6 mo old baby girl, s/p VSD closure, Repair of Cleft mitral valve. Postop. ICU stay. Residual VSD with Pulmonary hypertension. Pulsus alternans is noted in the PA line pressure traces.
Panel 1 - DDD pacing
Panel 2 - Pacing Off
Panel 3 - AAI pacing
Panel 4 - VVI pacing
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