Key result
Right ventricular outflow tract pacing carries a rare risk of left phrenic nerve stimulation that is dependent on ventricular capture.
Why the study?
Phrenic nerve stimulation caused by a right ventricular lead is an uncommon complication of pacemaker implantations.
Highlights the rare risk of left phrenic nerve stimulation caused by an RV lead placed in the right ventricular outflow tract.
Left PNS may complicate RVOT pacing; single case leaves open incidence and predictors.
Phrenic nerve stimulation (PNS) caused by a right ventricular (RV) lead is an uncommon complication of pacemaker implantations. We demonstrated a case of left PNS caused by an RV lead placed in the RV outflow tract (RVOT). The PNS was dependent on ventricular capture. This case highlighted a risk of PNS even during RVOT pacing.
No takes yet. Share an insight, caveat, or question.
Sekihara et al. (2020) studied this question. Right ventricular outflow tract pacing carries a rare risk of left phrenic nerve stimulation that is dependent on ventricular capture.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: