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Right Hemidiaphragmatic Twitching: A Complication of Bipolar Atrial Pacing
Author(s) -
KHAN AFTAB A.,
NASH ANTONY,
RING NICHOLAS J.,
MARSHALL ANDREW J.
Publication year - 1997
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1997.tb03550.x
Subject(s) - medicine , cardiology , phrenic nerve , atrial fibrillation , cardiac pacing , anesthesia , respiratory system
A patient with an atrioventricular sequential pacemaker developed rhythmic contractions of the right hemidiaphragm. This was found to be the result of right phrenic nerve stimulation, which was directly related to the wide distance between the poles of an ELA atrial lead when pacing in bipolar mode. Pole separation in current atrial leads is discussed.