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Right bundle branch block pattern during right ventricular permanent pacing: Is it safe or not?

The present case report describes a patient with dual chamber pacemaker whose surface ECG demonstrated paced right bundle branch block pattern suggesting a malpositioned ventricular lead in the left ventricle. However, diagnostic work-up revealed that the lead was appropriately located in the right...

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Detalles Bibliográficos
Autores principales: Erdogan, Okan, Aksu, Feyza
Formato: Texto
Lenguaje:English
Publicado: Indian Heart Rhythm Society 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1939872/
https://www.ncbi.nlm.nih.gov/pubmed/17684578
Descripción
Sumario:The present case report describes a patient with dual chamber pacemaker whose surface ECG demonstrated paced right bundle branch block pattern suggesting a malpositioned ventricular lead in the left ventricle. However, diagnostic work-up revealed that the lead was appropriately located in the right ventricular apex. Diagnostic maneuvers and clues for differentiating safe right bundle branch block pattern during permanent pacing are thoroughly revisited and discussed within the article.