June 27, 2013BMJ Case ReportsOpen Access

Inadvertent left ventricular pacing through a patent foramen ovale: identification, management and implications for postpacemaker implantation checks

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Complete (third degree) heart block (n=1). Intervention: Dual chamber permanent pacemaker implantation. Primary outcome: Lead misplacement identification and management.

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Key result

Inadvertent left ventricular pacing through a patent foramen ovale was identified by transthoracic echocardiography and lateral chest X-ray, and the lead was successfully repositioned.

Population

1 asymptomatic man with complete (third degree) heart block

Design

Case_report

Authors

GWGareth WynnThe Royal Melbourne Hospital CWCathy WestonUniversity of Liverpool RCRobert J. CooperWest Virginia University

Discussion

Member takes

Implication

Alerts clinicians to evaluate for inadvertent LV lead placement via PFO when post-implant RBBB occurs; leaves open optimal detection protocols.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

1 asymptomatic man with complete heart block who underwent dual chamber permanent pacemaker implantation.

Intervention

Dual chamber permanent pacemaker implantation

Outcome

Identification and management of inadvertent left ventricular pacing lead placement

Transthoracic echocardiography and lateral chest X-ray are crucial for detecting inadvertent left ventricular pacing lead placement through a patent foramen ovale when postprocedure ECG shows right bundle branch block.

Cite This Study

Wynn et al. (2013) conducted a case report in Complete (third degree) heart block (n=1). Dual chamber permanent pacemaker implantation was evaluated on Lead misplacement identification and management. Inadvertent left ventricular pacing through a patent foramen ovale was identified by transthoracic echocardiography and lateral chest X-ray, and the lead was successfully repositioned.

synapsesocial.com/papers/6a9716f86b29a448da8259f1 https://doi.org/10.1136/bcr-2012-008312

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Implication

Alerts clinicians to evaluate for inadvertent LV lead placement via PFO when post-implant RBBB occurs; leaves open optimal detection protocols.

Inadvertent left ventricular pacing through a patent foramen ovale: identification, management and implications for postpacemaker implantation checks

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Inadvertent left ventricular pacing through a patent foramen ovale: identification, management and implications for postpacemaker implantation checks

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider