Key result
RV septal pacing causes anterior MI via active lead fixation into the LAD.
Why the study?
Right ventricle septal pacing is considered more favorable than apical RV pacing, but concerns exist about proximity to coronary arteries at anterior septal sites.
Highlights the risk of anterior myocardial infarction caused by actively fixating an RV lead into the LAD coronary artery during RV septal pacing.
Alerts to rare coronary injury risk in septal pacing; case report leaves open incidence and prevention strategies.
Right ventricle (RV) septal pacing has emerged as a more favorable pacing site compared to apical RV pacing.1–3 Concern over proximity of anterior septal sites to the coronary arteries has been raised. We report a case of myocardial infarction owing to actively fixating the RV lead into the left anterior descending (LAD) coronary artery.
No takes yet. Share an insight, caveat, or question.
Thabet Alsheikh (2021) studied this question. Right ventricle septal pacing caused an anterior myocardial infarction due to active fixation of the pacing lead into the left anterior descending coronary artery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: