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Case Reports
. 2004 Jun;27(6 Pt 1):815-7.
doi: 10.1111/j.1540-8159.2004.00535.x.

Asystole following left ventricular pacing

Rebecca W Lai  1 , Kent J Volosin
Affiliations
Case Reports

Asystole following left ventricular pacing

Rebecca W Lai et al. Pacing Clin Electrophysiol. 2004 Jun.

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.

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