Biventricular pacing

被引:27
作者
Jarcho, John A. [1 ]
机构
[1] Harvard Univ, Sch Med, Dept Med, Boston, MA 02115 USA
[2] Brigham & Womens Hosp, Div Cardiol, Boston, MA 02115 USA
关键词
D O I
10.1056/NEJMct055185
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 55-year-old man who had had an anterior-wall myocardial infarction six months previously is admitted with an exacerbation of congestive heart failure. An electrocardiogram shows sinus rhythm with a left bundle-branch block; an echocardiogram demonstrates a left ventricular ejection fraction of 25 percent. He is treated with furosemide, lisinopril, and carvedilol. However, during an office visit three months later, he reports persistent shortness of breath with mild exertion. He is referred to a cardiologist, who recommends implantation of a biventricular pacemaker. Copyright © 2006 Massachusetts Medical Society.
引用
收藏
页码:288 / 294
页数:7
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