Cardiac Resynchronization Therapy Defibrillator Treatment in a Child with Heart Failure and Ventricular Arrhythmia
Cardiac resynchronization therapy (CRT) is a new treatment for refractory heart failure. However, most patients with heart failure treated with CRT are adults, middle-aged or older with idiopathic or ischemic dilated cardiomyopathy. We treated a 12-year-old boy, who was transferred after cardiac a...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic and Cardiovascular Surgery
2016-08-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.4.292 |
| Summary: | Cardiac resynchronization therapy (CRT) is a new treatment for refractory heart failure. However, most patients
with heart failure treated with CRT are adults, middle-aged or older with idiopathic or ischemic dilated
cardiomyopathy. We treated a 12-year-old boy, who was transferred after cardiac arrest, with dilated
cardiomyopathy, left bundle-branch block, and ventricular tachycardia. We performed cardiac resynchronization
therapy with a defibrillator (CRT-D). After CRT-D, left ventricular ejection fraction improved from 22%
to 4 4% a ssessed by e chocardiog ram 1 year p ostoperatively. On e lectrocardiog ram, Q RS d uration was shortened
from 206 to 144 ms. The patient’s clinical symptoms also improved. For pediatric patients with refractory
heart failure and ventricular arrhythmia, CRT-D could be indicated as an effective therapeutic option. |
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| ISSN: | 2233-601X 2093-6516 |