Shmuely H, Erdman S, Strasberg B, Rosenfeld J B
Department of Internal Medicine C, Beilinson Medical Center, Petah Tikva, Israel.
Pacing Clin Electrophysiol. 1992 Apr;15(4 Pt 1):369-72. doi: 10.1111/j.1540-8159.1992.tb05129.x.
The case report is presented of a patient in whom an uncomplicated left ventricular transvenous pacing produced right bundle branch block (RBBB). A diagnostic echocardiography, confirmed by cine cardiovascular computed tomography, showed that there was no rupture of the right ventricle and diagnosed a left ventricular pacing, due to malposition of the pacing electrode. The patient was treated with aspirin and dipyridamole during the last 6 years of follow-up, without any complications, including 1 year of pacing, prior to admission.
本文报告了一例患者，其在进行无并发症的左心室经静脉起搏后出现了右束支传导阻滞（RBBB）。经心血管电影计算机断层扫描证实的诊断性超声心动图显示右心室没有破裂，并因起搏电极位置不当诊断为左心室起搏。在随访的最后6年中，该患者接受了阿司匹林和双嘧达莫治疗，没有出现任何并发症，包括入院前1年的起搏治疗。
