[Clinical case of significant "reverse remodeling" after cardiac resynchronization therapy].
A 79-year-old man refers to our echocardiolab for a normal follow-up after 2 years of biventricular pacing. Seven years before the present observation, the patient underwent a biological aortic valve replacement for severe valvular stenosis in the presence of marked systolic dysfunction of the left ventricle and advanced cardiac failure symptoms. The evaluation of the present and past clinical and echocardiographic parameters suggests that conventional surgery and full medical therapy did not elicit an improvement of both functional and clinical parameters, whereas cardiac resynchronization therapy dramatically improved in the mid term all the clinical and functional parameters.
Falcone
Antonio
A
Divisione di Cardiologia Presidio Ospedaliero Spirito Santo Via R. Paolini, 45 65124 Pescara. afalcone@abol.it
Ranalli
Guido
G
Luise
Raffaele
R
Di Giammarco
Gabriele
G
De Caterina
Raffaele
R
Mobilij
Antonio
A
D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D002304:Cardiac Pacing, Artificial; D004452:Echocardiography; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*