Left Ventricular Pacing in Right Ventricular Cardiomyopathy: Blessing or Blunder?

Authors

  • IMRAN NIAZI M.D.,

    Corresponding author
    • Division of Electrophysiology, Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, University of Wisconsin School of Medicine and Public Health, Milwaukee, Wisconsin
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  • NEIL RENNICK D.O.,

    1. Family Practice, Family Medicine & Surgery LLC, East Troy, Wisconsin
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  • JO ANN KIEMEN A.P.N.P.,

    1. Division of Electrophysiology, Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, University of Wisconsin School of Medicine and Public Health, Milwaukee, Wisconsin
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  • JASBIR SRA M.D.

    1. Division of Electrophysiology, Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, University of Wisconsin School of Medicine and Public Health, Milwaukee, Wisconsin
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  • Disclosures: Dr. Niazi is a consultant for St. Jude Medical Inc. Dr. Sra is a consultant for Medtronic Inc. There are no disclosures for the other authors.

Address for reprints: Imran K. Niazi, M.D., 2801 W. Kinnickinnic River Parkway, No. 845, Milwaukee, WI 53215. Fax: 414-649-5769; e-mail: publishing24@aurora.org

Abstract

Arrhythmogenic right ventricular dysplasia (ARVD) predominantly involves the right ventricle, and myocardium is progressively replaced by fat and fibrous tissue in the apex, base, and outflow tract regions. This pathology, and the progressive nature of the disease, poses special challenges for implant and subsequent appropriate functioning of an implantable cardioverter-defibrillator. This case report describes a solution to problems during lead placement in patients with ARVD.

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