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Quadripolar Left Ventricular Lead in a Patient with CRT-D does Not Overcome Phrenic Nerve Stimulation
Author(s) -
Mariana S. Parahuleva,
Ritvan Chasan,
Nedim Soydan,
Yasser Abdallah,
Christiane Neuhof,
Harald Tillmanns,
Ali Erdoğan
Publication year - 2011
Publication title -
clinical medicine insights cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.634
H-Index - 21
ISSN - 1179-5468
DOI - 10.4137/cmc.s6759
Subject(s) - lead (geology) , ventricular pacing , medicine , cardiac resynchronization therapy , cardiology , stimulation , anesthesia , heart failure , ejection fraction , geomorphology , geology
Effective cardiac resynchronization therapy (CRT) requires an accurate atrio-biventricular pacing system. The innovative Quartet lead is a quadripolar, over-the-wire left ventricular lead with four electrodes and has recently been designed to provide more options and greater control in pacing vector selection. A lead with multiple pacing electrodes is a potential alternative to physical adjustment of the lead and may help to overcome high thresholds and phrenic nerve stimulation (PNS).

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