1. Biventricular pacing for treating heart failure in children: A case report and review of the literature.
- Author
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Yu S, Wu Q, Chen BL, An YP, Bu J, Zhou S, and Wang YM
- Abstract
Background: Cardiac resynchronization therapy (CRT) can be used as an escalated therapy to improve heart function in patients with cardiac dysfunction due to long-term right ventricular pacing. However, guidelines are only targeted at adults. CRT is rarely used in children., Case Summary: This case aimed to implement biventricular pacing in one child with heart failure who had a left ventricular ejection fraction < 35% at 4 years after implantation of an atrioventricular sequential pacemaker due to atrioventricular block. Postoperatively, echocardiography showed atrial sensing ventricular pacing and QRS wave duration of 120-130 ms, and cardiac function significantly improved after upgrading pacemaker., Conclusion: Patients whose cardiac function is deteriorated to a level to upgrade to CRT should be upgraded to reverse myocardial remodeling as soon as possible., Competing Interests: Conflict-of-interest statement: All the authors have no conflicts of interest to declare.
- Published
- 2019
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