RIGHT VENTRICULAR SEPTAL PACING IN PATIENTS WITH RIGHT BUNDLE BRANCH BLOCK

Right bundle branch block during transvenous ventricular pacing.

Cardiac pacing through a transvenous catheter located in the right ventricle usually produces a pattern of left bundle branch block (LBBB). When right bundle branch block (RBBB) occurs during apparent right ventricular pacing, a complication (perforation or malposition of the catheter) has usually occurred. In the patient reported here, uncomplicated right ventricular transvenous pacing produce...

Does cardiac resynchronization therapy benefit patients with right bundle branch block: left ventricular free wall pacing: seldom right for right bundle branch block.

Right bundle branch block pattern during right ventricular permanent pacing: Is it safe or not?

The present case report describes a patient with dual chamber pacemaker whose surface ECG demonstrated paced right bundle branch block pattern suggesting a malpositioned ventricular lead in the left ventricle. However, diagnostic work-up revealed that the lead was appropriately located in the right ventricular apex. Diagnostic maneuvers and clues for differentiating safe right bundle branch blo...

Right ventricular hypertrophy and right bundle branch block.

Wit/i the collaboration of Charles A. Bertrand, M.D., and Frederick R. Mugler, M.D. Electrocardiographic and vectorcardiographic studies on normal subjects and patients with heart disease suggest that criteria for the diagnosis of right ventricular hypertrophy can be improved and simplified. This report proposes new criteria for the electrocardiographic diagnosis of right ventricular hypertroph...

Case Report Safe Right Bundle Branch Block Pattern During Permanent Right Ventricular Pacing

It is known that an electrocardiogram (ECG) after transvenous right ventricular (RV) pacing should yield left bundle branch block (LBBB) QRS patterns. When right bundle branch block (RBBB) pacing morphology appears in a patient with a permanent or temporary transvenous RV pacemaker, myocardial perforation or malposition of the pacing lead must be ruled out, even though the patient may be asympt...