Biventricular pacing for treating heart failure in children: A case report and review of the literature

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 a...

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Detalles Bibliográficos
Autores principales: Yu, Shan, Wu, Qiang, Chen, Bao-Lin, An, Ya-Ping, Bu, Jie, Zhou, Song, Wang, Yong-Mei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369388/
https://www.ncbi.nlm.nih.gov/pubmed/30746382
http://dx.doi.org/10.12998/wjcc.v7.i3.396
Descripción
Sumario: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.

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