A case of diaphragmatic pacing with cardiac resynchronization therapy.
Cardiac resynchronization therapy (CRT) is now an accepted treatment for heart failure [McAlister et al. in Cardiac resynchronization therapy for patients with left ventricular systolic dysfunction: a systematic review. JAMA 2007;297:2502-14.]. In addition to the complications associated with standard pacemaker implants, CRT procedures have their own additional complications such as coronary sinus dissection, diaphragmatic stimulation, and longer implant times. We present a case of CRT implantation which illustrates these problems because of an unusual complication.
Hamid
Shoaib
S
Cardiothoracic Department, St Thomas' Hospital, London SE1 7EH, UK. shoaibhamid@hotmail.com
Arujuna
Aruna
A
Rinaldi
Christopher A
CA
D000368:Aged; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D003964:Diaphragm; D004556:Electric Injuries / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D009135:Muscular Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control