Final answer:
Pacemaker spikes without associated QRS complexes on an ECG may indicate possible pacemaker failure.
Step-by-step explanation:
The ECG finding that would indicate possible pacemaker failure is Pacemaker spikes without associated QRS complexes. When a pacemaker spike is seen on an ECG without an associated QRS complex, it could suggest that the pacemaker is not successfully stimulating the heart to contract. In a normal ECG, each pacemaker spike should be followed by a QRS complex, which represents the depolarization and contraction of the ventricles.