Premium
Triple Chamber Pacemaker for End‐Stage Heart Failure in a Patient with a Previously Implanted Automatic Defibrillator
Author(s) -
FRANC PIERRE,
KLUG DIDIER,
LACROIX DOMINIQUE,
JARWE MUSTAFA,
KOUAKAM CLAUDE,
KACET SALEM
Publication year - 1998
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1998.tb00259.x
Subject(s) - medicine , cardiology , heart failure , implantable cardioverter defibrillator , cardiac resynchronization therapy , ischemic cardiomyopathy , dilated cardiomyopathy , implant , cardiomyopathy , ventricular pacing , single chamber , surgery , ejection fraction
A 63‐year‐old man with an ischemic dilated cardiomyopathy previously implanted with an implantable cardioverter defibrillator (ICD) received a triple chamber pacemaker as an ultimate therapeutic resort for end‐stage congestive heart failure. After implant, the tolerance to physical exercise increased and NYHA class decreased from III to II. Echocardiography assessed ventricular contraction resynchronization during DDD biventricular pacing as compared to VVI pacing. No major pacemaker‐ICD interaction was noted during testing or follow‐up. We conclude that sequential biventricular pacing is feasible in the presence of an ICD.