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Use of Triple‐Site Ventricular Pacing in a Patient with Severe Congestive Heart Failure and Atrial Fibrillation
Author(s) -
OSMAN FAIZEL,
JEILAN MOHAMED,
NG G. ANDRE
Publication year - 2009
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.1540-8159.2009.02344.x
Subject(s) - medicine , heart failure , cardiology , atrial fibrillation , cardiac resynchronization therapy , ventricular pacing , ejection fraction
Cardiac resynchronization therapy (CRT) has become an accepted treatment for selected patients with drug‐resistant heart failure. Data for patients in atrial fibrillation (AF) remains limited but suggests benefit in these patients too. We report the case of an 82‐year‐old patient with heart failure, VVIR permanent pacemaker, and permanent AF who had an upgrade to triple‐site CRT implantation with good clinical response. Triple‐site ventricular pacing may enhance the chance of response and LV reverse remodeling and should be considered in AF patients undergoing CRT implantation.