Document Detail


Right ventricular enlargement mimicking electrocardiographic left ventricular pacing.
MedLine Citation:
PMID:  16580416     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Electrocardiographic right bundle branch block morphology during cardiac pacing is occasionally the result of accidental placement of pacemaker or defibrillator leads into the left ventricle. Inadvertent lead placement in the left heart is associated with a risk of systemic embolism. Previous authors have attempted to define safe (right ventricular origin) and unsafe (left ventricular origin) patterns of right bundle branch block during pacing. We report a case of a patient with severe dilated cardiomyopathy and a correctly positioned pacemaker-defibrillator lead in the right ventricular apex, who meets electrocardiographic criteria for lead implantation into the left ventricle.
Authors:
Eric James Hemminger; John Michael Criley
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-11-28
Journal Detail:
Title:  Journal of electrocardiology     Volume:  39     ISSN:  0022-0736     ISO Abbreviation:  J Electrocardiol     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-04-03     Completed Date:  2006-09-28     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  180-2     Citation Subset:  IM    
Affiliation:
Department of Medicine, Harbor-UCLA Medical Center, Box 400, Torrance, CA 90509, USA. ehemminger@ladhs.org
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MeSH Terms
Descriptor/Qualifier:
Cardiac Pacing, Artificial / adverse effects,  methods*
Cardiomyopathy, Dilated / therapy*,  ultrasonography
Echocardiography
Electrocardiography*
Heart Block / etiology
Heart Ventricles
Humans
Hypertrophy, Right Ventricular / ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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