{"id":2929,"date":"2009-09-11T15:18:31","date_gmt":"2009-09-11T15:18:31","guid":{"rendered":"http:\/\/cardiophile.org\/?p=2929"},"modified":"2023-12-08T05:29:06","modified_gmt":"2023-12-07T23:59:06","slug":"pacing-through-lateral-cardiac-vein","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/pacing-through-lateral-cardiac-vein\/","title":{"rendered":"ECG of pacing through lateral cardiac vein"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/2BT2zARPrDw?si=KCj6fthgwBKl6X1I\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">ECG of pacing through lateral cardiac vein<\/span><\/h2>\n<figure id=\"attachment_37471\" aria-describedby=\"caption-attachment-37471\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-37471\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2009\/09\/ECG-of-pacing-through-lateral-cardiac-vein.png\" alt=\"ECG of pacing through lateral cardiac vein\" width=\"1200\" height=\"805\" \/><figcaption id=\"caption-attachment-37471\" class=\"wp-caption-text\">ECG of pacing through lateral cardiac vein<\/figcaption><\/figure>\n<p>Pacing through lateral cardiac vein was done because of prior triple valve replacement, mitral, tricuspid and aortic, which precluded transvenous right ventricular pacing. The basic rhythm is atrial fibrillation and the fifth and last beats are paced. The tall spikes before the paced QRS complexes indicate the possibility of unipolar pacing which causes tall pacing artefacts.<\/p>\n<p>QS complexes in leads V4-V6 indicate an activation proceeding medially from the lateral wall of the left ventricle. This is quite different from the activation seen with the basic rhythm.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pacing through lateral cardiac vein showing QS complexes in lead V4-V6 in paced beats indicating  an activation proceeding medially from lateral wall of LV.<\/p>\n","protected":false},"author":1,"featured_media":37471,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[6],"tags":[4040],"class_list":["post-2929","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ecg-electrophysiology","tag-triple-valve-replacement"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pacing through lateral cardiac vein<\/title>\n<meta name=\"description\" content=\"Pacing through lateral cardiac vein showing QS complexes in lead V4-V6 in paced beats indicating an activation proceeding medially from lateral wall of LV.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/pacing-through-lateral-cardiac-vein\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pacing through lateral cardiac vein\" \/>\n<meta property=\"og:description\" content=\"Pacing through lateral cardiac vein showing QS complexes in lead V4-V6 in paced beats indicating an activation proceeding medially from lateral wall of LV.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/pacing-through-lateral-cardiac-vein\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" 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