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Early improvement of pacing threshold following primary right coronary angioplasty  Fernando Pivatto Júnior, MD, Diego Chemello, MD, ScD, Geris Mazzutti,

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Presentation on theme: "Early improvement of pacing threshold following primary right coronary angioplasty  Fernando Pivatto Júnior, MD, Diego Chemello, MD, ScD, Geris Mazzutti,"— Presentation transcript:

1 Early improvement of pacing threshold following primary right coronary angioplasty 
Fernando Pivatto Júnior, MD, Diego Chemello, MD, ScD, Geris Mazzutti, MD, Maurício Pimentel, MD, ScD, Paola Rabaioli, MD, Leandro Zimerman, MD, ScD  HeartRhythm Case Reports  Volume 3, Issue 1, Pages (January 2017) DOI: /j.hrcr Copyright © 2016 Heart Rhythm Society Terms and Conditions

2 Figure 1 Electrocardiogram (ECG) showing sinus rhythm at approximately 100 beats per minute (bpm) with complete heart block and a junctional escape rhythm of 47 bpm with intermittent ventricular undersensing and complete loss of ventricular capture. A: There was up to 4 mm ST-segment elevation in the inferior leads (II, III, and aVF) with minor ST elevation in the anterior leads and ST-segment depression in the lateral leads. B: ECG after pacemaker reprogramming (increased amplitude and pulse width) showing consistent right ventricular capture. HeartRhythm Case Reports 2017 3, 90-92DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

3 Figure 2 Right coronary angiography in the left anterior oblique (LAO) position (A) and in the right anterior oblique (RAO) position (B) showing the right coronary artery and its branches in close proximity to the pacemaker lead tip. HeartRhythm Case Reports 2017 3, 90-92DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

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