Cardiac resynchronization therapy after atrioventricular node ablation for rapid atrial fibrillation in a heart transplant recipient with late allograft dysfunction

被引:4
作者
Mariani, Justin A. [1 ,2 ]
McDonald, Michael A. [1 ,2 ]
Nanthakumar, Kumaraswamy [1 ]
Parker, John D. [1 ,2 ]
Ross, Heather J. [1 ]
机构
[1] Toronto Gen Hosp, Div Cardiol, Univ Hlth Network, Peter Munk Cardiac Ctr, Toronto, ON M5G 1X5, Canada
[2] Mt Sinai Hosp, Div Cardiol, Toronto, ON M5G 1X5, Canada
基金
加拿大健康研究院;
关键词
cardiac resynchronization therapy; allograft dysfunction; cardiac allograft vasculopathy; AV node ablation; pacing; biventricular pacing; heart failure; FAILURE; DEFIBRILLATORS; STIMULATION;
D O I
10.1016/j.healun.2010.01.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the successful use of cardiac resynchronization therapy in an orthotopic heart transplant recipient with late graft dysfunction, severe heart failure, and atrial fibrillation requiring atrioventricular node ablation. This case highlights the potential role for cardiac resynchronization therapy in orthotopic heart transplant recipients with systolic dysfunction and heart failure, especially in the setting of forced right ventricular pacing. Despite potentially different mechanisms of left ventricular dysfunction, biventricular pacing should be considered for allograft recipients with conventional indications for cardiac resynchronization therapy. J Heart Lung Transplant 2010;29:704-6 (C) 2010 International Society for Heart and Lung Transplantation. All rights reserved.
引用
收藏
页码:704 / 706
页数:3
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