Asystole Following Left Ventricular Pacing

During biventricular ICD implantation, pacing the epicardial inferior posterior‐lateral surface of the left ventricle via the coronary sinus produced asystole. The proposed mechanism is a Bezold‐Jarisch reflex manifested by a drop in heart rate and blood pressure through direct C fiber stimulation....

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Bibliographische Detailangaben
Veröffentlicht in:	Pacing and clinical electrophysiology 2004-06, Vol.27 (6p1), p.815-817
Hauptverfasser:	LAI, REBECCA W., VOLOSIN, KENT J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Bezold‐Jarisch reflex Bradycardia - etiology Bradycardia - physiopathology Cardiac Pacing, Artificial cardiac resynchronization therapy Coronary Disease - complications Coronary Disease - therapy Defibrillators, Implantable - adverse effects Diagnosis, Differential Electrocardiography Electrodes, Implanted Heart Arrest - etiology Heart Arrest - physiopathology Heart Failure - physiopathology Heart Failure - therapy Heart Ventricles - physiopathology Humans Male Middle Aged Myocardial Infarction - complications Myocardial Infarction - therapy Nerve Fibers, Unmyelinated - physiology Reflex, Abnormal - physiology Tachycardia, Ventricular - physiopathology Tachycardia, Ventricular - therapy
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Beschreibung
Zusammenfassung:	During biventricular ICD implantation, pacing the epicardial inferior posterior‐lateral surface of the left ventricle via the coronary sinus produced asystole. The proposed mechanism is a Bezold‐Jarisch reflex manifested by a drop in heart rate and blood pressure through direct C fiber stimulation. (PACE 2004; 27[Pt. I]:815–817)
ISSN:	0147-8389 1540-8159
DOI:	10.1111/j.1540-8159.2004.00535.x