BACKGROUND Definitive diagnosis of bilateral bundle-branch delay/block may be made when catheter-induced right bundle-branch block (RBBB) develops in patients with baseline left bundle-branch (LBB) block. We hypothesized that a RBBB pattern with absent S waves in leads I and aVL will identify bilateral bundle-branch delay/block. METHODS AND RESULTS Fifty patients developing transient RBBB pat...

background: during radiotherapy treatment, critical organs are shielded using lead and cerrobend blocks. the objective of this study is to compare the effects of lead and cerrobend shielding blocks on incident photon beam. methods: collimator scatter factors were measured for open square fields (3 x 3 cm to 40 x 40 cm) defined by collimator jaws and for fields blocked down to smaller asymmetric...

Pacing from the right ventricular apex has been the clinical standard for decades but has recently come into question with a growing trend towards reducing ventricular pacing as much as possible. The earliest devices provided asynchronous ventricular pacing in patients whose indication for pacing was asystolic complete heart block. RV apical pacing was literally the difference between life and ...

Introduction: In radiation therapy centers across Iran, protection of normal tissues is usually accomplished by either Cerrobend or lead block shielding. In this study, the influence of these two shielding methods on central axis dose distribution of photon beam a Cobalt unit was investigated in clinical conditions. Materials and Methods: All measurements were performed for 60Co γ-ray beams an...

BACKGROUND The hemodynamic advantages of maintaining AV synchrony through AV synchronous pacing are widely known as compared to single chamber pacing. DDD pacemaker implantation entails higher cost and is technically more challenging than the VDD pacemaker. METHODS Seventy one patients underwent VDD lead (Biotronik GmbH, St. Jude Medical and Medtronic Inc.) implantation at KEM hospital, Mumba...