Biventricular pacing leads to significant rise in cardiac output in approximately 59% of patients with severely reduced left ventricular function and widened QRS complexes. Further studies are necessary to define clearly the clinical characteristics of patients who show remodeling by CRT.
Biventricular pacing therapy is an innovative therapy for improving cardiac output in adult patients with severe heart failure. However, this technique is not yet used in infants with congenital heart disease. We present a six month old infant with tetralogy of fallot and atresia of the left pulmonary artery in which biventricular stimulation led to improved left ventricular function and successful weaning from extracorporeal circulation.
In the majority of patients with reduced LV function, temporary biventricular pacing improves CO and arterial blood pressure after surgery, especially when LV dilatation is present.
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