[Telemedicine-assisted treatment of a 76-year-old man with heart failure].
The case of a patient with dilated cardiomyopathy and severely impaired left ventricular function is reported. With existing complete left bundle branch block and the patient being on optimal medical therapy, a cardiac resynchronization device with an integrated defibrillator was implanted and the patient was included in our telemonitoring program. During monitoring, an increase in ventricular premature beats with a decrease in biventricular pacing percentage was noticed. Consequently, radiofrequency ablation of the ventricular premature beats which originated in the left ventricle was performed. After ablation we could demonstrate a significant increase in biventricular pacing percentage. This case shows the importance of telemedicine and the complexity in the rhythmological treatment of heart failure patients.
Medizinische Klinik für Kardiologie, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland. barbara.bellmann@charite.de.|Klinik für Kardiologie, Pneumologie, Angiologie und Internistische Intensivmedizin, Medizinische Klinik I, Uniklinik RWTH Aachen, Aachen, Deutschland. barbara.bellmann@charite.de.
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Bellmann
Klinik für Kardiologie, Pneumologie, Angiologie und Internistische Intensivmedizin, Medizinische Klinik I, Uniklinik RWTH Aachen, Aachen, Deutschland.|Medizinische Klinik I (Kardiologie und Angiologie), Universitätsklinikum Gießen und Marburg, Standort Gießen, Gießen, Deutschland.
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Gemein
Klinik für Kardiologie, Pneumologie, Angiologie und Internistische Intensivmedizin, Medizinische Klinik I, Uniklinik RWTH Aachen, Aachen, Deutschland.|Herzmedizin Berlin, Berlin, Deutschland.
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Schauerte
D000368:Aged; D017147:Defibrillators, Implantable; D015716:Electrocardiography, Ambulatory / Q000379:methods*; D006333:Heart Failure / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D017216:Telemedicine / Q000379:methods*; D016896:Treatment Outcome
Heart failure; Implantable cardioverter-defibrillators; Radiofrequency catheter ablation; Telemedicine; Ventricular premature complexes