The optimal management of patient with permanent atrial fibrillation and heart failure with reduced ejection fraction – The permanent His-bundle pacing is a solution. A case report
| Autor: | Bartosz Skonieczny, Aleksandra Gajek, Agnieszka Sławuta, Jacek Gajek, Piotr Strózik, Jacek Marcin Zawadzki, Jakub Adamowicz |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Bundle of His medicine.medical_specialty medicine.medical_treatment Adrenergic beta-Antagonists 030204 cardiovascular system & hematology Electrocardiography Ventricular Dysfunction Left 03 medical and health sciences 0302 clinical medicine Internal medicine Atrial Fibrillation medicine Humans 030212 general & internal medicine Heart Failure Ejection fraction business.industry Cardiac Pacing Artificial Stroke Volume Atrial fibrillation Middle Aged Ventricular pacing medicine.disease Implantable cardioverter-defibrillator Combined Modality Therapy Optimal management Defibrillators Implantable Heart failure Concomitant Cardiology Radiography Thoracic Cardiology and Cardiovascular Medicine business Single chamber |
| Zdroj: | Journal of Electrocardiology. 51:1141-1144 |
| ISSN: | 0022-0736 |
| DOI: | 10.1016/j.jelectrocard.2018.10.091 |
| Popis: | Atrial fibrillation (AF) coexists frequently with heart failure (HF). Permanent His-bundle pacing (pHBP) seems to be an optimal approach to the management of patients with HF and concomitant AF, which are the indication for single chamber ICD implantation. This management allows to up-titrate the beta-blocker dose in order to prevent tachyarrhythmia with no risk of bradyarrhythmia or triggering deleterious right ventricular pacing. We present a case of 69-years-old male with AF, worsening HF and high burden of RV pacing. The upgrade from single chamber ICD to dual chamber ICD with pHBP alleviated the symptoms and contributed to substantial echocardiographic improvement. |
| Databáze: | OpenAIRE |
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