PMID- 21177274 OWN - NLM STAT- MEDLINE DCOM- 20110623 LR - 20110224 IS - 1532-2092 (Electronic) IS - 1099-5129 (Linking) VI - 13 IP - 3 DP - 2011 Mar TI - Three left ventricular leads required for improved haemodynamic and clinical status of a patient with very severe heart failure and a narrow QRS duration. PG - 439 LID - 10.1093/europace/euq370 [doi] AB - A 65-year-old man with severe idiopathic cardiomyopathy was referred to our centre with New York Heart Association (NYHA) IV heart failure requiring continuous dobutamine infusion. Implantation of three left ventricle (LV) leads was associated with a significant haemodynamic improvement. After 6 months of tri-LV pacing the patient has improved NYHA class from IV to II and the LV ejection fraction from 15 to 21%. FAU - Bordachar, Pierre AU - Bordachar P AD - Bordeaux University 2, Bordeaux, France. bordacharp@hotmail.com FAU - Ploux, Sylvain AU - Ploux S FAU - Ritter, Philippe AU - Ritter P LA - eng PT - Case Reports PT - Journal Article DEP - 20101220 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 - Aged MH - Cardiac Pacing, Artificial/methods MH - *Cardiac Resynchronization Therapy Devices MH - Cardiomyopathies/*physiopathology/*therapy MH - *Electrocardiography MH - *Electrodes, Implanted MH - Humans MH - Male MH - *Severity of Illness Index MH - Stroke Volume/physiology MH - Treatment Outcome MH - Ventricular Dysfunction, Left/*physiopathology EDAT- 2010/12/24 06:00 MHDA- 2011/06/24 06:00 CRDT- 2010/12/24 06:00 PHST- 2010/12/24 06:00 [entrez] PHST- 2010/12/24 06:00 [pubmed] PHST- 2011/06/24 06:00 [medline] AID - euq370 [pii] AID - 10.1093/europace/euq370 [doi] PST - ppublish SO - Europace. 2011 Mar;13(3):439. doi: 10.1093/europace/euq370. Epub 2010 Dec 20.