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Images in Clinical Medicine
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Volume 346:e2 February 7, 2002 Number 6
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Malposition of Dual-Chamber Pacemaker Lead

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A 78-year-old man with a history of arterial hypertension and coronary artery disease was initially admitted to our hospital with atypical chest pain. Four years earlier, he had received a dual-chamber pacemaker because of sick sinus syndrome. His medications included aspirin, a beta-blocker, and an angiotensin-converting–enzyme inhibitor. An acute coronary syndrome was ruled out as the cause of his chest pain. Electrocardiography (Panel A) showed atrial and ventricular pacemaker spikes followed by a pattern of depolarization resembling that associated with right bundle-branch block, rather than the typical pattern of left bundle-branch block. Subsequent echocardiography demonstrated that a pacemaker lead crossed . . . [Full Text of this Article]

 

Related Letters:

Malposition of a Pacemaker Lead
Farzaneh-Far A., Firschke C., Zrenner B., Kastrati A.
Extract | Full Text | PDF  
N Engl J Med 2002; 346:2010, Jun 20, 2002. Correspondence

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