| Autor: |
G, Richter, A, Kehl, L, Eckel, H, von Egidy |
| Jazyk: |
němčina |
| Rok vydání: |
1986 |
| Předmět: |
|
| Zdroj: |
Zeitschrift fur Kardiologie. 75(4) |
| ISSN: |
0300-5860 |
| Popis: |
We report on 3 cases of right bundle branch block configuration in the ECG after pacemaker implantation. In case 1 it was not noticed that the catheter had been directed through an unknown sinus venosus defect into the left atrium and the left ventricle. In case 2 the catheter reached the left ventricle via an iatrogenic perforation of the lower part of the atrial septum. In case 3 the catheter was situated correctly in the right ventricle, but the tip was penetrating the septum. Different possibilities of interpretation of this phenomenon are discussed, and a description of further pacemaker catheter misplacements which may be responsible for a right bundle branch block configuration is given. The authors take the view that a pacemaker catheter should not remain in the arterial area, in the pericardial space and in the coronary sinus. A lateral radiograph, a 12-lead ECG and an echocardiographic study are helpful for detecting and interpreting an unusual catheter position or a right bundle branch block configuration in the pacemaker ECG. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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