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Ventricular capture by anodal pacemaker stimulation

  • Eraldo Occhetta
  • , Miriam Bortnik
  • , Paolo Marino

Research output: Contribution to journalArticlepeer-review

Abstract

This report describes the case of an 86-year-old male with syncopal paroxysmal 2:1 atrioventricular block and a single chamber VVI pacemaker programmed to bipolar sensing and unipolar pacing. After recurrence of syncope, a complete loss of ventricular capture with regular ventricular sensing was observed on ECG; fluoroscopic examination suggested perforation of the right ventricle by the helix of the implanted screw-in lead. Reprogramming the pacemaker to bipolar pacing/sensing resulted in regular ventricular capture and sensing, suggesting effective anodal stimulation from the ring electrode permitting complete non-invasive palliation.

Original languageEnglish
Pages (from-to)385-387
Number of pages3
JournalEuropace
Volume8
Issue number5
DOIs
Publication statusPublished - May 2006
Externally publishedYes

Keywords

  • Anodal stimulation
  • Atrioventricular block
  • Cardiac pacing

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