Cardiac resynchronization as therapy for congestive cardiac failure in children dependent on chronic cardiac pacing.
Three patients with heart failure after chronic right ventricular apical pacing were treated with resynchronization. Biventricular pacing was used for two patients, and the other was treated with left univentricular pacing. In all patients, we observed a dramatic improvement of left ventricular dimension, function, and clinical state. We conclude that biventricular or left ventricular pacing is superior to right ventricular apical pacing in children who are pacemaker-dependent.
Children's Hearth Centre, University Medical Centre, Nijmegen, The Netherlands. eavanbeek@zonnet.nl
Eugène
E
van Beek
Ad
A
Backx
Sandeep
S
Singh
D000293:Adolescent; D002304:Cardiac Pacing, Artificial; D005260:Female; D006327:Heart Block / Q000628:therapy*; D006330:Heart Defects, Congenital / Q000628:therapy*; D006333:Heart Failure / Q000628:therapy*; D006352:Heart Ventricles / Q000002:abnormalities; D006801:Humans; D007223:Infant; D008297:Male; D010138:Pacemaker, Artificial; D016896:Treatment Outcome