Chest pain associated with moderator band pacing

Anil K. Goli, Karoly Kaszala, Mohammed N. Osman, John Lucke, Roger Carrillo

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)551-553
Number of pages3
JournalTexas Heart Institute Journal
Issue number5
StatePublished - Sep 1 2014
Externally publishedYes


  • Artificial/adverse effects
  • Electrodes
  • Heart conduction system
  • Implanted
  • Moderator band
  • Pacemaker
  • Pacemaker lead extraction
  • Percutaneous intervention
  • Right ventricular

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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