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Year : 2013  |  Volume : 1  |  Issue : 2  |  Page : 57-58

Right bundle branch block pattern in right ventricular endocardial pacing: A needless concern?

Department of Cardiology, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Mangalachulli Pottammal Ranjith
Bhavatharini, P. O. Pantheerankave, Kozhikode, Kerala - 673 019
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2321-449x.118585

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Right ventricular (RV) endocardial pacing in permanent pacemaker implantation usually yields a left bundle branch block (LBBB) pattern in surface electrocardiogram (ECG). The presence of right bundle branch block (RBBB) pattern raises the suspicion of lead perforation. We report a case of RV endocardial permanent pacemaker implantation showing a RBBB pattern in ECG, suggesting a complication. However, further work-up revealed that the lead was appropriately located at the RV apex.

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