... (univentricular heart) . Resting 12-lead ECG from the same
patient in Figure 23.4, demonstrating dual chamber pacing. There is both sensing and
pacing in the atrium. Ventricular pacing demonstrates ... following atrial,
septal and apical single chamber right heart pacing in the young. PACE 199 7; 20:
198 3– 198 8.
52 Lieberman R, Grenz D, Mond H et al. Selective site...
... [61].
Unless the pacing leads are to be positioned in traditional sites in
structurally normal hearts, active-fixation pacing leads are preferable in
patients with adult congenital heart disease requiring ... application in adults with congenital heart
disease such as Ebstein’s anomaly or in patients, following the Mustard
and Fontan [63] procedures. In th...
... for
myocardial dysfunction, including patients with congenital heart block,
biventricular pacing did prove to be effective in improving symptoms and
function [128, 1 29] . However, in patients with normal or ... of 80 90 ppm in patients with congenital long QT syndromes, with
or without atrioventricular block [1 39 142]. This, together with intens-
ive beta blockade wa...
... passages in a review.
First published 2007
1 2007
ISBN-13: 97 8-1 -4 05 1-5 56 9- 4
ISBN-10: 1-4 05 1-5 56 9- 8
Library of Congress Cataloging -in- Publication Data
Mond, Harry G.
Pacing options in the adult patient ... patient with congenital heart disease /
Harry G. Mond, Peter P. Karpawich.
p.;cm.
Includes bibliographical references and index.
ISBN-13:...
... along an intact cephalic vein. Right: The cephalic vein is torn with pushing of the
second lead into the subclavian vein. The vein is then invaginated into the subclavian vein
enclosing the two ... occasion, the cephalicvein maybreak duringlead insertion. Ifthe two
leads cause a very tight fit in the vein, it may, as a consequence, invaginate
the vein into the subclavia...
... difficulties intrying toachieve left ventricu-
lar pacing. The incidence of this abnormality draining into the coronary
sinus is about 3–5% of patients with structurally abnormal hearts [74]. In
turn ... groups; congenital or
adult onset [94 ]. In the adult onset form, the electrocardiograph may show
varying degrees of bundle branch block in family members [78, 89, 95 97...
... abnormal-
ity of the heart and results from the normal fetal circulation persisting post
natal. An incidence of 27% in otherwise normal hearts has been reported
with the incidence falling with advancing ... cava draining into the coronary
sinus. Failure of left superior cardinal vein regression, typically associated with absence of
innominate vein development, allows for ven...
... vein,
then there will be a leftward axis similar to pacing from the cardiac apex
(Figure 19. 6). In this position, the lateral chest x-ray helps confirm the car-
diac venous pacing by demonstrating ... showing dual chamber pacing in a
patient with Ebstein’s anomaly. The passive-fixation atrial lead lies in the atrial appendage.
The passive-fixation right ventricular l...
... ventricular pacing with dominant R waves from V1 to V4
(Figure 20.11). The axis is, however, dependent on the position of the lead
in the leftventricle. The higher thelead in the chamber, the more prominent
the ... of the great vessels. Two resting 12-lead
ECGs of the single chamber pacing system shown in Figure 20.12 demonstrating left
ventricular (LV) pacing...