Safe right bundle branch block pattern during permanent right ventricular pacing: a case report

Safe right bundle branch block pattern during permanent right ventricular pacing: a case report

We present the case of a 72-year-old male who underwent a permanent transvenous DDD pacemaker implantation for symptomatic complete heart block. The postoperative surface electrocardiogram (ECG) revealed a right bundle branch block (RBBB) pacing pattern with transition in lead V3 and left bundle bra...

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Veröffentlicht in:Türk Kardiyoloji Derneği arşivi 2013-09, Vol.41 (6), p.522-525
Hauptverfasser: Errahmouni, Abdelkarim, Charniot, Jean Christophe, Artigou, Jean Yves
Format: Artikel
Sprache:eng
Schlagworte:
Aged
artificial
Bundle-Branch Block - diagnosis
Bundle-Branch Block - physiopathology
bundle-branch block/etiology
cardiac pacing
Cardiac Pacing, Artificial
echocardiography
heart block/therapy
Electrocardiography
Humans
Male
Pacemaker, Artificial
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Beschreibung
Zusammenfassung:We present the case of a 72-year-old male who underwent a permanent transvenous DDD pacemaker implantation for symptomatic complete heart block. The postoperative surface electrocardiogram (ECG) revealed a right bundle branch block (RBBB) pacing pattern with transition in lead V3 and left bundle branch block (LBBB) in D1, suggesting a malpositioned ventricular lead in the left heart. Malposition of a lead was ruled out by chest X-ray and echocardiogram confirming apical right ventricular pacing. After a literature review, a surface ECG maneuver, by placing leads V1 and V2 one intercostal space lower, restored the usual patterns of paced LBBB pattern. We discuss the literature concerning safe-paced RBBB.
ISSN:1016-5169
1016-5169
DOI:10.5543/tkda.2013.44845