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Three other runners with normal scans showed no post-race increase in cTnI, including a 56 year old Iron Man triathlete with a custom-programmed permanent cardiac pacemaker (Telectronics 1256, Denver, CO) placed in 1995 for idiopathic complete heart block. The effect of slowing of the impulse through the myocardium may become apparent during exercise as a bundle branch block or a complete heart block. Because of this complete heart block condition, the patient is now dependent on the Kappa 900 pacemaker to maintain an adequate heart rate. |
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