Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-18T15:51:04.483Z Has data issue: false hasContentIssue false
  • English
  • Français

Cardiac resynchronization as therapy for congestive cardiac failure in children dependent on chronic cardiac pacing

Published online by Cambridge University Press:  22 March 2006

Eugène van Beek ,
Ad Backx  and
Sandeep Singh
Eugène van Beek
Affiliation:
Children's Hearth Centre, University Medical Centre, Nijmegen, The Netherlands
Ad Backx
Affiliation:
Children's Hearth Centre, University Medical Centre, Nijmegen, The Netherlands
Sandeep Singh
Affiliation:
Children's Hearth Centre, University Medical Centre, Nijmegen, The Netherlands
Get access Rights & Permissions [Opens in a new window]

Abstract

Three patients with heart failure after chronic right ventricular apical pacing were treated with resynchronization. Biventricular pacing was used for two patients, and the other was treated with left univentricular pacing. In all patients, we observed a dramatic improvement of left ventricular dimension, function, and clinical state. We conclude that biventricular or left ventricular pacing is superior to right ventricular apical pacing in children who are pacemaker-dependent.

Keywords

Resynchronization therapychronic pacingcardiac failurelead position
Type
Brief Report
Information
Cardiology in the Young , Volume 16 , Issue 2 , April 2006 , pp. 187 - 189
Copyright
© 2006 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cazeau S, Leclercq C, Lavergne T, et al. Effects of multisite biventricular pacing in patients with heart failure and intraventricular conduction delay. N Engl J Med 2001; 344: 873–880.Google Scholar
Thambo JB, Bordachar P, Garrigue S, et al. Detrimental ventricular remodeling in patients with congenital complete heart block and chronic right ventricular apical pacing. Circulation 2004; 110: 3766–3772.Google Scholar
Janousek J, Tomek V, Chaloupecky V, Gebauer RA. Dilated cardiomyopathy associated with dual-chamber pacing in infants: improvement through either left ventricular cardiac resynchronization or programming the pacemaker off allowing intrinsic normal conduction. J Cardiovasc Electrophysiol 2004; 15: 470–474.Google Scholar
Vanagt WY, Verbeek XA, Delhaas T, Mertens L, Daenen WJ, Prinzen FW. The left ventricular apex is the optimal site for pediatric pacing: correlation with animal experience. Pacing Clin Electrophysiol 2004; 27 (6 Pt 2): 837–843.Google Scholar
Karpawich PP. Chronic right ventricular pacing and cardiac performance: the pediatric perspective. Pacing Clin Electrophysiol 2004; 27 (6 Pt 2): 844–849.Google Scholar