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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kyu, Kyu Seow, Swee Chong Kojodjojo, Pipin Wong, Raymond |
| Description | Author Affiliation: Kyu K ( National University Heart Centre, National University Hospital, Singapore, Singapore.); Seow SC ( National University Heart Centre, National University Hospital, Singapore, Singapore.); Wong R ( National University Heart Centre, National University Hospital, Singapore, Singapore.); Kojodjojo P ( National University Heart Centre, National University Hospital, Singapore, Singapore.) |
| Abstract | An elderly Chinese man with moderately impaired left ventricular function, left bundle branch block and ST-elevation myocardial infarction complicated by ventricular septal rupture had class IV heart failure symptoms refractory to medical and surgical interventions. As a treatment of last resort, a cardiac resynchronisation therapy (CRT) pacemaker was implanted apprehensively, as preoperative concerns were raised whether CRT could exacerbate left-to-right shunting, hence negating the potential benefits of CRT. Introduction of CRT significantly improved the patient's haemodynamic status and symptoms, allowing for successful discharge home. To the best of our knowledge, this is the first report of a patient with severely symptomatic acute heart failure, widened QRS and active left-to-right intracardiac shunting, treated successfully with CRT. |
| Journal | BMJ Case Reports |
| Volume Number | 2016 |
| e-ISSN | 1757790X |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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