PMID- 18029382 OWN - NLM STAT- MEDLINE DCOM- 20080306 LR - 20080117 IS - 1532-2092 (Electronic) IS - 1099-5129 (Linking) VI - 10 IP - 1 DP - 2008 Jan TI - Cardiac resynchronization therapy in left ventricular hypertrabeculation/non-compaction and myopathy. PG - 59-62 AB - AIMS: Little is known how patients with left ventricular hypertrabeculation/non-compaction (LVHT) and heart failure respond to cardiac resynchronization therapy (CRT). METHODS AND RESULTS: Included in this retrospective study were 8/102 patients (3 female, age range 43-78 years), in whom LVHT was diagnosed and in whom a CRT system was implanted. All eight patients were investigated neurologically and in seven of them a myopathy was found. The mean follow-up after CRT implantation was 39 (4-68) months. All patients improved by one or more New York Heart Association (NYHA) classes, and two by two NYHA classes. The left ventricular end-diastolic diameter decreased by < or =5% in 2 patients, by 6-10% in 3 patients, by 12% in 1 patient, and by >30% in 2 patients. The left ventricular systolic function, as assessed by the fractional shortening, did not change in 2 patients, increased by 10% in 2 patients, by 59% in 1 patient, doubled in 2 patients, and showed a five-fold increase in 1 patient. Two patients died during follow-up. CONCLUSION: CRT by biventricular pacing in LVHT, heart failure, and myopathy leads to improvement in functional capacity in all patients and improvement of systolic function in half of the patients. The weak response of LVHT patients to CRT may be due to inappropriate selection or comorbidities, in particular, neuromuscular disorders. FAU - Stollberger, Claudia AU - Stollberger C AD - 2. Medizinische Abteilung, Krankenanstalt Rudolfstiftung, Juchgasse 25, 1030 Wien, Osterreich. claudia.stoellberger@chello.at FAU - Blazek, Gerhard AU - Blazek G FAU - Bucher, Elisabeth AU - Bucher E FAU - Finsterer, Josef AU - Finsterer J LA - eng PT - Journal Article DEP - 20071119 PL - England TA - Europace JT - Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology JID - 100883649 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Cardiac Pacing, Artificial/*methods MH - Female MH - Heart Failure/etiology/physiopathology/prevention & control MH - Heart Ventricles/physiopathology MH - Humans MH - Male MH - Middle Aged MH - Neuromuscular Diseases/complications/physiopathology/*therapy MH - *Pacemaker, Artificial MH - Retrospective Studies MH - Treatment Outcome MH - Ventricular Dysfunction, Left/complications/physiopathology/*therapy EDAT- 2007/11/22 09:00 MHDA- 2008/03/07 09:00 CRDT- 2007/11/22 09:00 PHST- 2007/11/22 09:00 [pubmed] PHST- 2008/03/07 09:00 [medline] PHST- 2007/11/22 09:00 [entrez] AID - eum245 [pii] AID - 10.1093/europace/eum245 [doi] PST - ppublish SO - Europace. 2008 Jan;10(1):59-62. doi: 10.1093/europace/eum245. Epub 2007 Nov 19.