Biventricular pacing for treating heart failure in children: A case report and review of the literature
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  • 英文篇名:Biventricular pacing for treating heart failure in children: A case report and review of the literature
  • 作者:Shan ; Yu ; Qiang ; Wu ; Bao-Lin ; Chen ; Ya-Ping ; An ; Jie ; Bu ; Song ; Zhou ; Yong-Mei ; Wang
  • 英文作者:Shan Yu;Qiang Wu;Bao-Lin Chen;Ya-Ping An;Jie Bu;Song Zhou;Yong-Mei Wang;Department of Cardiology, Guizhou Provincial People’s Hospital;Department of Radiology, Guizhou Provincial People’s Hospital;
  • 英文关键词:Artificial cardiac pacing;;Atrioventricular block;;Cardiac resynchronization therapy;;Child;;Heart failure;;Case report
  • 中文刊名:LCBG
  • 英文刊名:世界临床病例报告杂志(英文版)
  • 机构:Department of Cardiology, Guizhou Provincial People’s Hospital;Department of Radiology, Guizhou Provincial People’s Hospital;
  • 出版日期:2019-02-06
  • 出版单位:World Journal of Clinical Cases
  • 年:2019
  • 期:v.7
  • 基金:Supported by The Clinical Research Center Project of Department of Science and Technology of Guizhou Province,No.(2016)410 and No.(2017)5405
  • 语种:英文;
  • 页:LCBG201903015
  • 页数:9
  • CN:03
  • 分类号:141-149
摘要
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.
        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.
引文
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