ISSN 1016-5169 | E-ISSN 1308-4488
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Safe right bundle branch block pattern during permanent right ventricular pacing: a case report [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2013; 41(6): 522-525 | DOI: 10.5543/tkda.2013.44845

Safe right bundle branch block pattern during permanent right ventricular pacing: a case report

Abdelkarim Errahmouni, Jean Christophe Charniot, Jean Yves Artigou
Department of Cardiology, Avicenne Hospital, (Assistance Publique Des Hôpitaux De Paris), Bobigny, France

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.

Keywords: Bundle-branch block/etiology, cardiac pacing, artificial, echocardiography; heart block/therapy.

How to cite this article
Abdelkarim Errahmouni, Jean Christophe Charniot, Jean Yves Artigou. Safe right bundle branch block pattern during permanent right ventricular pacing: a case report. Turk Kardiyol Dern Ars. 2013; 41(6): 522-525

Corresponding Author: Abdelkarim Errahmouni, France
Manuscript Language: English


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Journal Citation Indicator: 0.18
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