricular block with 2:1 conduction, Elkin and Goldschlager1 thoroughly reviewed the differential diagnosis and evaluation but omitted important information in the treatment discussion when they noted that that the patient had a dual-chamber pacemaker implanted.
Hirsch R. Pacemaker Indication Must Meet Medicare Coverage Determination. JAMA Intern Med. 2013;173(17):1658–1659. doi:10.1001/jamainternmed.2013.8474
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