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LV only pacing‐mediated electrical storm with cardiac resynchronization therapy managed by simultaneous biventricular pacing
Author(s) -
Kella Danesh K.,
Kantipudi Charan,
Stambler Bruce S.
Publication year - 2020
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/jce.14697
Subject(s) - medicine , cardiac resynchronization therapy , proarrhythmia , cardiology , ventricular pacing , ventricular tachycardia , cardiac pacing , heart failure , qt interval , ejection fraction
Ventricular arrhythmia (VA) is a rare complication of cardiac resynchronization therapy (CRT). Little is known about ventricular proarrhythmia related to the pacing vector of CRT. This case report describes the elimination of ventricular arrythmia using biventricular pacing in a patient with VT‐storm related to LV only pacing as part of the AdaptivCRT algorithm (Medtronic Inc). Simultaneous biventricular pacing was effective in eliminating polymorphic ventricular tachycardia. Changing the pacing vector is a noninvasive treatment strategy that should be considered to manage VA due to CRT.