Temporary pacing wire in the coronary sinus: a novel treatment of acute heart failure?
Treatment of acute heart failure relies initially on medical therapy. Patients can be considered for cardiac resynchronization therapy once they are able to lie flat for several hours. However, placement of a temporary pacing wire (TPW) into the coronary sinus may allow the patient to receive resynchronization therapy in the acute phase. We report a case of a patient who had a dramatic improvement of symptoms and blood pressure after a TPW was placed in the coronary sinus.
Osman
Faizel
F
Department of Cardiology, University Hospital of North Staffordshire NHS Trust, City General Hospital, Newcastle Road, Stoke-on-Trent, Staffordshire ST4 6QG, UK. faizel.osman@btinternet.com
Ratib
Karim
K
Krishnamoorthy
Suresh
S
Nadir
Adnan
A
Creamer
John
J
Morley-Davies
Adrian
A
D000208:Acute Disease; D000368:Aged; D001794:Blood Pressure / Q000502:physiology; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D054326:Coronary Sinus / Q000503:physiopathology*; D004562:Electrocardiography; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology; D006333:Heart Failure / Q000503:physiopathology* / Q000628:therapy*; D006801:Humans