In the emergency room, I visited a patient for palpitations with history of Brugada sdr. and ICD implanted one month ago.
Only during right ventricular pacing VVI, he developed phrenic nerve palsy that disappeared when ventricular capture was lost. During DDD and AAI pacing no phrenic nerve palsy was present.
All parameters were good.
Fluoroscopy for catheter position did not show any problems.