Paced Right Bundle Branch Block Rhythm: Perforated, Displaced, or Neither?

Transvenous endocardial pacing of the right ventricle normally produces a QRS complex of left bundle branch block pattern (LBBB) on electrocardiogram. Although a paced right bundle branch block (RBBB) pattern can draw suspicion to lead perforation or displacement, it can also be a benign change. We present a case of a 56-year-old man who presented with dyspnea and was found to have a paced rhythm of RBBB morphology.

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Publication Details

Journal
Indian Journal of Clinical Cardiology
Published
2025-04-01
DOI
https://doi.org/10.1177/26324636251327259
Primary Topic
Cardiac pacing and defibrillation studies
Type
article
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article

Paced Right Bundle Branch Block Rhythm: Perforated, Displaced, or Neither?

Subhas Pramanik, Pranjit Deb, Ramachandra Barik, Sindhu Rao Malla et al.
Indian Journal of Clinical Cardiology
Cardiac pacing and defibrillation studies
article

Paced Right Bundle Branch Block Rhythm: Perforated, Displaced, or Neither?

Subhas Pramanik, Pranjit Deb, Ramachandra Barik, Sindhu Rao Malla, Debasish Das, Saroj Kumar Sahoo, Debasis Acharya, Debasis Panda, Diya Ann Varghese
article en

Abstract

Transvenous endocardial pacing of the right ventricle normally produces a QRS complex of left bundle branch block pattern (LBBB) on electrocardiogram. Although a paced right bundle branch block (RBBB) pattern can draw suspicion to lead perforation or displacement, it can also be a benign change. We present a case of a 56-year-old man who presented with dyspnea and was found to have a paced rhythm of RBBB morphology.

Indian Journal of Clinical CardiologyVol. 6(2)
All India Institute of Medical Sciences Bhubaneswar (IN)
Openalex Percentile: Top 89%
Cardiac pacing and defibrillation studies
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Paced Right Bundle Branch Block Rhythm: Perforated, Displaced, or Neither? — Subhas Pramanik, Pranjit Deb, et al. · Indian Journal of Clinical Cardiology (2025) | TGRS Research Map | TGRS