title: Reverse remodeling with resynchronization in an asymptomatic patient with dilated hypokinetic cardiomyopathy.
abstract: Cardiac resynchronization therapy (CRT) is a validated treatment for selected heart failure patients who remain highly symptomatic despite optimal drug treatment. Yet there is currently no indication for CRT in patients with few or no symptoms. We report a spectacular "reverse remodeling" effect after CRT in an asymptomatic patient with hypokinetic dilated myocardiopathy who needed pacing for atrio-ventricular conduction disorder. CRT was chosen to prevent deterioration of left ventricular function by conventional right apical pacing. Thus, CRT could be indicated in patients with hypokinetic dilated myocardiopathy before the appearance of symptoms.
authors.affiliation: Service de Cardiologie, Hôpital Universitaire Dupuytren, Limoges, France. christophe.divernois@chu-limoges.fr
authors.forename: Christophe
authors.initials: C
authors.lastname: D'Ivernois
authors.forename: Laurent
authors.initials: L
authors.lastname: Deluche
authors.forename: Le Anh
authors.initials: le A
authors.lastname: Tuan Nguyen
authors.forename: Patrick
authors.initials: P
authors.lastname: Blanc
mesh_terms: D000368:Aged; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D002311:Cardiomyopathy, Dilated / Q000150:complications* / Q000517:prevention & control*; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000150:complications* / Q000517:prevention & control*; D020257:Ventricular Remodeling