The patient was in sinus rhythm when the device was connected.When the pocket was being closed there was noise like markers on ra channel and rhythm change to afib.The pocket was opened and ra lead disconnected then tested via psa.Reconnected lead and tested again.Sensing noise-like pattern still present.Decided it was very fine af.Closed pocket.Device normal on hm next day post op.Device remains implanted.No adverse patient events were reported.Should additional information become available, this file will be updated.
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