Nayyar, S.Middeldorp, M.Roberts-Thomson, K.Sanders, P.2013-08-202013-08-202013Journal of Electrocardiology, 2013; 46(1):66-680022-07361532-8430http://hdl.handle.net/2440/79217An ECG recorded from a patient with an implanted cardiac pacemaker showed a striking high frequency pulsing on the ST-T segments linked with each QRS complex. In this report we present an approach to the clatter on the ECG and discuss various potential diagnoses that can have closely similar pattern.enCopyright © 2013 Elsevier Inc. All rights reserved.PacemakersECGJournal article002012490210.1016/j.jelectrocard.2012.09.0060003139974000192-s2.0-8487215457721517Middeldorp, M. [0000-0002-4106-9771]Sanders, P. [0000-0003-3803-8429]