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 language | English |
|---|---|
| Pages (from-to) | 385-387 |
| Number of pages | 3 |
| Journal | Europace |
| Volume | 8 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - May 2006 |
| Externally published | Yes |
Keywords
- Anodal stimulation
- Atrioventricular block
- Cardiac pacing
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