Diagnostic value of the 12-lead electrocardiogram during conventional and biventricular pacing for cardiac resynchronization.
The paced 12-lead ECG is a valuable tool in the assessment of patients with pacemakers, and ideally should be recorded routinely at the time of implantation and during follow-up. It has become particularly important in patients undergoing cardiac resynchronization. The multiplicity of clinical situations described in this review highlight the pitfalls of using a single ECG lead in the overall evaluation of pacemaker patients. The design of programmers capable of registering a 12-lead ECG would obviate the need of an additional electrocardiograph and encourage the routine recording of the paced 12-lead ECG with each patient encounter. Such an arrangement would improve the care of pacemaker patients.
Barold
S Serge
SS
Division of Cardiology, University of South Florida College of Medicine and Tampa General Hospital, Tampa, FL 33615, USA. ssbarold@aol.com
Giudici
Michael C
MC
Herweg
Bengt
B
Curtis
Anne B
AB
D001145:Arrhythmias, Cardiac / Q000175:diagnosis; D016477:Artifacts; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis; D004562:Electrocardiography; D006801:Humans; D006947:Hyperkalemia / Q000175:diagnosis; D010138:Pacemaker, Artificial