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Asystole Following Left Ventricular Pacing
Authors:REBECCA W LAI  KENT J VOLOSIN
Institution:From the University of Pennsylvania Health System, Philadelphia, Pennsylvania
Abstract:During biventricular ICD implantation, pacing the epicardial inferior posterior-lateral surface of the left ventricle via the coronary sinus produced asystole. The proposed mechanism is a Bezold-Jarisch reflex manifested by a drop in heart rate and blood pressure through direct C fiber stimulation. (PACE 2004; 27Pt. I]:815–817)
Keywords:cardiac resynchronization therapy                        Bezold-Jarisch reflex
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