Malposition of the right ventricular lead into the left ventricle is an unusual complication of challenging management. We report a case of an elderly woman with a dual chamber permanent pacemaker implanted 2 months before admission because of high grade AV block, who presented to our institution with sub acute subdural hematoma along the left fronto-parietal area. Incidental ventricular pacema...

The objective of this study was to evaluate stable Pb isotope signatures as a tracer for Pb contamination in Lake Andong. For Pb isotope analysis, we collected water and sediment from Lake Andong, particles in the air, soils, and stream water, mine tailings, sludge and wastewater from zinc smelting around lake Andong watershed. The results showed that Pb isotope ratios (Pb/Pb, Pb/Pb, and Pb/Pb)...

It is the object of this paper to investigate the modifications of the electrocardiographic pattern of cardiac infarction caused by the simultaneous presence of right bundle branch block, and to describe the cardiographic signs on which the diagnosis of infarction can be made in the presence. of right branch block. The cardiogram of right branch block shows added changes characteristic of infar...

Case report A 34-year-old man with a history of congenital complete heart block who underwent dual-chamber pacemaker implant at age 6 and multiple generator changes was referred for device replacement and lead extraction owing to malfunctioning atrial and ventricular leads. He underwent lead extraction of a dual-chamber pacing system with subsequent reimplantation of a Medtronic Viva CRT pacema...

tachycardias. When unsure of the type of tachycardia, it is wise not to use verapamil. Intravenous amiodarone or procainamide can be used. When a broad-QRS tachycardia shows RBBB-type of morphology in lead V1, a monophasic or biphasic complex in V1 and R/S <1 in V6, suggests VT. A triphasic complex in leads V1 and V6 suggests SVT. On the other hand, when lead V1 shows LBBB-type of morphology; a...

Re-use of DDD pulse generators explanted from patients died of unrelated causes is associated with an additional cost of two transvenous leads if implanted as DDD itself, and high rate of infection according to some studies. We studied the clinical and economical aspects of reutilization of explanted DDD pacemakers programmed to VDD mode. Out of 28 patients who received VDD pacemaker during the...

Block tridiagonal matrices arise in applied mathematics, physics, and signal processing. Many applications require knowledge of eigenvalues and eigenvectors of block tridiagonal matrices, which can be prohibitively expensive for large matrix sizes. In this paper, we address the problem of the eigendecomposition of block tridiagonal matrices by studying a connection between their eigenvalues and...

Complete right bundle branch block manifests with a rSR' configuration in right orientated leads and a duration of 0.12 sec or longer. Incomplete right bundle branch block is perceived as this classic rSr' configuration and a duration of less than 0.12 sec. This presentation reflects the early development of right bundle branch block which first manifests with a hitherto undescribed sign, namel...

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...

Tall R waves in lead V1 present the life insurance company medical director with a diagnostic dilemma. This ECG pattern may be present in applicants with right bundle branch block, right ventricular hypertrophy, Wolff-Parkinson-White syndrome, posterior myocardial infarction, hypertrophic cardiomyopathy, muscular dystrophy, dextrocardia, misplaced precordial leads, as well as in normal individu...