Cardiogenic shock shortly after initial success of cardiac resynchronization therapy.
Cardiac resynchronisation therapy (CRT) has been shown to improve symptoms, exercise capacity and left ventricular function, as well as a reduction in morbidity/mortality in heart failure patients. Failures following initial success of this treatment are mostly related to lead dislodgement. Another entirely different reason is presented in this case study.
Kanhai
S M
SM
Department of Cardiology, Groene Hart Hospital, Bleulandweg 10, 2803HH Gouda, The Netherlands.
Viergever
E P
EP
Bax
J J
JJ
D000368:Aged; D002304:Cardiac Pacing, Artificial; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000209:etiology; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology*; D013318:Stroke Volume / Q000502:physiology; D015899:Tomography, Emission-Computed, Single-Photon; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy