Left ventricular pacing with long pulse duration can avoid phrenic nerve stimulation.

@article{Oh2011LeftVP,
  title={Left ventricular pacing with long pulse duration can avoid phrenic nerve stimulation.},
  author={Seil Oh and Woo-Young Kim and Hee Chan Kim and Il Young Oh and Eue Keun Choi},
  journal={Heart rhythm},
  year={2011},
  volume={8 10},
  pages={1637-40}
}
BACKGROUND One of the major limitations of left ventricular pacing is phrenic nerve stimulation. OBJECTIVE We evaluated the characteristics of the strength-duration curves of the left phrenic nerve (PN) and epicardium of the left ventricle (LV). METHODS A total of 12 mongrel dogs were studied. Capture threshold was assessed during pacing with 180 beats/min and various pulse durations (0.25 to 2.0 ms) in an open chest model. A commercially available LV lead was inserted through a small hole… CONTINUE READING