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A 43-year-old man with a prosthetic aortic valve used illicit drugs intravenously
and came to the hospital with infective endocarditis. Several days later, pauses were
noted on his electrocardiographic monitoring strips (Figure 1).
Figure 1Electrocardiographic rhythm strips in a 43-year-old man with a prosthetic aortic valve
and infective endocarditis. The first 2 strips are continuous, as are the last 2 strips.
See text for explication.