Earlier right ventricular pacing in cardiac resynchronization therapy for a patient with right axis deviation

Yusuke Hattori, Kohei Ishibashi, Takashi Noda, Hideo Okamura, Hideaki Kanzaki, Toshihisa Anzai, Satoshi Yasuda, Kengo Kusano

Research output: Contribution to journalArticlepeer-review

Abstract

We describe the case of a 37-year-old woman who presented with complete right bundle branch block and right axis deviation. She was admitted to our hospital due to severe heart failure and was dependent on inotropic agents. Cardiac resynchronization therapy was initiated but did not improve her condition. After the optimization of the pacing timing, we performed earlier right ventricular pacing, which led to an improvement of her heart failure. Earlier right ventricular pacing should be considered in patients with complete right bundle branch block and right axis deviation when cardiac resynchronization therapy is not effective.

Original languageEnglish
Pages (from-to)2285-2288
Number of pages4
JournalInternal Medicine
Volume56
Issue number17
DOIs
Publication statusPublished - 2017
Externally publishedYes

Keywords

  • Cardiac resynchronization
  • Heart failure
  • Optimization pacing
  • Right axis deviation
  • Right bundle branch block

ASJC Scopus subject areas

  • Internal Medicine

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