Skip to main content


Swipe om te navigeren naar een ander artikel

12-08-2019 | Image Puzzle – Question | Uitgave 1/2020 Open Access

Netherlands Heart Journal 1/2020

Lead detour

Netherlands Heart Journal > Uitgave 1/2020
L. M. van den Broek, S. W. Westra, R. Evertz, M. Boulaksil
A 48-year-old male was brought to our Emergency Department after a car accident due to syncope. His medical history included paroxysmal atrial fibrillation and a bicuspid aortic valve requiring aortic valve replacement with a mechanical prosthesis. At presentation, the electrocardiogram showed a new third-degree atrioventricular block. It was decided to implant a dual-chamber pacemaker, but the procedure was more challenging than expected. Fig.  1 shows the position of the leads at the end of the procedure. What is your diagnosis?


You will find the answer elsewhere in this issue.

Conflict of interest

L.M. van den Broek, S.W. Westra, R. Evertz and M. Boulaksil declare that they have no competing interests.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Onze productaanbevelingen

Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

Over dit artikel

Andere artikelen Uitgave 1/2020

Netherlands Heart Journal 1/2020 Naar de uitgave

Thanks to Reviewers

Thanks to reviewers