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Ventricular Pacing - Articles

Can right ventricular pacing produce an ECG with RBBB morphology ? by Dr. Sangareddi V. Medical Doctor Posted Mon 13 Apr 2009 11:50pm Pacemaker rhythms  result in classical ECG with  LBBB morphology.It is a universally understood  fact that  RV pacing would  produce LBBB and LV pacing a  RBBB pattern in surface ECG.As with any other rules in medicine , it is not 100%  perfect .(May be 70%) In the process of oversimplification of rules  we have forgotten a simple fact , ... Read on »
Does the right ventricle really dilate in ventricular septal defect ? by Dr. Sangareddi V. Medical Doctor Posted Wed 20 Oct 2010 10:15am The following  questions  are asked frequently  in clinical cardiology classes on congenital heart disease. What are the chambers that dilate in ASD ? Right atrium and  right ventricle . What are the chambers that dilate in VSD ? LA, LV , ± RV, * Image courtesy Wikipedia While there is no controversy about ASD, ... Read on »
How to use the Esophagus , as an access for emergency cardiac pacing ? by Dr. Sangareddi V. Medical Doctor Posted Thu 20 Jan 2011 11:43am God has created  and arranged every organ in an order  with a purpose .  The unique  relationship  of the food tube and  the heart which run silently , posterior  to the heart has evoked much interest for the cardiologists. Whenever LA is enlarged it pushes the Esophagus back .We also know  the vintage clinical entities   of cardiac  dysph ... Read on »
LAD occlusion in the setting of paced rhythm by Stephen Smith Posted Wed 22 Dec 2010 11:47am An 80 yo male presented with chest pain. There is clearly a ventricular paced rhythm. Normally in a paced rhythm, the QRS is all negative from V1-V6 because the pacing wire is in the apex of the RV and thus all depolarization goes away from the apex. . In the above ECG, the QRS in V2 is positive and all others are negative, as in the ... Read on »
Discordant ST-Segment Elevation in LBBB or Paced Rhythm by Adam THOMPSON Posted Wed 27 Jan 2010 8:23am If you've been following the Prehospital 12-Lead ECG blog for a while, you know that I'm advocate of using Sgarbossa's criteria to help identify acute STEMI in the presence of left bundle branch block (LBBB) or paced rhythm. According the Sgarbossa's original criteria, 5 mm of discordant ST-segment elevation is required to identify AMI in the ... Read on »
Discordant ST-Segment Elevation in LBBB or Paced Rhythm by JASON WINTER Posted Wed 27 Jan 2010 8:20am If you've been following the Prehospital 12-Lead ECG blog for a while, you know that I'm advocate of using Sgarbossa's criteria to help identify acute STEMI in the presence of left bundle branch block (LBBB) or paced rhythm. According the Sgarbossa's original criteria, 5 mm of discordant ST-segment elevation is required to identify AMI in the ... Read on »
Forgotten concepts in cardiology : Over drive pacing by Dr. Sangareddi V. Medical Doctor Posted Sat 07 Nov 2009 10:01pm It is one of the greatest innovation in medicine  . . . that is . . . electric current being  used as  a  drug to  treat disorders of heart . Of course ,  it is not a surprising finding  when we know heart is an  electro mechanical organ ,  and electricity can be used  to treat various disorders of heart by delivering it  in an optimal dosage ... Read on »
How can a single chamber pacemaker be physiological ? by Dr. Sangareddi V. Medical Doctor Posted Tue 18 Jan 2011 12:09pm In pacemaker science ,  any pacemaker that maintains AV synchrony is often referred to as physiological pacemaker. This is  of course , a  wrong reasoning .None of the pacemakers available today can be claimed to  be completely physiological .All  pacemakers  which paces the right ventricle  induces IVS dysynchrony (Including  the modern DDD) ... Read on »
FDA Approves Left Ventricular Assist System for Severe Heart Failure Patients by Health: Hearsay & Headlines Posted Thu 21 Jan 2010 12:00am The U.S. Food and Drug Administration today approved the HeartMate II, a continuous-flow, left ventricular assist system as a support for severe heart failure patients who are not acceptable candidates for heart transplantation. The HeartMate II is already FDA-approved for use in patients awaiting further, perhaps more complex treatment, su ... Read on »
What is primary RF ablation for ventricular tachycardia ? by Dr. Sangareddi V. Medical Doctor Posted Mon 31 Aug 2009 10:33pm Ventricular  tachycardias ,  especially incessant  ones   not controlled  by drugs are very troublesome . Radio frequency ablation  is the treatment of choice currently.  Principles of electrophysiology would demand acccurate localisation of the tachycardia  focus and then ablate it with RF energy .This requires induction of  the clinical arr ... Read on »