Importance of electrocardiography in the assessment and management of heart failure: a case report.
Restoring and maintaining optimal electrical activation of the cardiac chambers as well as atrioventricular synchrony are important aspects of heart failure management. The 12-lead electrocardiogram remains a simple and cost-effective diagnostic tool that can provide important clues in achieving this goal. We report a case where careful interpretation of the 12-lead electrocardiogram led to the diagnosis of pacemaker syndrome. This recognition led to a therapeutic intervention that resulted in the resolution of the patient's heart failure symptoms. The importance of electrocardiography and atrioventricular synchrony in the management of heart failure will also be discussed.
Suh
William M
WM
Division of Cardiology, The University of California, Irvine, Orange, CA, USA. wmsuh@uci.edu
Wong
Catherine
C
Krishnan
Subramaniam C
SC
D000369:Aged, 80 and over; D002303:Cardiac Output, Low / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D004562:Electrocardiography / Q000379:methods*; D006801:Humans; D008297:Male; D011379:Prognosis; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control