Chest pain associated with moderator band pacing.

Journal Article (Journal Article)

A 65-year-old man was evaluated for chronic chest pain that had been present for 8 years after placement of a dual-chamber implantable cardioverter-defibrillator to treat inducible ventricular tachycardia. Previous coronary angiography had revealed nonobstructive coronary artery disease and a left ventricular ejection fraction of 0.45 to 0.50, consistent with mild idiopathic nonischemic cardiomyopathy. Evaluation with chest radiography and transthoracic echocardiography showed the implantable cardioverter-defibrillator lead to be embedded within the right ventricle at the moderator band, which had mild calcification. Treatment included extraction of the dual-coil lead and placement of a new single-coil right ventricular lead at the mid septum. The patient had complete relief of symptoms after the procedure. This case shows that chest pain can be associated with the placement of a right ventricular implantable cardioverter-defibrillator lead in the moderator band and that symptomatic relief can occur after percutaneous lead extraction and the implantation of a new right ventricular lead to the mid septal region.

Full Text

Duke Authors

Cited Authors

  • Goli, AK; Kaszala, K; Osman, MN; Lucke, J; Carrillo, R

Published Date

  • October 2014

Published In

Volume / Issue

  • 41 / 5

Start / End Page

  • 551 - 553

PubMed ID

  • 25425994

Pubmed Central ID

  • PMC4189363

Electronic International Standard Serial Number (EISSN)

  • 1526-6702

Digital Object Identifier (DOI)

  • 10.14503/THIJ-13-3602


  • eng

Conference Location

  • United States