Presentation is loading. Please wait.

Presentation is loading. Please wait.

Right ventricularly paced right bundle–type pattern on ECG: Does this preclude upgrading to biventricular pacing?  Adrian H. Shandling, MD, FACC, Gregory.

Published byBenedek Pataki Modified over 5 years ago

Similar presentations

Presentation on theme: "Right ventricularly paced right bundle–type pattern on ECG: Does this preclude upgrading to biventricular pacing?  Adrian H. Shandling, MD, FACC, Gregory."— Presentation transcript:

1 Right ventricularly paced right bundle–type pattern on ECG: Does this preclude upgrading to biventricular pacing?  Adrian H. Shandling, MD, FACC, Gregory S. Thomas, MD, MPH, FACC, MASNC  HeartRhythm Case Reports  Volume 4, Issue 7, Pages (July 2018) DOI: /j.hrcr Copyright © 2018 Heart Rhythm Society Terms and Conditions

2 Figure 1 A “split screen” of the electrocardiogram from case 2 is displayed. Right ventricular pacing recorded with V1 electrode in the second interspace is on the left side of the figure; right ventricular pacing recorded with V1 electrode in the fifth interspace is seen on the right. The only manifest difference is in lead V1—the QRS complex is upright on the left panel, down-going in the right panel. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

3 Figure 2 A posteroanterior chest radiograph from case 2 is shown with 4 pacemaker leads. One lead is in the right atrium, 1 is in the coronary sinus, and 2 are in the right ventricle (RV). One RV lead is capped. The second RV lead is the thicker electrode and is active in the defibrillation and sensing systems. It is in an appropriate apical and septal position. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

4 Figure 3 A lateral chest radiograph from case 2 shows the defibrillator lead in the septal position. The coronary sinus lead can be seen posteriorly. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Download ppt "Right ventricularly paced right bundle–type pattern on ECG: Does this preclude upgrading to biventricular pacing?  Adrian H. Shandling, MD, FACC, Gregory."

Similar presentations

Implantation of the subcutaneous implantable cardioverter-defibrillator with retroperitoneal generator placement in a child with hypoplastic left heart.

Implantation of the subcutaneous implantable cardioverter-defibrillator with retroperitoneal generator placement in a child with hypoplastic left heart.
Subcutaneous implantable cardioverter-defibrillator placement in a patient with a preexisting transvenous implantable cardioverter-defibrillator  Mohammad-Ali.

Subcutaneous implantable cardioverter-defibrillator placement in a patient with a preexisting transvenous implantable cardioverter-defibrillator  Mohammad-Ali.
Pulmonary arterial pressure sensing in a patient with left ventricular assist device during ventricular arrhythmia  Jill R. Harris, MSN, ACNP-C, CNS,

Pulmonary arterial pressure sensing in a patient with left ventricular assist device during ventricular arrhythmia  Jill R. Harris, MSN, ACNP-C, CNS,
Out-of-service lead: Abnormal presentation at follow-up

Out-of-service lead: Abnormal presentation at follow-up
Wolff-Parkinson-White syndrome due to a left atrial appendage–to–left ventricular connection: A case of a successful pathway elimination from inside of.

Wolff-Parkinson-White syndrome due to a left atrial appendage–to–left ventricular connection: A case of a successful pathway elimination from inside of.
A novel method to enable biventricular defibrillator to biventricular pacemaker downgrade involving DF4 defibrillator lead  Arnoldas Giedrimas, MD, FHRS,

A novel method to enable biventricular defibrillator to biventricular pacemaker downgrade involving DF4 defibrillator lead  Arnoldas Giedrimas, MD, FHRS,
The influence of His bundle pacing on tricuspid valve functioning using three- dimensional echocardiography  Eriko Hasumi, MD, PhD, Katsuhito Fujiu, MD,

The influence of His bundle pacing on tricuspid valve functioning using three- dimensional echocardiography  Eriko Hasumi, MD, PhD, Katsuhito Fujiu, MD,
Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach 

Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach 
Erroneous shock by an AED: Importance of obtaining AED tracing to prevent inappropriate ICD implantation  Brian J. Cross, MD, Mark S. Link, MD, FHRS 

Erroneous shock by an AED: Importance of obtaining AED tracing to prevent inappropriate ICD implantation  Brian J. Cross, MD, Mark S. Link, MD, FHRS 
His-bundle pacing in a patient with dextrocardia, severe systolic dysfunction, and complete atrioventricular block  Manuel Molina-Lerma, MD, Juan Jiménez-Jáimez,

His-bundle pacing in a patient with dextrocardia, severe systolic dysfunction, and complete atrioventricular block  Manuel Molina-Lerma, MD, Juan Jiménez-Jáimez,
Inappropriate shock from delayed T-wave oversensing by a subcutaneous implantable cardioverter-defibrillator after septal myectomy for hypertrophic cardiomyopathy 

Inappropriate shock from delayed T-wave oversensing by a subcutaneous implantable cardioverter-defibrillator after septal myectomy for hypertrophic cardiomyopathy 
A case of paroxysmal atrioventricular block–induced cardiac arrest

A case of paroxysmal atrioventricular block–induced cardiac arrest
Combination of a leadless pacemaker and subcutaneous defibrillator: First in-human report  Blandine Mondésert, MD, Marc Dubuc, MD, FHRS, Paul Khairy,

Combination of a leadless pacemaker and subcutaneous defibrillator: First in-human report  Blandine Mondésert, MD, Marc Dubuc, MD, FHRS, Paul Khairy,
To the Editor— Leftward on left anterior oblique is not always septal!

To the Editor— Leftward on left anterior oblique is not always septal!
Unusual case of late dislodgment of a superior vena cava coil

Unusual case of late dislodgment of a superior vena cava coil
Ruchit Shah, MD, Vineet Kumar, MD, FHRS  HeartRhythm Case Reports 

Ruchit Shah, MD, Vineet Kumar, MD, FHRS  HeartRhythm Case Reports 
Anne Barnett, PA-C, Lee Eckhardt, MD, FHRS, Miguel A. Leal, MD, FHRS 

Anne Barnett, PA-C, Lee Eckhardt, MD, FHRS, Miguel A. Leal, MD, FHRS 
Resolution of the functional retrograde right bundle branch block during antidromic atrioventricular reciprocating tachycardia  Keiko Takahashi, MD, PhD,

Resolution of the functional retrograde right bundle branch block during antidromic atrioventricular reciprocating tachycardia  Keiko Takahashi, MD, PhD,
Jonathan T. Jaffe, MD, Lee-Gardie Jean, MD, Richard J. Murray, MD 

Jonathan T. Jaffe, MD, Lee-Gardie Jean, MD, Richard J. Murray, MD 
Failure of ICD therapy in lethal arrhythmogenic right ventricular cardiomyopathy type 5 caused by the TMEM43 p.Ser358Leu mutation  Kasper Aalbæk Kjærgaard,

Failure of ICD therapy in lethal arrhythmogenic right ventricular cardiomyopathy type 5 caused by the TMEM43 p.Ser358Leu mutation  Kasper Aalbæk Kjærgaard,

Similar presentations

Ads by Google