Ventricular ectopic rhythms due to rapid runaway pacemaker

A patient initially had syncope due to a runaway pacemaker firing at an unusually rapid rate (30 impulses per sec). The ventricular arrhythmia was characterized by numerous ectopic beats, with coupling intervals related to the length of the preceding cycle and runs of ventricular tachycardia with slight variations in the intervals between beats. This case demonstrates the clinical characteristics of a very rapidly firing, low-intensity, ventricular parasystolic focus.