What does this research mean for the field?

Inadvertent long-term left ventricular transvenous pacing due to electrode malposition can present with right bundle branch block and be managed safely without severe complications using antiplatelet therapy. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe the diagnosis and long-term conservative management of inadvertent left ventricular pacemaker lead malposition producing right bundle branch block.

April 1, 1992Pacing and Clinical Electrophysiology

Seven Years of Left Ventricular Pacing Due to Malposition of Pacing Electrode

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Population

1 patient with left ventricular transvenous pacing producing right bundle branch block (RBBB)

Design

Case_report

Follow-up

7 years (1 year prior to admission, 6 years follow-up)

Authors

HSHaim ShmuelyKaplan Medical Center SES. ErdmanNational Research Tomsk State University BSBORIS STRASBERGTel Aviv University

Discussion

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Implication

May avoid lead revision in stable patients with malpositioned LV leads; leaves open generalizability from this single case.

Key Points

To describe the diagnosis and long-term conservative management of inadvertent left ventricular pacemaker lead malposition producing right bundle branch block.
Evaluated a patient presenting with right bundle branch block via diagnostic echocardiography and cine cardiovascular computed tomography (N=1).
Maintained antiplatelet therapy with aspirin and dipyridamole throughout a 6-year follow-up period following 1 year of unrecognized malposition.
Echocardiography and cine computed tomography confirmed lead placement in the left ventricle and excluded right ventricular perforation.
The patient experienced zero thromboembolic or mechanical complications across seven total years of continuous left ventricular pacing.

Structured PICO

Population

1 patient with left ventricular transvenous pacing producing right bundle branch block (RBBB)

Intervention

Left ventricular pacing due to malposition of pacing electrode, managed with aspirin and dipyridamole

Outcome

Complications during follow-upsafety

Left ventricular pacing due to an inadvertently malpositioned electrode can be managed conservatively with antiplatelet therapy without complications over long-term follow-up.

Cite This Study

Shmuely et al. (1992) studied this question.

synapsesocial.com/papers/6a1ca18df1b3da30e4898737 https://doi.org/10.1111/j.1540-8159.1992.tb05129.x

Topics

Echocardiography

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Seven Years of Left Ventricular Pacing Due to Malposition of Pacing Electrode

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Seven Years of Left Ventricular Pacing Due to Malposition of Pacing Electrode

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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