Cardiac implantable electronic devices (CIEDs) are widely used in current practice. Analyzing the electrocardiographic patterns of these devices and having knowledge of artifacts is crucial to appropriate CIED management. A 32-year-old female patient presented at the device clinic for a routine follow-up visit. https://countryscenesaddleryandpetsuppliers.shop/product-category/hand-painted-headstall-and-breastplate/