Image: Cardiac resynchronisation therapy

Description: Three leads can be seen in this example of a cardiac resynchronization device: a right atrial lead (solid black arrow), a right ventricular lead (dashed black arrow), and a coronary sinus lead (red arrow). The coronary sinus lead wraps around the outside of the left ventricle, enabling pacing of the left ventricle. Note that the right ventricular lead in this case has 2 thickened aspects that represent conduction coils and that the generator is larger than typical pacemaker generators, demonstrating that this device is both a pacemaker and a cardioverter-defibrillator, capable of delivering electrical shocks for dangerously fast abnormal ventricular rhythms (see separate knol on Implantable Cardioverter-Defibrillators (ICDs).
Title: Cardiac resynchronisation therapy
Credit: http://knol.google.com/k/-/-/lAmNkcMc/I3szpw/biv.png , embedded from http://knol.google.com/k/gregory-marcus-md-mas-facc/pacemakers/lAmNkcMc/EOUWRA
Author: Gregory Marcus, MD, MAS, FACC
Usage Terms: Creative Commons Attribution 3.0
License: CC BY 3.0
License Link: http://creativecommons.org/licenses/by/3.0
Attribution Required?: Yes