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Reverse Remodeling with Resynchronization in an Asymptomatic Patient with Dilated Hypokinetic Cardiomyopathy
Author(s) -
D'IVERNOIS CHRISTOPHE,
DELUCHE LAURENT,
TUAN NGUYEN LE ANH,
BLANC PATRICK
Publication year - 2007
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.1540-8159.2007.00831.x
Subject(s) - medicine , asymptomatic , cardiac resynchronization therapy , dilated cardiomyopathy , cardiology , heart failure , ventricular remodeling , cardiomyopathy , ejection fraction
Cardiac resynchronization therapy (CRT) is a validated treatment for selected heart failure patients who remain highly symptomatic despite optimal drug treatment. Yet there is currently no indication for CRT in patients with few or no symptoms. We report a spectacular “reverse remodeling” effect after CRT in an asymptomatic patient with hypokinetic dilated myocardiopathy who needed pacing for atrio‐ventricular conduction disorder. CRT was chosen to prevent deterioration of left ventricular function by conventional right apical pacing. Thus, CRT could be indicated in patients with hypokinetic dilated myocardiopathy before the appearance of symptoms .