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Cardiac resynchronization as therapy for congestive cardiac failure in children dependent on chronic cardiac pacing

Published online by Cambridge University Press:  22 March 2006

Eugène van Beek
Affiliation:
Children's Hearth Centre, University Medical Centre, Nijmegen, The Netherlands
Ad Backx
Affiliation:
Children's Hearth Centre, University Medical Centre, Nijmegen, The Netherlands
Sandeep Singh
Affiliation:
Children's Hearth Centre, University Medical Centre, Nijmegen, The Netherlands

Abstract

Three patients with heart failure after chronic right ventricular apical pacing were treated with resynchronization. Biventricular pacing was used for two patients, and the other was treated with left univentricular pacing. In all patients, we observed a dramatic improvement of left ventricular dimension, function, and clinical state. We conclude that biventricular or left ventricular pacing is superior to right ventricular apical pacing in children who are pacemaker-dependent.

Type
Brief Report
Copyright
© 2006 Cambridge University Press

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References

Cazeau S, Leclercq C, Lavergne T, et al. Effects of multisite biventricular pacing in patients with heart failure and intraventricular conduction delay. N Engl J Med 2001; 344: 873880.Google Scholar
Thambo JB, Bordachar P, Garrigue S, et al. Detrimental ventricular remodeling in patients with congenital complete heart block and chronic right ventricular apical pacing. Circulation 2004; 110: 37663772.Google Scholar
Janousek J, Tomek V, Chaloupecky V, Gebauer RA. Dilated cardiomyopathy associated with dual-chamber pacing in infants: improvement through either left ventricular cardiac resynchronization or programming the pacemaker off allowing intrinsic normal conduction. J Cardiovasc Electrophysiol 2004; 15: 470474.Google Scholar
Vanagt WY, Verbeek XA, Delhaas T, Mertens L, Daenen WJ, Prinzen FW. The left ventricular apex is the optimal site for pediatric pacing: correlation with animal experience. Pacing Clin Electrophysiol 2004; 27 (6 Pt 2): 837843.Google Scholar
Karpawich PP. Chronic right ventricular pacing and cardiac performance: the pediatric perspective. Pacing Clin Electrophysiol 2004; 27 (6 Pt 2): 844849.Google Scholar
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