Inappropriate spikes on telemetry? PART 3

Trace category: 
ECG
Device/Field: 
ICD
Company: 
Medtronic

Same patiënt as previous cases, a 81-year old patient with a sick sinus syndrome and a dual chamber Medtronic pacemaker, admitted due to chest pains.

Coronary agiography showed signficiant lesions in the LAD for which FFR measurements were negative.

Last night he showed the following telemetry strip:

What are your ideas?

Exactly Lubimceya! Thanks for posting!

MVP stands for Managed Ventricular Pacing.

It is fully explained here: http://www.pacingdefibrillation.com/en/traces/pm/medtronic/pacing-mvp-mode