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Unexpected paced wide QRS complex rhythm after successful implantation of cardiac resynchronization therapy; what is the mechanism?

Authors
Jang, Albert youngwooSeo, JungdukKang, Woong CholChung, Wook-JinPark, Yae Min
Issue Date
Jul-2022
Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
Keywords
Adaptive CRT; Biventricular pacing; Cardiac resynchronization therapy; LV-only pacing; Right bundle branch block
Citation
Journal of Electrocardiology, v.73, pp.8 - 11
Journal Title
Journal of Electrocardiology
Volume
73
Start Page
8
End Page
11
URI
https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/84534
DOI
10.1016/j.jelectrocard.2022.03.014
ISSN
0022-0736
Abstract
The adaptive CRT (aCRT) is an innovative algorithm that was developed to avoid unnecessary right ventricular (RV) pacing through continuous intracardiac delay evaluation. We present a case of unexpected wide QRS paced rhythm after successful implantation of CRT in patients with right bundle branch block (RBBB) and describe the reasons and the programming changes required to resolve it. © 2022 Elsevier Inc.
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