We present the case of a 56-year-old lady who presented with symptomatic bradycardia and was outsourced for permanent pacemaker implantation. The discussion that follows highlights the growing need for permanent pacemakers globally and in Trinidad and Tobago, as well as the stepwise approach needed for investigating patients with symptomatic bradycardia. Finally, recommendations are made for policy changes needed at the national level.
Keywords: bradycardia; complete heart block; electrocardiogram; pacemaker; trinidad.
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