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(Chest. 1974;66:86-88.)
© 1974 American College of Chest Physicians

Elimination of Diaphragmatic Contractions from Chronic Pacing Catheter Perforation of the Heart by Conversion to a Unipolar System

John J. Gaidula M.D.1 and S. Serge Barold M.B., F.C.C.P.2

1 Attending Physician, Highland Hospital; Clinical Assistant Professor of Medicine, University of Rochester School of Medicine and Dentistry
2 Chief of Cardiology, The Genesee Hospital; Associate Professor of Medicine, University of Rochester School of Medicine and Dentistry

This report describes how simple conversion from a bipolar to unipolar pacing system eliminated bothersome diaphragmatic stimulation in a patient with chronic catheter perforation of the heart. This approach, when feasible, appears preferable to the insertion of a second pacing catheter.






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Copyright © 1974 by the American College of Chest Physicians.