The beneficial effect of biventricular pacing on ventricular tachycardia in a patient with non-ischemic cardiomyopathy

Abstract The effect of cardiac resynchronisation therapy on ventricular tachycardias (VT) has not been well established. This case-report demonstrates the favourable impact of biventricular pacing on ventricular arrhythmias. In 2004, a patient with dilated cardiomyopathy and ICD since 1999 was admit...

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Published inInternational journal of cardiology Vol. 126; no. 2; pp. e29 - e31
Main Authors Nicoletti, Ilaria, Tomei, Ruggero, Zanotto, Gabriele, Dalla Vecchia, Eros, Zorzi, Elisabetta, Vassanelli, Corrado
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ireland Ltd 23.05.2008
Subjects
Aged, 80 and over
Antiarrhythmic effect
Biventricular pacing
Cardiac Pacing, Artificial - methods
Cardiomyopathy, Dilated - complications
Cardiomyopathy, Dilated - physiopathology
Cardiomyopathy, Dilated - therapy
Cardiovascular
Dilated cardiomyopathy
Humans
Tachycardia, Ventricular - complications
Tachycardia, Ventricular - physiopathology
Tachycardia, Ventricular - therapy
Ventricular Function
Ventricular tachycardias
Ventricular tachycardias
Dilated cardiomyopathy
Antiarrhythmic effect
Biventricular pacing
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Summary:Abstract The effect of cardiac resynchronisation therapy on ventricular tachycardias (VT) has not been well established. This case-report demonstrates the favourable impact of biventricular pacing on ventricular arrhythmias. In 2004, a patient with dilated cardiomyopathy and ICD since 1999 was admitted to our Division for multiple VT. While left ventricular function was markedly reduced and mitral regurgitation was severe, he was asymptomatic for heart failure. Amiodarone was not administered on account of a documented proarrhythmic effect. The patient's ICD was upgraded to an ICD-biventricular system. After upgrading, a significant reduction in the number of VT was noted.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2007.01.013