Internal Medicine (East Africa)
Cardiac resynchronization therapy (CRT) has become an accepted treatment for selected patients with drug-resistant heart failure. Data for patients in atrial fibrillation (AF) remains limited but suggests benefit in these patients too. We report the case of an 82-year-old patient with heart failure, VVIR permanent pacemaker, and permanent AF who had an upgrade to triple-site CRT implantation with good clinical response. Triple-site ventricular pacing may enhance the chance of response and LV reverse remodeling and should be considered in AF patients undergoing CRT implantation.
Pacing and Clinical Electrophysiology
Andre' Ng, G.
(2009). Use of triple-site ventricular pacing in a patient with severe congestive heart failure and atrial fibrillation.. Pacing and Clinical Electrophysiology, 32(5), 673-674.
Available at: http://ecommons.aku.edu/eastafrica_fhs_mc_intern_med/74