{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T08:54:35Z","timestamp":1760864075551,"version":"3.41.2"},"reference-count":12,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T00:00:00Z","timestamp":1561507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>\n<jats:bold>Background<\/jats:bold>\n<\/jats:title><jats:p>A 53\u2010year\u2010old male with heart failure secondary to anterior wall myocardial infarction treated with cardiac resynchronization\u2010defibrillator (CRT\u2010D) device presented with ventricular arrhythmia: repetitive incessant slow ventricular tachycardias (VT) below the CRT\u2010D detection zone, accelerated ventricular rhythm, and numerous premature ventricular ectopic beats (ExV), resulting in loss of biventricular pacing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Nonsustained monomorphic VT (nsVT) and ExV were observed in an electrocardiogram under biventricular stimulation. During noninvasive CRT\u2010D programming, ventricular bigeminy reproducibly recurred only at right ventricular (RV) pacing and its morphology was almost identical to the stimulated beats. The left ventricular (LV) pacing failed to induce ventricular ectopy or tachycardia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This unusual case shows a rare phenomenon of late proarrhythmic effect due to the RV lead pacing\u2014a new finding reported only in a few publications. Here we present our approach to CRT programming that suppressed the clinical arrhythmia without the need of catheter ablation and achieving the high biventricular pacing capture rate along with optimal hemodynamic CRT\u2010D performance.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.12666","type":"journal-article","created":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T11:55:31Z","timestamp":1561550131000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Right ventricular lead induced ventricular arrhythmia\u2014A rare complication of cardiac resynchronization therapy"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8327-9550","authenticated-orcid":false,"given":"Dawid","family":"Mi\u015bkowiec","sequence":"first","affiliation":[{"name":"Department of Cardiology Medical University of Lodz Lodz 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