Patient

• 76-year-old woman
• syncope and complete atrio-ventricular block
• dual-chamber pacemaker
• chest X-ray 1 day after implantation

Chest X-ray: antero-posterior view

• right atrial lead placed via the left subclavian vein
• the right atrial lead is directed inferiorly and takes a J loop curve with the tip at the right atrial appendage

Now let’s see two other patients.