What additional assessment can indicate the potential for anodal stimulation?

The assessment that can indicate the potential for anodal stimulation is a septogram after lead placement. A septogram is a specialized imaging technique that helps visualize the position of pacing leads within the heart, particularly in relation to the septum, which separates the left and right chambers. By analyzing the septogram, clinicians can ascertain whether the lead is positioned in a way that can stimulate not just the target myocardium but also other areas, including the potential for anodal stimulation.

Anodal stimulation occurs when pacing leads are positioned in such a way that they can activate adjacent myocardial tissue, which is important in both the effectiveness of the pacing strategy and the management of potential pacing-induced arrhythmias. A proper assessment of lead positioning through septogram can help in determining the risk of unintended activation and inform adjustments in lead placement if necessary, enhancing patient safety and pacing efficacy.