Scar burden, not intraventricular conduction delay pattern, is associated with outcomes in ischemic cardiomyopathy patients receiving cardiac resynchronization therapy

Heart Rhythm ◽  
2018 ◽  
Vol 15 (11) ◽  
pp. 1664-1672 ◽  
Author(s):  
Evan C. Adelstein ◽  
Andrew D. Althouse ◽  
David Schwartzman ◽  
Sandeep K. Jain ◽  
Prem Soman ◽  
...  
2021 ◽  
Vol 73 (1) ◽  
Author(s):  
Vanita Arora ◽  
Francesco Zanon ◽  
Viveka Kumar ◽  
Vivek Kumar ◽  
Pawan Suri

Abstract Background As per the literature, patients with intraventricular conduction delay (IVCD) do not respond well to cardiac resynchronization therapy (CRT) alone. They need advanced technological approach and out of the box thinking for a good response. Case Ours is a case of ischemic cardiomyopathy with wide QRS-IVCD, a non-responder to CRT. While planning for replacement of the device for early replacement indicator (ERI), we decided to do His-optimized CRT/left bundle optimized CRT (HOT-CRT/LOT-CRT) for the patient. Conclusion The challenges we faced with the present available hardware paved a way for insisting on the limitation of the available lumenless lead to penetrate calcified the septum and importance of the pre-procedure evaluation of intraventricular septum (IVS) for calcification by more than just echocardiography.


Heart Rhythm ◽  
2015 ◽  
Vol 12 (5) ◽  
pp. 1071-1079 ◽  
Author(s):  
Romain Eschalier ◽  
Sylvain Ploux ◽  
Philippe Ritter ◽  
Michel Haïssaguerre ◽  
Kenneth A. Ellenbogen ◽  
...  

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