Physiologic Resynchronization Therapy: A Case of His Bundle Pacing Reversing Physiologic Conduction in a Patient with CHF and LBBB During 2 Years of Observation

被引:18
作者
Dabrowski, Pawel [1 ]
Kleinrok, Andrzej [1 ]
Kozluk, Edward [2 ,3 ]
Opolski, Grzegorz [2 ,3 ]
机构
[1] Samodzielny Publ Szpital Wojewodzki Papieza Jana, Oddzial Kardiologii, PL-22400 Zamosc, Poland
[2] Szpital Uniwersytetu Medycznego Warszawie, Katedra Kardiologii, Warsaw, Poland
[3] Szpital Uniwersytetu Medycznego Warszawie, Klinika Kardiologii, Warsaw, Poland
关键词
cardiac resynchronization therapy; cardiomyopathy; heart failure; His bundle pacing; left bundle branch block; CARDIAC RESYNCHRONIZATION; PERMANENT;
D O I
10.1111/j.1540-8167.2010.01949.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Physiologic Resynchronization Therapy. This is a case of a patient with congestive heart failure and left bundle branch block who was referred for cardiac resynchronization therapy implantation. Instead, a His bundle pacing was achieved with a narrow QRS complex. During 27 months of observation, the patient improved dramatically from NYHA class IV to I. Echo parameters improved significantly the LV diameter from 75/50 to 60/40 mm, EF from 28 to 50%, and mitral regurgitation from 4 to 2 degrees. (J Cardiovasc Electrophysiol, Vol. 22, pp. 813-817, July 2011)
引用
收藏
页码:813 / 817
页数:5
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