Reversed remodelling of dilated left sided cardiomyopathy after upgrading from VVIR to VVIR biventricular pacing.
Europace 2002;
4:445-9. [PMID:
12408266 DOI:
10.1053/eupc.2002.0252]
[Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
AIMS
To show reversed remodelling of the left ventricle and left atrium after upgrading to biventricular pacing in a patient with worsening heart failure due to VVIR pacing. To review the literature concerning reversed remodelling after upgrading to biventricular pacing.
METHODS AND RESULTS
In a 61-year-old man, with cardiomyopathy and worsening heart failure and mitral insufficiency following conventional pacing after His-bundle ablation, upgrading to biventricular pacing showed left sided reversed remodelling of the heart with decrease in mitral regurgitation in 6 months. The literature is reviewed by a Medline search between 1966-2001.
CONCLUSION
The occasionally observed progressive heart failure after right ventricular pacing following His-bundle ablation can be reversed by upgrading to VVIR biventricular pacing and under these circumstances upgrading should be considered.
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