Advanced Heart Failure Exacerbated by Discreet Left Ventricular Lead Non-Capture

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Authors

  • Jon Krathen Department of Cardiology, Deborah Heart and Lung Center, New Jersey, USA
  • John Costello Department of Cardiology, Deborah Heart and Lung Center, New Jersey, USA
  • Mark Moshiyakhov Department of Cardiology, Deborah Heart and Lung Center, New Jersey, USA
  • Raphael Corbisiero Department of Electrophysiology, Deborah Heart and Lung Center, New Jersey, USA
  • Kulpreet Barn Department of Advanced Heart Failure, Deborah Heart and Lung Center, New Jersey, USA

DOI:

https://doi.org/10.17140/HROJ-7-153

Keywords:

Cardiac resynchronization cardiac resynchronization therapy (CRT), Systolic heart failure, Lead positioning, Advanced heart failure

Abstract

This case report illustrates a challenging case of worsening heart failure in a previously well-compensated patient with unclear
etiology. Further workup revealed the patient’s cardiac resynchronization therapy-defibrillator (CRT-D) left ventricle (LV) lead was
losing capture during positional changes. This case demonstrates the importance of device optimization, as well as electrocardiogram
(ECG) monitoring to elucidate possible causes of acute systolic heart failure.

References

Mozzafarian D, Benjamin EJ, Go AS, et al. Heart disease and stroke statistics—2016 update: A report from the American Heart Association. Circulation. 2016; 133: e38-e360. doi: 10.1161/ CIR.0000000000000350

Arthur JM, Jackson WH, Cannom DS, et al. Cardiac-resynchronization therapy for the prevention of heart-failure Submit your article to this journal | https://openventio.org/submit-manuscript/ 6 Krathen J et al events. N Engl J Med. 2009; 361(14): 1329-1338. doi: 10.1056/ NEJMoa0906431

Chaudhry S, Stewart G. Advanced heart failure: Prevalence, natural history, and prognosis. Heart Fail Clin. 2016; 12(3): 323-333. doi: 10.1016/j.hfc.2016.03.001

Hayes D, Boehmer JP, Day JD, et al. Cardiac resynchronization therapy and the relationship of percent biventricular pacing to symptoms and survival. Heart Rhythm. 2011; 8: 1469-1475. doi: 10.1016/j.hrthm.2011.04.015

Kiehl E, Makki T, Cantillon D, et al. Incidence and predictors of right ventricular pacing-induced cardiomyopathy in patients with complete atrioventricular block and preserved left ventricular systolic function. Heart Rhythm. 2016; 13(12): 2272-2278. doi: 10.1016/j.hrthm.2016.09.027

St John Sutton M, Plappert T, Curtis A, et al. Left ventricular reverse remodeling with biventricular versus right ventricular pacing in patients with atrioventricular block and heart failure in the BLOCK HF trial. Circ Heart Fail. 2015; 8(3): 510-518. doi: 10.1161/CIRCHEARTFAILURE.114.001626 Case Report | Volume 7 | Number 1|

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Published

2020-03-18

How to Cite

Jon Krathen, John Costello, Mark Moshiyakhov, Raphael Corbisiero, & Kulpreet Barn. (2020). Advanced Heart Failure Exacerbated by Discreet Left Ventricular Lead Non-Capture. Heart Research, 7(1), 3–6. https://doi.org/10.17140/HROJ-7-153

Issue

Vol. 7 No. 1 (2020): Volume 7 Issue 1 2020

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

All content published in Heart Research (HROJ) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.

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