Right bundle branch block pattern after uncomplicated right ventricular outflow tract pacing in a patient with a left sided superior vena cava and corrected tetralogy of Fallot.
作者信息
Gupta Anunay, Parakh Neeraj, Juneja Rajnish
机构信息
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
出版信息
Indian Pacing Electrophysiol J. 2018 Jan-Feb;18(1):39-41. doi: 10.1016/j.ipej.2017.11.005. Epub 2017 Nov 26.
Abstract
Usually an electrocardiogram after right ventricular (RV) pacing should yield left bundle branch block (LBBB) pattern. However, the presence of right bundle branch block (RBBB) pattern after pacemaker implantation should alert the physician to a malposition of lead. We report a case of 18-year-old female who underwent dual chamber pacemaker implantation and had RBBB pattern post implantation. Detailed evaluation revealed an uncomplicated right ventricular outflow tract pacing. The possible causes of this abnormal pattern after an uncomplicated RV pacing are also reviewed.
摘要
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