Austin S M, Kim C S, Solis A
Pacing Clin Electrophysiol. 1981 May;4(3):313-6. doi: 10.1111/j.1540-8159.1981.tb03701.x.
A case of electrical alternans of pacemaker stimulus amplitude is presented, with constant alternation of large and small amplitude pacemaker spikes without loss of ventricular capture, due to a defect in the oscillator hybrid of a rate programmable Medtronic unit. This represents an unusual electrocardiographic manifestation of pacemaker generator malfunction which, to our knowledge, has not been reported previously.