Journal Article

Reversed remodelling of dilated left sided cardiomyopathy after upgrading from VVIR to VVIR biventricular pacing

A. Erol-Yilmaz, R. Tukkie, T. A. M. Schrama, H. J. Romkes and A. A. M. Wilde

in EP Europace

Published on behalf of European Heart Rhythm Association of the European Society of Cardiology (ESC)

Volume 4, issue 4, pages 445-449
Published in print October 2002 | ISSN: 1099-5129
Published online October 2002 | e-ISSN: 1532-2092 | DOI: http://dx.doi.org/10.1053/eupc.2002.0252
Reversed remodelling of dilated left sided cardiomyopathy after upgrading from VVIR to VVIR biventricular pacing

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Aims

To show reversed remodelling of the left ventricle and left atrium after upgrading to biventricular pacing in a patient with worsening heart failure due to VVIR pacing. To review the literature concerning reversed remodelling after upgrading to biventricular pacing.

Methods and Results

In a 61-year-old man, with cardiomyopathy and worsening heart failure and mitral insufficiency following conventional pacing after His-bundle ablation, upgrading to biventricular pacing showed left sided reversed remodelling of the heart with decrease in mitral regurgitation in 6 months. The literature is reviewed by a Medline search between 1966–2001.

Conclusion

The occasionally observed progressive heart failure after right ventricular pacing following His-bundle ablation can be reversed by upgrading to VVIR biventricular pacing and under these circumstances upgrading should be considered.

Keywords: Biventricular pacing; remodelling; heart failure; mitral regurgitation; AV-node ablation

Journal Article.  0 words. 

Subjects: Cardiovascular Medicine

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