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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Type Of Pacemaker For Right Branch Block

My father is of 76 yeras old and he has been adviced for pacemaker implantation. I am in a fix to go for what type of pacemaker? i.e AAI, VVI, VDD, DDD, DDDR. Our cardiologist has the opinion for DDD or DDDR, which I can't afford. His holter report is attached. His ECG is telling complete right branch block.
Mon, 1 Sep 2014
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Cardiologist 's  Response
Hi,
DDD and DDDR are more physiological than VVI. It is more favorable to pace both atria and ventricle. For left bundle branch block indicated CRT which is not option for right bundle branch block. And you shouldn't worry about right bundle branch block, the impulse will generate at the apex of right ventricle, it will go though fascicles to left ventricle.

In case of further questions don't hesitate to ask

Regards,
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Suggest Type Of Pacemaker For Right Branch Block

Hi, DDD and DDDR are more physiological than VVI. It is more favorable to pace both atria and ventricle. For left bundle branch block indicated CRT which is not option for right bundle branch block. And you shouldn t worry about right bundle branch block, the impulse will generate at the apex of right ventricle, it will go though fascicles to left ventricle. In case of further questions don t hesitate to ask Regards,