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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Bibliographic Details
Published in:	Türk Kardiyoloji Derneği arşivi Vol. 41; no. 6; pp. 522 - 525
Main Authors:	Errahmouni, Abdelkarim, Charniot, Jean Christophe, Artigou, Jean Yves
Format:	Journal Article
Language:	English
Published:	Turkey KARE Publishing 01-09-2013
Subjects:	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
Online Access:	Get full text
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Summary:	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.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1016-5169 1016-5169
DOI:	10.5543/tkda.2013.44845