PMID- 32494454
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2156-3977 (Print)
IS  - 2156-3993 (Electronic)
IS  - 2156-3977 (Linking)
VI  - 8
IP  - 6
DP  - 2017 Jun
TI  - The Importance of Right Ventricular Lead Positioning in Determining Outcomes of 
      Cardiac Resynchronization Therapy.
PG  - 2746-2748
LID - 10.19102/icrm.2017.080601 [doi]
AB  - Cardiac resynchronization therapy is known to improve clinical outcomes in 
      patients with heart failure and left ventricular dyssynchrony. However, the 
      optimal positioning of the right ventricular lead is unknown, and there is 
      conflicting data on the acute hemodynamic effects and long-term outcomes. Here, 
      we present a case of a patient who underwent implantation of a dual-chamber 
      pacemaker for complete heart block, but who after three months, still had 
      symptoms consistent with New York Heart Association (NYHA) Class IV heart 
      failure. After optimal medical therapy failed and a left ventricular lead was 
      placed, he still remained symptomatic, so the right ventricular lead was 
      repositioned from the right ventricular outflow tract to the right ventricular 
      apex. Afterwards, the patient's symptoms improved from NYHA Class IV to NYHA 
      Class II, and his left ventricular ejection fraction improved from 20% to 45%.
CI  - Copyright: (c) 2017 Innovations in Cardiac Rhythm Management.
FAU - Xu, Jack
AU  - Xu J
AD  - College of Medicine, University of Arkansas for Medical Sciences, Little Rock, 
      AR.
AD  - Department of Internal Medicine, Rutgers Robert Wood Johnson Medical School, New 
      Brunswick, NJ.
FAU - Wong, Joseph
AU  - Wong J
AD  - Division of Cardiology, University of Arkansas for Medical Sciences, Little Rock, 
      AR.
FAU - Watts, Thomas E
AU  - Watts TE
AD  - Department of Internal Medicine, University of Arkansas for Medical Sciences.
AD  - Division of Cardiology, University of Alabama Birmingham School of Medicine, 
      Birmingham, AL.
FAU - Reddy, Sirisha
AU  - Reddy S
AD  - Division of Cardiology, University of Arkansas for Medical Sciences, Little Rock, 
      AR.
FAU - Sewani, Asif
AU  - Sewani A
AD  - Division of Cardiology, University of Arkansas for Medical Sciences, Little Rock, 
      AR.
FAU - Paydak, Hakan
AU  - Paydak H
AD  - Division of Cardiology, University of Arkansas for Medical Sciences, Little Rock, 
      AR.
LA  - eng
PT  - Case Reports
DEP - 20170615
PL  - United States
TA  - J Innov Card Rhythm Manag
JT  - The Journal of innovations in cardiac rhythm management
JID - 101589872
PMC - PMC7252913
OTO - NOTNLM
OT  - Cardiac resynchronization therapy
OT  - right ventricular lead positioning
COIS- The authors report no conflicts of interest for the published content.
EDAT- 2017/06/15 00:00
MHDA- 2017/06/15 00:01
PMCR- 2017/06/15
CRDT- 2020/06/05 06:00
PHST- 2015/03/30 00:00 [received]
PHST- 2017/05/02 00:00 [accepted]
PHST- 2020/06/05 06:00 [entrez]
PHST- 2017/06/15 00:00 [pubmed]
PHST- 2017/06/15 00:01 [medline]
PHST- 2017/06/15 00:00 [pmc-release]
AID - icrm.2017.080601 [pii]
AID - 10.19102/icrm.2017.080601 [doi]
PST - epublish
SO  - J Innov Card Rhythm Manag. 2017 Jun 15;8(6):2746-2748. doi: 
      10.19102/icrm.2017.080601. eCollection 2017 Jun.