%0 Journal Article
%T Fatal elective DDD pacemaker implantation
%A B. Klop
%A L. J. P. M. van Woerkens
%A M. Bijl
%J Archive of "Netherlands Heart Journal".
%D 2018
%R 10.1007/s12471-017-1049-1
%X The initial electrocardiogram obtained immediately after implantation of the dual chamber (DDD) pacemaker showed normal atrioventricular pacing with a premature atrial complex after every two beats and an expected left bundle branch block pattern (LBBB) (Fig. 1a). The repeat electrocardiogram showed a similar rhythm with an LBBB, but with concordant ST segment elevation in lead aVR and concordant ST segment depression in leads V2 to V6 (Fig. 1b). The patient developed a refractory cardiogenic shock and a coronary angiography was obtained, which revealed extensive three-vessel disease without thrombi or acute occlusions. Fluoroscopy did not show any signs of lead displacement. The patient died during emergency percutaneous coronary intervention
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818372/