[Pacemaker ECG quiz no. 22. A CRT non-responder with atrial fibrillation].
A patient with heart failure functional class NYHA III and permanent atrial fibrillation received a system for cardiac resynchronization therapy. Unfortunately, he reports at a follow-up visit about a completely unchanged poor exercise capacity with dyspnea during exercise at a very low level. The ECG reveals an unusual mode of stimulation.
Israel
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Klinik für Innere Medizin - Kardiologie, Ev. Krankenhaus Bielefeld, Haus Gilead I, Haus Gilead I, Burgsteig 13, 33617, Bielefeld, Deutschland. carsten.israel@evkb.de
D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications / Q000175:diagnosis* / Q000517:prevention & control*; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods*; D006801:Humans; D008297:Male; D017211:Treatment Failure; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000175:diagnosis* / Q000517:prevention & control*