Use of triple-site ventricular pacing in a patient with severe congestive heart failure and atrial fibrillation.
Cardiac resynchronization therapy (CRT) has become an accepted treatment for selected patients with drug-resistant heart failure. Data for patients in atrial fibrillation (AF) remains limited but suggests benefit in these patients too. We report the case of an 82-year-old patient with heart failure, VVIR permanent pacemaker, and permanent AF who had an upgrade to triple-site CRT implantation with good clinical response. Triple-site ventricular pacing may enhance the chance of response and LV reverse remodeling and should be considered in AF patients undergoing CRT implantation.
Osman
Faizel
F
Department of Cardiology, University Hospital Coventry, Coventry, UK. faizel.osman@btinternet.com
Jeilan
Mohamed
M
Ng
G Andre
GA
D000369:Aged, 80 and over; D001281:Atrial Fibrillation / Q000150:complications* / Q000517:prevention & control*; D006333:Heart Failure / Q000150:complications* / Q000517:prevention & control*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D016896:Treatment Outcome