Resynchronization or dyssynchronization--successful treatment with biventricular stimulation of a child with obstructive hypertrophic cardiomyopathy without dyssynchrony.
We present a case of a 10-year-old boy with hypertrophic cardiomyopathy, intraventricular pressure gradient of 104 mmHg, and indications for prophylactic ICD implantation. Based on intraoperative pressure measurements, the child was implanted with biventricular ICD. During 2.5 months of observation, the patient's functional status improved significantly, as shown by subjective and objective parameters and, moreover, the pressure gradient fell to 12 mmHg. Significant electrical and mechanical cardiac dyssynchrony appeared parallel to clinical improvement.
Lenarczyk
Radoslaw
R
First Department of Cardiology, Silesian Medical School, Silesian Center for Heart Diseases, Zabrze, Poland. elfizab@poczta.onet.pl
Kowalski
Oskar
O
Kukulski
Tomasz
T
Kowalczyk
Jacek
J
Kalarus
Zbigniew
Z
D001281:Atrial Fibrillation / Q000150:complications / Q000628:therapy; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D024741:Cardiomyopathy, Hypertrophic, Familial / Q000628:therapy*; D002648:Child; D006323:Heart Arrest / Q000209:etiology / Q000517:prevention & control*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D016896:Treatment Outcome